Adams T
University of Surrey, Guildford, England.
J Adv Nurs. 1998 Sep;28(3):614-21. doi: 10.1046/j.1365-2648.1998.00693.x.
This paper sets out a new approach to dementia that may be used to underpin mental health nursing practice. The paper begins by examining the development of community care. Various models of service provision to people with dementia are then critically examined. As an alternative to these approaches a new model of dementia is developed which highlights the position of various family members in the provision of dementia care including the person with dementia and also the importance of linguistic devices such as narrative and discourse. Finally the implications of this approach upon the mental health nursing practice are examined together with various suggestions for the development of research.
本文提出了一种针对痴呆症的新方法，该方法可用于支撑心理健康护理实践。本文首先考察了社区护理的发展情况。接着对为痴呆症患者提供服务的各种模式进行了批判性审视。作为这些方法的替代方案，开发了一种新的痴呆症模式，该模式突出了包括痴呆症患者在内的各类家庭成员在提供痴呆症护理中的地位，以及叙事和话语等语言手段的重要性。最后，探讨了这种方法对心理健康护理实践的影响，并提出了各种研究发展建议。
