Department of Physical therapy, Kennemerhart, Haarlem, The Netherlands.
Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands; Department of Physical therapy, Aafje Nursing Homes, Rotterdam, The Netherlands; Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
Geriatr Nurs. 2022 Mar-Apr;44:167-175. doi: 10.1016/j.gerinurse.2022.01.014. Epub 2022 Feb 16.
Informal caregivers often support nursing home residents with dementia in making therapeutic decisions. We explored the perceptions, needs and preferences of informal caregivers of nursing home residents with dementia regarding physical therapy.
We conducted eleven semi-structured interviews. Thematic analysis was used.
Five themes emerged: 1) visibility and familiarity; 2) communication; 3) aim and content; 4) dosage and location; 5) level of expertise and the role of the physical therapist within the interdisciplinary team. Informal caregivers' perceptions of physical therapy included a lack of visibility and familiarity. They needed more communication, and empathic communication skills of the physical therapists. Preferences included physical therapy to be enjoyable, accessible and tailored to the needs of the resident.
Physical therapists need to involve informal caregivers in physical therapy care. Implementing shared decision-making will help to get informal caregivers more involved, but has yet to be studied in this setting.
非正式照护者经常在做出治疗决策方面支持患有痴呆症的养老院居民。我们探讨了患有痴呆症的养老院居民的非正式照护者对物理治疗的看法、需求和偏好。
我们进行了十一次半结构化访谈。采用了主题分析。
出现了五个主题:1)可见性和熟悉度;2)沟通;3)目标和内容;4)剂量和位置;5)专业水平和物理治疗师在跨学科团队中的角色。非正式照护者对物理治疗的看法包括缺乏可见性和熟悉度。他们需要更多的沟通,以及物理治疗师的同理心沟通技巧。他们希望物理治疗是愉快的、可及的,并根据居民的需求进行定制。
物理治疗师需要让非正式照护者参与到物理治疗护理中。实施共同决策将有助于让非正式照护者更多地参与,但尚未在这一环境中进行研究。