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为在老年护理环境中支持痴呆居民的工作人员和家庭成员提供积极行为支持培训。

Positive Behaviour Support Training for Staff and Family Members Supporting Residents With Dementia in Aged Care Settings.

机构信息

Disability and Community Inclusion, College of Nursing and Health Sciences, Flinders University, Bedford Park, SA, Australia.

FRONTIER, Brain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.

出版信息

Am J Alzheimers Dis Other Demen. 2024 Jan-Dec;39:15333175241241168. doi: 10.1177/15333175241241168.

DOI:10.1177/15333175241241168
PMID:38536663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10976499/
Abstract

OBJECTIVES

This study examined the acceptability and usefulness of Positive Behaviour Support (PBS) training in enhancing the capabilities of support staff and family members providing behaviour support to residents with dementia in residential aged care (RAC).

METHODS

A mixed-methods pilot study was conducted across 3 RAC organisations, involving pre- and post-training questionnaire assessments for clinical leaders (n = 8), support staff (n = 37) and family members (n = 18).

RESULTS

Findings indicated increased confidence among support staff and family members in providing behaviour support, with 96% indicating it would support their practices across settings. Key training benefits included identifying and addressing underlying causes of challenging behaviours. A majority (89%) expressed the need for further behaviour support training.

CONCLUSION

Recommendations focus on developing systems to enable effective and collaborative behaviour support practices. Further research is needed to examine application of PBS principles and planning for residents living with dementia.

摘要

目的

本研究旨在探讨正向行为支持(Positive Behaviour Support,简称 PBS)培训在增强提供行为支持的支持人员和家庭成员的能力方面的可接受性和实用性,这些支持人员和家庭成员为居住在养老院中的痴呆症患者提供行为支持。

方法

在 3 个养老院组织中进行了一项混合方法的试点研究,涉及临床领导者(n=8)、支持人员(n=37)和家庭成员(n=18)的培训前后问卷调查。

结果

研究结果表明,支持人员和家庭成员在提供行为支持方面的信心有所增强,96%的人表示这将支持他们在各种环境下的实践。培训的主要益处包括识别和解决挑战性行为的根本原因。大多数人(89%)表示需要进一步的行为支持培训。

结论

建议的重点是制定系统,以实现有效的和协作的行为支持实践。需要进一步研究 PBS 原则的应用和规划,以适用于患有痴呆症的居民。

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本文引用的文献

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Management of Agitation in Behaviours That Challenge in Dementia Care: Multidisciplinary Perspectives on Non-Pharmacological Strategies.痴呆症护理中行为挑战的激越管理:非药物策略的多学科视角。
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Positive behaviour support: a systematic literature review of the effect of staff training and organisational behaviour management.积极行为支持:对员工培训和组织行为管理效果的系统文献综述
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The updated Consolidated Framework for Implementation Research based on user feedback.基于用户反馈的更新的实施研究综合框架。
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The Acceptability and Usefulness of Positive Behaviour Support Education for Family Carers of People With Frontotemporal Dementia: A Pilot Study.额颞叶痴呆患者家庭照料者的积极行为支持教育的可接受性和有用性:一项试点研究。
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Supporting behaviour change in younger-onset dementia: mapping the needs of family carers in the community.支持早发性痴呆症患者的行为改变:绘制社区中家庭照顾者的需求图谱。
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