尼泊尔文化习俗和政策对痴呆症护理的影响。
The impact of cultural practice and policy on dementia care in Nepal.
机构信息
School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.
Ageing Nepal, Kathmandu, Nepal.
出版信息
BMC Geriatr. 2024 Oct 16;24(1):842. doi: 10.1186/s12877-024-05438-8.
BACKGROUND
People's wider culture plays a vital role in both dementia care and policy. This study aims to explore the cultural practice and policy influence around caring for People Living with Dementia (PLWD) in Nepal.
METHODS
An exploratory qualitative study was designed to investigate dementia care in Nepal. The study comprised four in-depth interviews and four focus group discussions with 29 participants, including family members, health care professionals, and other stakeholders. Data were analysed using thematic analysis.
RESULT
Four major themes (each with several sub-themes) were identified: (1) Cultural practice in dementia care; (2) Impact of policy on the dementia care; (3) Service provision; and (4) Education and training.
CONCLUSION
There is a need for community-based awareness raising on dementia and its care, to sensitise all relevant stakeholders to meet the needs of PLWD. In addition, capacity building of health workforce is needed to enhance their knowledge of and skills in providing culturally appropriate dementia care.
背景
文化在痴呆症护理和政策中起着至关重要的作用。本研究旨在探讨尼泊尔在照顾痴呆症患者（PLWD）方面的文化实践和政策影响。
方法
设计了一项探索性定性研究来调查尼泊尔的痴呆症护理。该研究包括对 29 名参与者（包括家庭成员、医疗保健专业人员和其他利益相关者）进行了四次深入访谈和四次焦点小组讨论。使用主题分析对数据进行分析。
结果
确定了四个主要主题（每个主题都有几个子主题）：（1）痴呆症护理中的文化实践；（2）政策对痴呆症护理的影响；（3）服务提供；和（4）教育和培训。
结论
需要开展以社区为基础的痴呆症及其护理意识提高活动，使所有相关利益攸关方都能意识到满足 PLWD 的需求。此外，还需要加强卫生工作者的能力建设，以提高他们提供文化上适当的痴呆症护理的知识和技能。
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