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印度一家养老院护理人员对痴呆症的认知与态度:一项定性访谈研究

Nursing Staff's Knowledge and Attitudes towards Dementia in an Indian Nursing Home: A Qualitative Interview Study.

作者信息

Strøm Benedicte Sørensen, Lausund Hilde, Mork Rokstad Anne Marie, Engedal Knut, Goyal Alka

机构信息

Faculty of Health Studies, VID Specialized University, Oslo, Norway.

Faculty of Health Science and Social Care, Molde University College, Molde, Norway.

出版信息

Dement Geriatr Cogn Dis Extra. 2021 Feb 18;11(1):29-37. doi: 10.1159/000514092. eCollection 2021 Jan-Apr.

DOI:10.1159/000514092
PMID:33790938
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7989670/
Abstract

BACKGROUND

Despite the increased prevalence of dementia in India, there is reported to be little awareness of the disease. This could lead to a late diagnosis, a reduced number of choices regarding future care, and misinterpretation of the symptoms or neglect. Taking into consideration that most nurses caring for older people in the future will work with people with dementia, there is concern that they may not be able to meet the needs of this group of patients unless they have the necessary knowledge and a positive attitude.

AIM

To explore the knowledge about and attitude towards dementia among nursing staff working in residential care facilities for older people in India.

METHOD

An explorative and descriptive qualitative design was used. Two semi-structured focus group interviews were conducted with nursing staff working in 6 nursing homes in India. Qualitative content analysis was used. Ethical approval was granted by the Norwegian Social Science Data Services.

FINDINGS

The participants highlighted the following 3 dimensions in relation to their knowledge of and attitudes toward dementia in residential care facilities in India: (1) people with dementia - a walking mystery; (2) we need to go along with them, but it is challenging; and (3) if we know, we can care for them in a better way.

CONCLUSION

The findings revealed a wide range of differences in attitude towards and inadequate knowledge of dementia among nursing staff. However, their overall attitudes toward people with dementia was positive.

摘要

背景

尽管印度痴呆症的患病率有所上升,但据报道人们对这种疾病的认知却很少。这可能导致诊断延迟、未来护理选择减少以及对症状的误解或忽视。考虑到未来大多数照顾老年人的护士将与痴呆症患者打交道,人们担心除非他们具备必要的知识和积极的态度,否则可能无法满足这组患者的需求。

目的

探讨印度老年护理机构中护理人员对痴呆症的认知和态度。

方法

采用探索性和描述性定性设计。对印度6家养老院的护理人员进行了两次半结构化焦点小组访谈。采用定性内容分析法。获得了挪威社会科学数据服务中心的伦理批准。

结果

参与者在印度老年护理机构中对痴呆症的认知和态度方面强调了以下三个维度:(1)痴呆症患者——一个行走的谜团;(2)我们需要与他们同行,但这具有挑战性;(3)如果我们了解,就能更好地照顾他们。

结论

研究结果显示,护理人员对痴呆症的态度存在广泛差异,知识也不足。然而,他们对痴呆症患者的总体态度是积极的。

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Int J Environ Res Public Health. 2020 May 26;17(11):3777. doi: 10.3390/ijerph17113777.
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Engagement in Everyday Activities among People Living in Indian Nursing Homes: The Association with Person-Centredness.居住在印度养老院的人们参与日常活动的情况:与以人为本的关联。
Dement Geriatr Cogn Dis Extra. 2020 Jan 23;10(1):13-26. doi: 10.1159/000505396. eCollection 2020 Jan-Apr.
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Nursing Staff's Knowledge and Attitudes toward Dementia: A Pilot Study from an Indian Perspective.护理人员对痴呆症的认知与态度:一项来自印度视角的初步研究。
Dement Geriatr Cogn Dis Extra. 2019 Oct 1;9(3):352-361. doi: 10.1159/000502770. eCollection 2019 Sep-Dec.
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Nurses' knowledge and attitudes about dementia care: Systematic literature review.护士对痴呆症护理的知识与态度:系统文献综述
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Knowledge and attitudes of undergraduate nursing students toward dementia: An Indian perspective.本科护理专业学生对痴呆症的认知与态度:印度视角
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Care Needs and Caregivers: Associations and Effects of Living Arrangements on Caregiving to Older Adults in India.护理需求与护理者:印度老年人生活安排对护理的关联及影响
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The impact of staff training on staff outcomes in dementia care: a systematic review.员工培训对痴呆症护理中员工成果的影响:一项系统综述。
Int J Geriatr Psychiatry. 2016 Nov;31(11):1172-1187. doi: 10.1002/gps.4488. Epub 2016 May 9.
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A systematic review of the public's knowledge and understanding of Alzheimer's disease and dementia.关于公众对阿尔茨海默病和痴呆症的认识与理解的系统综述。
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