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职业治疗师在与痴呆症患者合作中的经验:一项定性研究。

Occupational therapists' experiences of working with people with dementia: a qualitative study.

机构信息

Unit of Occupational Therapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

出版信息

Scand J Occup Ther. 2024 Jan;31(1):2305253. doi: 10.1080/11038128.2024.2305253. Epub 2024 Jan 26.

Abstract

BACKGROUND

Dementia is an age-related disease associated with complex health and care needs. Due to demographical shifts, the number of older people with dementia is forecasted to increase. Occupational therapists encounter people with dementia in their daily work, yet little is known about their experience of working with people with dementia.

AIM/OBJECTIVES: To explore occupational therapist's experiences of working with people with dementia.

MATERIAL AND METHODS

Ten occupational therapists were interviewed using semi-structured interviews. Data were analysed using reflexive thematic analysis.

RESULTS

The results are presented in five different themes: Working with persons who do not recognise decline in their abilities; Saving-face of the person in assessment situations; Facilitating continued engagement in everyday activities; Utilising information provided by care staff; Balancing different preferences on how to proceed.

CONCLUSION

Occupational therapists perceive a need in their work to employ various face-saving strategies and facilitate engagement in everyday activities. The results are exploratory and additionally research is needed to understand the therapists' experiences of working with persons with dementia.

SIGNIFICANCE

Everyday activities should be tailored to the person's abilities, with an emphasis on facilitating the person in carrying them out rather than the social environment taking them over.

摘要

背景

痴呆是一种与复杂的健康和护理需求相关的与年龄相关的疾病。由于人口结构的变化,预计患有痴呆症的老年人数量将会增加。职业治疗师在日常工作中会遇到痴呆症患者,但对他们与痴呆症患者一起工作的经验知之甚少。

目的/目标:探讨职业治疗师与痴呆症患者一起工作的经验。

材料和方法

对 10 名职业治疗师进行了半结构化访谈。使用反思性主题分析对数据进行分析。

结果

结果呈现为五个不同的主题:与不承认能力下降的人一起工作;在评估情况下维护人的面子;促进继续参与日常活动;利用护理人员提供的信息;平衡如何进行的不同偏好。

结论

职业治疗师在工作中需要使用各种保全面子的策略,并促进日常活动的参与。结果是探索性的,还需要进一步的研究来了解治疗师与痴呆症患者一起工作的经验。

意义

日常活动应该根据个人的能力进行调整,重点是促进个人完成活动,而不是让社会环境接管。

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