Warschawski P, Huber F
Aktuelle Gerontol. 1979 Jul;9(7):329-35.
Within a very short time the non-demented, chronically hospitalized old person turns into a hospital-activity-oriented patient. He thereby gives up a considerablle part of his personality. In order to understand this process, special attention has to be paid to the intertwining of the dynamics of the chronic geriatric patient with the dynamics of the nursing staff. As a therapy experiment we have been conducting parallel talk-groups with patients and with their nursing staff for one year. As a result, the patients showed increased activity, increased dynamism, improved contact ability, increased interest in the outside world, and improved affect. The nursing staff also reported improvement of the group-patients' condition on the floor. With the nursing staff we found a reduction of the defensive mechanisms, a separation from old nursing-role definitions, acceptance and encouragement of the patients in their new role, and improved satisfaction with patient contact. On the other hand, the nursing staff expects more personal contact to come from the patients. The groups have shown to be useful and have to a large extent reached the therapy goals.
在很短的时间内，原本无痴呆症状、长期住院的老人变成了以医院活动为导向的患者。由此，他放弃了自己相当一部分的个性。为了理解这一过程，必须特别关注老年慢性病患者的动态与护理人员动态的交织情况。作为一项治疗实验，我们已经与患者及其护理人员同时开展平行谈话小组活动达一年之久。结果，患者表现出活动增加、活力增强、沟通能力提高、对外界兴趣增加以及情绪改善。护理人员也报告说病房里患者的状况有所改善。对于护理人员，我们发现他们的防御机制有所减少，摆脱了旧有的护理角色定义，接受并鼓励患者扮演新角色，并且对与患者的接触更满意。另一方面，护理人员期望从患者那里得到更多的个人交流。这些小组已证明是有用的，并且在很大程度上实现了治疗目标。
