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健康促进小组:一种应对养老院老年居民破坏性行为的新型干预措施。

The Wellness Group: a novel intervention for coping with disruptive behavior among [corrected] elderly nursing home residents.

作者信息

Lantz M S, Buchalter E N, McBee L

机构信息

Jewish Home and Hospital, New York, NY 10025, USA.

出版信息

Gerontologist. 1997 Aug;37(4):551-6. doi: 10.1093/geront/37.4.551.

DOI:10.1093/geront/37.4.551
PMID:9279045
Abstract

Elderly nursing home residents face the challenge of coping with the loss of independence, reduced physical abilities, feelings of isolation, anxiety, depression, and helplessness. Maintaining one's integrity within the nursing home is a challenge easily lost. Issues of coping with disability, change in body image, the promotion of self-empowerment, and autonomy are critical to preserving the personhood of a nursing home resident. Current emphasis on the management of behavior has focused entirely on the control of disruption rather than the promotion of resident strengths and abilities. We developed a group therapy program designed to enhance self-awareness, self-esteem, and body awareness among the demented elderly. Techniques of meditation, relaxation, sensory awareness and guided imagery were introduced and reinforced. This group is easily reproducible and offers benefits to both residents and interdisciplinary staff.

摘要

老年疗养院居民面临着应对失去独立、身体能力下降、孤独感、焦虑、抑郁和无助感等挑战。在疗养院中保持自身的尊严是一项容易丧失的挑战。应对残疾、身体形象变化、促进自我赋权和自主性等问题对于维护疗养院居民的人格至关重要。目前对行为管理的重点完全集中在控制干扰上,而不是促进居民的优势和能力。我们开发了一个团体治疗项目,旨在提高老年痴呆症患者的自我意识、自尊和身体意识。引入并强化了冥想、放松、感官意识和引导式意象等技巧。这个团体很容易复制,对居民和跨学科工作人员都有益处。

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