娱乐小组对痴呆症患者的成功的阻碍因素。
Barriers to the Success of Recreational Groups for Persons With Dementia.
机构信息
Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine and Minerva Center for Interdisciplinary Study of End of Life, 26745Tel Aviv University, Tel Aviv, Israel.
Innovative Aging Research, Silver Spring, MD, USA.
出版信息
J Geriatr Psychiatry Neurol. 2022 Jan;35(1):38-46. doi: 10.1177/0891988720978816. Epub 2020 Dec 4.
BACKGROUND
This paper describes barriers to engagement in the context of group activities attended by nursing home residents with dementia.
OBJECTIVE
The goal is to clarify the presence and types of barriers to group activities for persons with dementia.
METHODS
Therapeutic recreation staff (TRs) who conducted the group activities, and trained research observers (ROs) independently identified barriers occurring during group activity sessions through ratings and open-ended comments, which were analyzed via a mixed-method approach.
RESULTS
Barriers were related to specific participant, environmental, and group session characteristics. Most frequently noted barriers were participant-related, pertaining to apathy and challenging behavior. Noise was the most frequent environmental barrier. Overall, ROs reported more barriers than TRs, yet TRs reported the barrier of inappropriate topic more frequently than ROs.
CONCLUSIONS
The study suggests that the number and specific types of barriers are associated with negative engagement outcomes. Insight into these barriers is the first step toward addressing them and minimizing their effects.
背景
本文描述了疗养院痴呆症患者参加群体活动时遇到的障碍。
目的
旨在阐明痴呆症患者参加群体活动的障碍的存在和类型。
方法
开展群体活动的治疗性娱乐工作人员（TR）和经过培训的研究观察员（RO）通过评分和开放式评论，独立识别群体活动期间发生的障碍，并通过混合方法进行分析。
结果
障碍与特定的参与者、环境和群体会议特征有关。最常注意到的障碍与参与者有关，与冷漠和挑战性行为有关。噪音是最常见的环境障碍。总体而言，RO 报告的障碍比 TR 多，但 TR 比 RO 更频繁地报告不适当主题的障碍。
结论
该研究表明，障碍的数量和具体类型与负面参与结果有关。了解这些障碍是解决这些障碍并最大程度减少其影响的第一步。
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