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医护人员对在 COVID-19 大流行期间使用基于网络的回忆疗法来支持痴呆症患者的看法。

Healthcare professionals' perception of using a web-based reminiscence therapy to support person with dementia during the COVID-19 pandemic.

机构信息

Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada.

Faculty of Business and Information Technology, Ontario Tech University, Oshawa, ON, Canada.

出版信息

Aging Clin Exp Res. 2023 May;35(5):1127-1138. doi: 10.1007/s40520-023-02394-y. Epub 2023 Apr 3.


DOI:10.1007/s40520-023-02394-y
PMID:37009966
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10068196/
Abstract

BACKGROUND: Reminiscence therapy (RT) is the most common non-pharmacological treatment for dementia care. The therapy stimulates the senses to evoke memories having the potential to reduce Behavioral and Psychological Symptoms of Dementia (BPSD). Digital RT, such as web-based reminiscence therapy (WBRT), has the potential to support dementia care and reduce the caregiving burden. AIMS: This study aimed to explore healthcare professionals (HCPs) perceptions of utilizing WBRT in institutionalized settings to support persons with dementia during the COVID-19 pandemic. METHODS: A qualitative phenomenological descriptive study was adopted and guided by Graham's Knowledge to Action framework. Online training on the use of WBRT was conducted, followed by interviews with HCPs. RESULTS: Four major themes were identified on the potential use of WBRT in dementia care, including usability and efficacy, impact on caregiving, capability of reducing BPSD, and. feasibility during COVID-19 social distancing. DISCUSSION: This study recognized the potential use of WBRT to support the person with dementia during the pandemic in institutionalized settings. CONCLUSION: The knowledge generated from this study will guide the future application of WBRT to support dementia care in diverse healthcare settings.

摘要

背景:回忆疗法(RT)是治疗痴呆症最常用的非药物疗法。该疗法通过刺激感官来唤起记忆,有潜力减轻痴呆症的行为和心理症状(BPSD)。基于网络的回忆疗法(WBRT)等数字 RT 有可能支持痴呆症护理并减轻护理人员的负担。

目的:本研究旨在探讨医疗保健专业人员(HCP)在机构环境中利用 WBRT 为 COVID-19 大流行期间的痴呆症患者提供支持的看法。

方法:采用定性现象学描述性研究,并以 Graham 的知识转化框架为指导。对 WBRT 的使用进行了在线培训,随后对 HCP 进行了访谈。

结果:确定了在痴呆症护理中使用 WBRT 的四个主要主题,包括可用性和功效、对护理的影响、减轻 BPSD 的能力以及在 COVID-19 社交距离期间的可行性。

讨论:本研究认识到在机构环境中,WBRT 在大流行期间支持痴呆症患者的潜在用途。

结论:本研究产生的知识将指导 WBRT 在不同医疗保健环境中支持痴呆症护理的未来应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8b4/10068196/33384876ca2e/40520_2023_2394_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8b4/10068196/a9130bde3784/40520_2023_2394_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8b4/10068196/33384876ca2e/40520_2023_2394_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8b4/10068196/a9130bde3784/40520_2023_2394_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8b4/10068196/33384876ca2e/40520_2023_2394_Fig2_HTML.jpg

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引用本文的文献

[1]
Perceived barriers and solutions identified by healthcare professionals in utilizing web-based reminiscence therapy to support dementia care during the pandemic.

Aging Clin Exp Res. 2023-11

本文引用的文献

[1]
Brain training using cognitive apps can improve cognitive performance and processing speed in older adults.

Sci Rep. 2021-6-10

[2]
Family carers' involvement strategies in response to sub-optimal health services to older adults living with dementia - a qualitative study.

BMC Geriatr. 2020-8-17

[3]
The effect of digital reminiscence therapy on people with dementia: a pilot randomized controlled trial.

BMC Geriatr. 2020-5-6

[4]
Effect of COVID-19 on the mental health care of older people in Canada.

Int Psychogeriatr. 2020-10

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COVID-19 in long-term care facilities: An upcoming threat that cannot be ignored.

J Microbiol Immunol Infect. 2020-6

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Logoped Phoniatr Vocol. 2019-4

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BMC Geriatr. 2018-9-15

[8]
Reminiscence therapy for dementia.

Cochrane Database Syst Rev. 2018-3-1

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Saudi Med J. 2017-12

[10]
Best practice in the management of behavioural and psychological symptoms of dementia.

Ther Adv Neurol Disord. 2017-8

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