痴呆患者的自主性：对护理人员的访谈
The autonomy of demented patients: interviews with caregivers.
作者信息
Ekman S L, Norberg A
机构信息
University of Umeå, Sweden.
出版信息
J Med Ethics. 1988 Dec;14(4):184-7. doi: 10.1136/jme.14.4.184.
Tape-recorded semi-structured interviews were conducted with 21 nursing aides and enrolled nurses in the geriatric clinic in Umeå, Sweden. The interviews focused on the difference between the care of demented and non-demented patients and ethical conflicts in dementia care. The results indicate that caregivers have problems in providing the demented patients with opportunities to act autonomously in everyday matters on the ward, mainly due to the difficulty of understanding what the patients wish and the fact that their wishes, when understood, often seem irrational. Measures to provide the demented patients with more opportunities to act autonomously in everyday matters are suggested.
对瑞典于默奥老年诊所的21名护理助理和在册护士进行了录音半结构化访谈。访谈聚焦于痴呆患者与非痴呆患者护理的差异以及痴呆护理中的伦理冲突。结果表明，护理人员在为痴呆患者提供在病房日常事务中自主行动的机会方面存在问题，主要原因是难以理解患者的愿望，以及即便理解了患者的愿望，这些愿望往往看似不合理。文中建议采取措施，为痴呆患者提供更多在日常事务中自主行动的机会。
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