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“了解他们”:急性护理中痴呆症患者的以人为主的护理。

"Getting to Know Them": Person-Centered Care for Patients With Dementia in Acute Care.

出版信息

J Gerontol Nurs. 2021 May;47(5):37-44. doi: 10.3928/00989134-20210408-01. Epub 2021 May 1.

Abstract

Older adults with dementia are reported to have twice as many hospital stays as their age-matched counterparts without dementia. Acute care hospitals are generally not equipped to provide best care for persons with dementia. The purpose of the current qualitative study was to gain an understanding of the needs and perspectives of nursing staff and patient care technicians regarding delivering person-centered care (PCC) to patients with dementia. Nine focus groups ( = 49) were conducted. Participants discussed the importance of "getting to know them" as the basis for their care. Several themes emerged that served to support or detract from providing PCC: (a) communication, (b) education, and (c) care environment. Findings from this study support the desire of nurses and patient care technicians to provide PCC, highlight challenges, and indicate needed system-level changes to education, communication, and the care environment to support best practices. [(5), 37-44.].

摘要

据报道,痴呆症老年患者的住院次数是同龄无痴呆症患者的两倍。急症医院通常没有能力为痴呆症患者提供最佳的护理。本定性研究的目的是了解护理人员和病人护理技术人员在为痴呆症患者提供以患者为中心的护理(PCC)方面的需求和观点。进行了 9 个焦点小组(= 49)。参与者讨论了“了解他们”作为他们护理基础的重要性。出现了几个主题,这些主题支持或阻碍了提供 PCC:(a)沟通,(b)教育,和(c)护理环境。这项研究的结果支持护士和病人护理技术人员提供 PCC 的愿望,强调了挑战,并指出需要在教育、沟通和护理环境方面进行系统层面的改变,以支持最佳实践。[(5),37-44]。

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