一种面向居住在护理机构中的痴呆症患者的叙事护理的对话式小故事方法：策略与挑战。
A conversational, small-story approach to narrative care for people with dementia living in care institutions: Strategies and challenges.
作者信息
Villar Feliciano, Westerhof Gerben J
机构信息
Departament of Cognition, Development and Educational Psychology, University of Barcelona, Passeig de la Vall d'Hebron 171, 08035 Barcelona, Spain..
Department of Psychology, Health and Technology, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands.
出版信息
J Aging Stud. 2023 Mar;64:101105. doi: 10.1016/j.jaging.2023.101105. Epub 2023 Jan 24.
The aim of the paper was to define what narrative care is and identify and discuss everyday conversational narrative care strategies regarding people living with dementia in long-term care institutional settings. To do so, we differentiate between two approaches to narrative care: a big-story approach (reflecting on life stories) and a small-story approach (enacting stories in everyday conservations). The paper is focused on the second approach, which appears to be particularly fit to be used with people living with dementia. We identify three main strategies to implement this approach in everyday care: (1) prompting and sustaining narratives; (2) valuing non-verbal and embodied cues; and (3) constructing narrative environments. Finally, we discuss some training, institutional and cultural barriers and challenges for providing conversational, small story-based narrative care for people living with dementia in long-term care institutions.
本文旨在界定叙事照护是什么，并识别和讨论在长期护理机构环境中针对痴呆症患者的日常对话叙事照护策略。为此，我们区分了两种叙事照护方法：大故事方法（反思生活故事）和小故事方法（在日常对话中演绎故事）。本文聚焦于第二种方法，该方法似乎特别适合用于痴呆症患者。我们确定了在日常照护中实施该方法的三个主要策略：（1）激发和维持叙事；（2）重视非语言和身体线索；（3）构建叙事环境。最后，我们讨论了在长期护理机构为痴呆症患者提供基于日常对话、小故事的叙事照护时的一些培训、机构和文化障碍及挑战。
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