Adams T
European Institute of Health and Medical Sciences, University of Surrey, Guildford, England.
J Adv Nurs. 1996 Oct;24(4):703-10. doi: 10.1046/j.1365-2648.1996.02468.x.
The paper reviews the literature relating to the provision of community psychiatric nursing to demented elderly people and their informal family caregivers, and develops priorities for research in that particular area of nursing. Initially, the development of community psychiatric nursing with elderly demented people is examined. Various theoretical models articulating the family's experience of dementia are examined as a basis for identifying various priorities for research in the area. Empirical evidence relating to the efficacy of various interventions is briefly discussed. Various priorities are made regarding the development of research relating to the development of community psychiatric nursing with elderly demented people and their informal caregivers. Finally the paper is placed in the context of the present policy of refocusing psychiatric nursing on to people with serious and enduring mental disorders. It is argued that this policy should include elderly demented people not just younger people with functional mental disorders.
本文回顾了与为老年痴呆患者及其非正式家庭照顾者提供社区精神科护理相关的文献，并确定了该特定护理领域的研究重点。首先，探讨了针对老年痴呆患者的社区精神科护理的发展情况。研究了各种阐述家庭痴呆经历的理论模型，以此作为确定该领域各项研究重点的基础。简要讨论了与各种干预措施效果相关的实证证据。针对老年痴呆患者及其非正式照顾者的社区精神科护理发展研究，提出了各项重点。最后，本文置于当前将精神科护理重点重新转向严重和持续性精神障碍患者的政策背景下进行探讨。文中认为，该政策应涵盖老年痴呆患者，而不仅仅是患有功能性精神障碍的年轻人。
