Annerstedt L
Department of Community Health Sciences, Lund University, Malmö, Sweden.
Soc Sci Med. 1993 Dec;37(12):1529-38. doi: 10.1016/0277-9536(93)90187-9.
The process of developing a new mode of care for the demented elderly, group living (GL), is evaluated and the consequences discussed. The increasing proportion of very old persons in Sweden means a higher prevalence of dementia. The majority of patients in traditional institutional long term care show cognitive deterioration. An insufficient caring situation, both in quantity and quality has long been observed. This, and a better knowledge and understanding of dementing diseases, their symptoms and consequences, has been the impetus to develop an alternative care model, group living (GL), for well defined groups of demented elderly. The concept of GL discussed here means a setting strictly adapted to the abilities and psychosocial needs of moderately diseased Alzheimer and vascular demented patients. Security, integrity promoting therapy and activation are specially stressed. The importance of informing and educating different kinds of actors simultaneously to structural changes in social and physical patterns within the implementation of the new concept is illustrated.
本文对为老年痴呆患者开发一种新的护理模式——集体生活（GL）的过程进行了评估，并讨论了其后果。瑞典高龄老人比例的增加意味着痴呆症的患病率更高。传统机构长期护理中的大多数患者都出现了认知衰退。长期以来，人们一直观察到护理在数量和质量上都存在不足。这一点，以及对痴呆症疾病及其症状和后果有了更好的认识和理解，促使人们为特定群体的老年痴呆患者开发一种替代护理模式——集体生活（GL）。这里讨论的GL概念意味着一种严格适应中度患病的阿尔茨海默病和血管性痴呆患者能力及心理社会需求的环境。特别强调安全性、促进完整性的治疗和活动。文中说明了在实施新概念时，同时向不同类型的行为者宣传和教育社会及物理模式结构变化的重要性。
