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早期发病型失智症患者所经历的正向诊断后支持的本质。

The nature of positive post-diagnostic support as experienced by people with young onset dementia.

机构信息

Centre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford, UK.

The UoN Dementia Research & Innovation Centre, Faculty of Health, Education and Society, University of Northampton, Northampton, UK.

出版信息

Aging Ment Health. 2021 Jun;25(6):1125-1133. doi: 10.1080/13607863.2020.1727854. Epub 2020 Feb 18.

Abstract

OBJECTIVES

Studies on service needs of people with young onset dementia have taken a problem-oriented approach with resulting recommendations focusing on reducing service shortcomings. This study aimed to build on 'what works' in real-life practice by exploring the nature of post-diagnostic support services that were perceived positively by younger people with dementia and carers.

METHOD

Positive examples of support were gathered between August 2017 and September 2018, via a national survey. Inductive thematic analysis was employed to explore the nature of positively experienced services provided for younger people with dementia, including analysis of what was provided by positively experienced services.

RESULTS

Two hundred and thirty-three respondents reported 856 positive experiences of support. Data analysis yielded eight themes regarding the objectives of positive services: Specialist Advice and Information on Young Onset Dementia, Access to Age-appropriate Services, Interventions for Physical and Mental Health, Opportunities for Social Participation, Opportunities to Have a Voice, Enablement of Independence while Managing Risk, Enablement of Financial Stability, and Support Interventions for Family Relationships.

CONCLUSION

The study findings (a) suggest that positive services may collectively create an enabling-protective circle that supports YPD to re-establish and maintain a positive identity in the face of young onset dementia, and (b) provide a basis from which future good practice can be developed.

摘要

目的

以问题为导向的研究方法探讨了早发性痴呆患者的服务需求,其结果建议主要集中在减少服务缺陷上。本研究旨在通过探索被确诊为早发性痴呆的年轻人及其照顾者积极评价的支持服务的性质,以此在“有效实践”的基础上更进一步。

方法

通过全国性调查,于 2017 年 8 月至 2018 年 9 月间收集了支持性服务的积极实例。采用归纳主题分析方法,对为早发性痴呆患者提供的、具有积极体验的服务的性质进行了探讨,包括对积极体验服务所提供的内容进行了分析。

结果

233 名受访者报告了 856 次支持性服务的积极体验。数据分析得出了关于积极服务目标的 8 个主题:早发性痴呆的专科建议和信息、获得适龄服务的机会、身心健康干预措施、社会参与机会、表达意见的机会、在管理风险的同时促进独立性、促进财务稳定性以及支持人际关系的干预措施。

结论

研究结果表明,积极的服务可能共同创造一个有利的保护圈,支持 YPD 在面对早发性痴呆时重新建立和维持积极的身份,并且为未来的良好实践提供了基础。

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