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在精神健康共病的背景下提供以患者为中心的痴呆症护理:“这可能令人不安和痛苦,也非常令人难过”。

The provision of person-centred dementia care in the context of mental health co-morbidities: 'It can be upsetting and distressing and it's incredibly sad'.

机构信息

University of Canberra, University of Canberra Bruce, Canberra, Australian Capital Territory, Australia.

University of Canberra, Canberra, Australian Capital Territory, Australia.

出版信息

Australas J Ageing. 2021 Jun;40(2):e133-e142. doi: 10.1111/ajag.12860. Epub 2020 Oct 4.

Abstract

OBJECTIVE

To explore health professionals' (clinicians) approach to the provision of care in a dementia setting.

METHODS

Participants were clinicians from two older persons' mental health services (community and inpatient). Participants completed an interview about strategies to engage with, and barriers to providing person-centred care to consumers with a co-morbid diagnosis of dementia. Thematic analysis was used to analyse the data.

RESULTS

Three main themes were developed through analysis of the interview data: (1) overall approach to care (synthesis of care and cure principles), (2) the challenges in the provision of care, and (3) coping strategies to manage care demands.

CONCLUSION

Developing a relationship with a patient and attending to their medical needs were seen as optimal care, relevant to both person-centred and task-oriented approaches to dementia care. Clinicians also highlighted the importance of their own personal resources and attitudes in shaping the type of care provided.

摘要

目的

探索卫生专业人员(临床医生)在痴呆症环境中提供护理的方法。

方法

参与者来自两个老年人心理健康服务机构(社区和住院)的临床医生。参与者完成了一次关于与伴有共病诊断痴呆症的消费者建立联系和提供以患者为中心的护理的策略的访谈。通过对访谈数据的分析,得出了三个主要主题:(1)整体护理方法(治疗和治愈原则的综合),(2)提供护理的挑战,以及(3)应对策略以管理护理需求。

结论

与患者建立关系并关注他们的医疗需求被视为最佳护理,这与以患者为中心和以任务为导向的痴呆症护理方法都相关。临床医生还强调了他们自身的个人资源和态度在塑造提供的护理类型方面的重要性。

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