Vogelpohl T S, Beck C K, Heacock P, Mercer S O
J Gerontol Nurs. 1996 Mar;22(3):39-42; quiz 48. doi: 10.3928/0098-9134-19960301-11.
Caregivers contribute to loss of functional performance and dependency in cognitively impaired persons when they "do for," that is, dress the person instead of supporting independence in dressing. Persons with dementia have functional reserves that can be activated when caregivers use levels of assistance, standard, and problem-oriented strategies to support the person's cognitive and physical deficits. Use of these strategies requires less than one minute of additional caregiver time and leads to positive outcomes for the person and the caregiver.
当照料者“替做”,即帮认知障碍者穿衣而非支持其独立穿衣时,会导致其功能表现丧失和产生依赖。痴呆症患者具有功能储备,当照料者运用不同程度的协助、标准及以问题为导向的策略来应对患者的认知和身体缺陷时,这些功能储备就能被激活。运用这些策略只需照料者额外花费不到一分钟的时间,就能给患者和照料者带来积极的结果。