《与日常生活活动参与相关的居民痴呆症护理互动》。
The Association Between Engagement in Activities of Daily Living and Care Interactions for Residents Living With Dementia.
机构信息
University of Maryland School of Nursing, Baltimore (Ms McPherson and Drs Resnick, Galik, and Holmes); Department of Epidemiology, University of Maryland School of Medicine, Baltimore (Dr Gruber-Baldini); and School of Social Work, University of Maryland Baltimore County, Baltimore (Dr Kusmaul).
出版信息
J Nurs Care Qual. 2023;38(2):E18-E24. doi: 10.1097/NCQ.0000000000000675. Epub 2022 Oct 21.
BACKGROUND
Care interactions are essential to residents with dementia.
PURPOSE
The purpose of the study was to describe the characteristics and quality of staff-resident care interactions among nursing home residents living with dementia and to test whether the quality of staff-resident care interactions varied by resident level of engagement in the interaction. Specifically, it was hypothesized that controlling for age, gender, comorbidities, cognition, and function, actively engaged residents would have more positive care interactions with staff compared with passively engaged residents.
METHODS
This was a secondary data analysis using baseline data from the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia intervention study.
RESULTS
A total of 532 residents were included. Actively engaged residents had significantly more positive interactions compared to passively engaged residents.
CONCLUSIONS
Passively engaged residents may be at risk to receive poor quality care interactions. Strategies and interventions to optimize care interactions for these individuals are needed.
背景
护理交互对于痴呆患者至关重要。
目的
本研究旨在描述居住在养老院的痴呆症患者的护理人员与患者之间的护理交互的特征和质量，并测试护理交互的质量是否因患者对交互的参与程度而异。具体而言，假设在控制年龄、性别、合并症、认知和功能等因素的情况下，积极参与的患者与被动参与的患者相比，与工作人员的护理交互更积极。
方法
这是一项使用 Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia 干预研究的基线数据进行的二次数据分析。
结果
共纳入 532 名患者。与被动参与的患者相比，积极参与的患者的护理交互明显更为积极。
结论
被动参与的患者可能面临接受低质量护理交互的风险。需要针对这些人制定策略和干预措施来优化护理交互。
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