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痴呆症患者及其家人/护理伙伴的观点:对行为变化的有益和无益反应。

Views of people living with dementia and their families/care partners: helpful and unhelpful responses to behavioral changes.

作者信息

Burley Claire V, Casey Anne-Nicole, Chenoweth Lynn, Brodaty Henry

机构信息

Centre for Healthy Brain Ageing (CHeBA), UNSW Sydney, NSW, Australia.

Academic Department for Old Age Psychiatry, Prince of Wales Hospital, South Eastern Sydney Local Health District, NSW, Australia.

出版信息

Int Psychogeriatr. 2023 Feb;35(2):77-93. doi: 10.1017/S1041610222000849. Epub 2022 Nov 4.

DOI:10.1017/S1041610222000849
PMID:36330686
Abstract

OBJECTIVES

This study investigated the views of people living with dementia and their families/care partners on (i) what they find helpful or unhelpful regarding behavioral changes, i.e. which coping strategies they used for themselves and/or which responses from others, and (ii) what they consider to be appropriate terminology to describe behavioral changes.

DESIGN & SETTING: One-on-one semi-structured interviews were conducted with people living with dementia and families/care partners face to face, online, or over the telephone.

MEASUREMENTS

Data from open-ended questions were analyzed inductively. Common themes were derived from the data using an iterative approach.

RESULTS

Twenty-one people living with dementia and 20 family members/care partners were interviewed. Four main themes were derived for helpful responses, and three main themes for unhelpful responses. Helpful responses included providing clear professional support pathways and supportive environments where people living with dementia can engage in physical, cognitive, social, and spiritual activities. Unhelpful responses included discriminatory treatment from others and use of medicalized terminology. Views toward terminology varied; people with lived experience most favored using "changed behaviors" over other terminology. Areas for improvement included targeting dementia stigma, societal education on dementia, and building confidence in people living with dementia by focusing on living well with dementia.

CONCLUSION

Knowledge of the views of people living with dementia may assist healthcare professionals to provide more appropriate care for people living with dementia.

摘要

目的

本研究调查了痴呆症患者及其家人/护理伙伴对于以下方面的看法:(i)他们认为在行为变化方面哪些是有帮助的或无帮助的,即他们自己使用了哪些应对策略和/或他人的哪些反应,以及(ii)他们认为描述行为变化的合适术语是什么。

设计与背景

对痴呆症患者及其家人/护理伙伴进行了一对一的半结构化访谈,访谈通过面对面、在线或电话的方式进行。

测量方法

对开放式问题的数据进行归纳分析。使用迭代方法从数据中得出共同主题。

结果

对21名痴呆症患者和20名家庭成员/护理伙伴进行了访谈。得出了四个关于有帮助反应的主要主题和三个关于无帮助反应的主要主题。有帮助的反应包括提供明确的专业支持途径和支持性环境,使痴呆症患者能够参与身体、认知、社交和精神活动。无帮助的反应包括他人的歧视性对待和使用医学化术语。对术语的看法各不相同;有实际经历的人比其他术语更喜欢使用“行为改变”。需要改进的方面包括消除痴呆症污名、开展痴呆症社会教育以及通过关注与痴呆症和谐共处来增强痴呆症患者的信心。

结论

了解痴呆症患者的看法可能有助于医疗保健专业人员为痴呆症患者提供更合适的护理。

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