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为痴呆症患者开展关怀性农事活动;医疗保健领导者能从这个创新的护理理念中学到什么?

Care Farming for People with Dementia; What Can Healthcare Leaders Learn from This Innovative Care Concept?

作者信息

de Bruin Simone R, Pedersen Ingeborg, Eriksen Siren, Hassink Jan, Vaandrager Lenneke, Patil Grete Grindal

机构信息

National Institute for Public Health and the Environment, Bilthoven, the Netherlands.

Department of Social Sciences, Wageningen University & Research, Health and Society, Wageningen, the Netherlands.

出版信息

J Healthc Leadersh. 2020 Mar 10;12:11-18. doi: 10.2147/JHL.S202988. eCollection 2020.

Abstract

There is growing recognition that traditional dementia care models fall short for people with dementia and their family caregivers. This has led to a call for new dementia care approaches. In response to this call, innovations in long-term dementia care are taking place both in the community and in residential care. One of these innovations is the care concept called "care farming." Care farms are farms that combine agricultural activities with care and support services for a variety of client groups, including people with dementia. Although the concept is being implemented in an increasing number of countries, the Netherlands and Norway are still front-runners in providing and researching this innovative dementia care approach. Over the last couple of years, several research projects have been carried out in these countries addressing a wide range of issues related to dementia care provision at care farms and using a wide range of research methods. This paper synthesizes the knowledge that has been generated in these research projects. By sharing the knowledge obtained in the Netherlands and Norway, we hope to inspire leaders in healthcare undertaking similar efforts to innovate care for the increasing number of people with dementia. By providing starting-points for future research, we additionally hope to contribute to a research agenda to further advance the field.

摘要

人们越来越认识到,传统的痴呆症护理模式无法满足痴呆症患者及其家庭护理人员的需求。这引发了对新型痴呆症护理方法的呼吁。作为对这一呼吁的回应,长期痴呆症护理的创新正在社区和机构护理中展开。其中一项创新是名为“护理农场”的护理理念。护理农场是将农业活动与针对包括痴呆症患者在内的各种客户群体的护理和支持服务相结合的农场。尽管这一理念正在越来越多的国家得到实施,但荷兰和挪威在提供和研究这种创新型痴呆症护理方法方面仍然处于领先地位。在过去几年里,这些国家开展了几个研究项目,涉及与护理农场痴呆症护理提供相关的广泛问题,并采用了多种研究方法。本文综合了这些研究项目中产生的知识。通过分享在荷兰和挪威获得的知识,我们希望激励医疗保健领域的领导者为越来越多的痴呆症患者开展类似的创新护理工作。通过为未来的研究提供起点,我们还希望为进一步推动该领域发展的研究议程做出贡献。

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Dementia friendly initiatives: A state of the science review.痴呆友好型倡议:科学现状综述
Dementia (London). 2019 Jul;18(5):1858-1895. doi: 10.1177/1471301217731433. Epub 2017 Sep 21.

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