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在新冠疫情期间为智障老年人提供以人为本的护理:直接支持工作者的经历

Providing person-centred care to older people with intellectual disabilities during the COVID-19 pandemic: experiences of direct support workers.

作者信息

Thalen Marloes, van Oorsouw Wietske M W J, Volkers Karin M, Frielink Noud, Embregts Petri J C M

机构信息

Tranzo, Tilburg School of Social and Behavioural Sciences, Tilburg University, Tilburg, Netherlands.

Philadelphia Care Foundation, Amersfoort, Netherlands.

出版信息

Int J Dev Disabil. 2021 Dec 30;69(5):775-781. doi: 10.1080/20473869.2021.2019921. eCollection 2023.

Abstract

: Although the current preventive measures relating to COVID-19 can lead to challenges in the daily work of direct support workers (e.g. keeping 1.5 m distance), it remains vital to uphold the principles of person-centred care when working with older people with intellectual disabilities. The current study explores the extent to which direct support workers have been able to apply a specific form of person-centred care (i.e. integrated emotion-oriented care, or IEOC) when working with older people with intellectual disabilities during the COVID-19 pandemic. : Six direct support workers from five facilities serving older people with intellectual disabilities in the Netherlands participated in this qualitative study. They participated in a two-hour focus group, which was transcribed verbatim, and the transcript was analysed thematically. : Three themes emerged: (i) the negative impact of changes due to the COVID-19 measures on service users; (ii) the adaptation of direct support workers to changes due to the COVID-19 measures; and (iii) putting the needs and wishes of service users first. : This study provides first impressions into the experiences of direct support workers providing person-centred care to older people with intellectual disabilities during the COVID-19 pandemic.

摘要

尽管当前与新冠病毒相关的预防措施可能给直接支持工作者的日常工作带来挑战(例如保持1.5米的距离),但在为智障老年人提供服务时,坚持以个人为中心的护理原则仍然至关重要。当前的研究探讨了在新冠疫情期间,直接支持工作者在为智障老年人提供服务时,能够在多大程度上应用一种特定形式的以个人为中心的护理(即综合情感导向护理,或IEOC)。来自荷兰五家为智障老年人提供服务的机构的六名直接支持工作者参与了这项定性研究。他们参加了一个两小时的焦点小组讨论,讨论内容逐字记录,并对记录进行了主题分析。出现了三个主题:(i)新冠措施带来的变化对服务对象的负面影响;(ii)直接支持工作者对新冠措施带来的变化的适应;(iii)将服务对象的需求和愿望放在首位。这项研究初步展现了在新冠疫情期间,直接支持工作者为智障老年人提供以个人为中心护理的经历。

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COVID-19 and people with intellectual disability: impacts of a pandemic.2019冠状病毒病与智障人士:大流行的影响
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