CHU Nantes, Clinical Gerontology Department, Bd Jacques Monod, F44093, Nantes, France.
Unité de Gériatrie, Centre Hospitalier de Tourcoing, Tourcoing, France.
Geriatr Nurs. 2024 Sep-Oct;59:1-6. doi: 10.1016/j.gerinurse.2024.06.049. Epub 2024 Jul 6.
In this longitudinal study, we investigated the effects of institutionalization on the sense-of-self in individuals with Alzheimer's Disease (AD). We recruited two groups of participants: one living in care facilities (i.e., institutionalized-group) and another group living in their own home (i.e., non-institutionalized-group). In the two groups, we assessed the "Who-am-I" task on which participants were invited to provide statements beginning with the phrase "I am" that they felt were essential in defining who they are. We assessed this task, in the two groups, at a baseline (approximately one-month before-institutionalization) and at a follow-up (approximately six months after institutionalization). We analyzed whether responses on the "Who-am-I" task reflected physical-, social-, or psychological-self. Unlike at the baseline, fewer statements describing physical-, social-, and psychological-self were observed in the institutionalization than in the non-institutionalized group at the follow up. These findings demonstrate negative effects of institutionalization on the sense of self in AD.
在这项纵向研究中，我们调查了机构化对阿尔茨海默病（AD）患者自我意识的影响。我们招募了两组参与者：一组居住在护理机构（即机构化组），另一组居住在自己家中（即非机构化组）。在这两组参与者中，我们评估了“我是谁”的任务，要求参与者用“我是”开始陈述，他们认为这些陈述对于定义自己的身份是必不可少的。我们在基线时（大约在机构化前一个月）和随访时（大约在机构化后六个月）评估了这项任务。我们分析了“我是谁”任务的反应是否反映了身体、社会或心理自我。与基线时不同，在随访时，机构化组参与者描述身体、社会和心理自我的陈述比非机构化组参与者少。这些发现表明机构化对 AD 患者自我意识有负面影响。
