Dementia-International Journal of Social Research and Practice最新文献

英文中文

Consent support tool: Including people with communication disorders in health research studies 同意支持工具:将沟通障碍患者纳入健康研究

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice

Pub Date : 2021-01-26 DOI: 10.1177/1471301220985401

V. Shepherd

引用次数: 4

Facilitators for person-centred care of inpatients with dementia: A meta-synthesis of registered nurses' experiences. 痴呆症住院患者以人为中心护理的促进者：注册护士经验的荟萃综合

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice

Pub Date : 2021-01-01 Epub Date: 2019-09-02 DOI: 10.1177/1471301219871408

Tessa Brossard Saxell, Malin Ingvert, Connie Lethin

Person-centred care is widely advocated when caring for people with dementia. When a person with dementia is admitted for hospital care, hospital wards are obliged to not only address the cause for admission but also provide dementia-specific care during the hospital stay. Research has shown that the delivery of person-centred care to people with dementia is often inadequate or absent in the hospital setting. Moreover, whilst registered nurses often wish to improve the in-hospital care of patients with dementia, there is evidence of experienced barriers. This study aimed to describe registered nurses' experiences of facilitators for the delivery of person-centred care to inpatients with dementia. By way of systematic searches in the databases PubMed, CINAHL and PsycINFO, qualitative studies (n = 19) reporting registered nurses experience of caring for inpatients with dementia were identified. Relevant content was analysed using a method of thematic synthesis. Three main categories and nine subcategories were presented, internal facilitators (experience and knowledge; values and beliefs; professional identity; empathy), external facilitators (physical environment; organisational culture and structure) and facilitating actions (forming a holistic picture; establishing trust; adjusting routines and interventions). While facilitators did exist in the hospital setting, the findings indicate that care received by inpatients with dementia is dependent on individual registered nurses knowledge, personal aptitude and ability to compensate for structural flaws. In order to minimise arbitrary outcomes of care for patients with dementia, consistent organisational support in the form of educational interventions and allocation of resources is crucial.

在照顾痴呆症患者时，广泛提倡以人为本的护理。当痴呆症患者入院治疗时，医院病房不仅有义务解决入院原因，而且有义务在住院期间提供针对痴呆症的护理。研究表明，在医院环境中，为痴呆症患者提供以人为本的护理往往不足或缺乏。此外，虽然注册护士往往希望改善对痴呆症患者的住院护理，但有证据表明他们遇到了障碍。本研究旨在描述注册护士为住院痴呆症患者提供以人为本的护理的经验。通过系统检索PubMed、CINAHL和PsycINFO数据库，确定了19份报告注册护士护理住院痴呆患者经验的定性研究。采用主题综合的方法对相关内容进行了分析。提出了三个主要类别和九个小类别:内部促进因素(经验和知识;价值观和信仰;职业身份;移情)，外部促进因素(物理环境;组织文化和结构)和促进行动(形成整体图景;建立信任;调整惯例和干预措施)。虽然医院环境中确实存在辅导员，但研究结果表明，住院痴呆患者接受的护理取决于注册护士的个人知识、个人资质和弥补结构性缺陷的能力。为了最大限度地减少对痴呆症患者护理的任意结果，以教育干预和资源分配形式提供持续的组织支持至关重要。

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引用次数: 0

A qualitative systematic review of experiences of persons with dementia regarding transition to long-term care 痴呆症患者向长期护理过渡经验的定性系统综述

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice

Pub Date : 2021-01-01 DOI: 10.1177/1471301219862439

Jessica A Young, C. Lind, J. Orange

Introduction The current qualitative systematic review identified and examined critically the literature on how persons with dementia experience transitions to long-term care. Results are intended to help develop guidelines for future care and research. Method A search was conducted of OvidSP, SCOPUS, Web of Science, ProQuest, PsycINFO, CINAHL, AgeLine and Informit databases. In total, 4705 articles were reviewed (published 1954–2018). A textual narrative approach was used to synthesise the findings of the included articles. Results Seven articles met inclusion criteria (five using data collected from interviews with persons with dementia and two using reports from a proxy). Overall, the findings showed that transition to long-term care possesses varied meanings for persons with dementia, is often not the decision of the persons with dementia, and is a process throughout which social connections remain important. Discussion Accounts of the experiences of persons with dementia regarding transitions from community to long-term care show that they and their families should be supported: with respect to their individual contexts, to share the positives and negatives of the transition experiences, to make decisions together, and to maintain old and establish new social connections.

引言目前的定性系统综述对痴呆症患者如何过渡到长期护理的文献进行了批判性的鉴定和审查。研究结果旨在帮助制定未来护理和研究的指导方针。方法检索OvidSP、SCOPUS、Web of Science、ProQuest、PsycINFO、CINAHL、AgeLine和Informit数据库。总共审查了4705篇文章（发表于1954年至2018年）。采用文本叙述法综合收录文章的研究结果。结果7篇文章符合入选标准（5篇使用痴呆症患者访谈收集的数据，2篇使用代理报告）。总体而言，研究结果表明，向长期护理的过渡对痴呆症患者具有不同的意义，通常不是痴呆症患者的决定，而且在整个过程中，社会关系仍然很重要。讨论对痴呆症患者从社区向长期护理过渡的经历的描述表明，他们和他们的家人应该得到支持：就他们的个人背景而言，分享过渡经历的积极和消极因素，共同做出决定，并保持旧的和建立新的社会联系。

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引用次数: 9

David Truswell, Supporting people living with dementia in Black, Asian and minority ethnic communities David Truswell，支持黑人、亚裔和少数民族社区的痴呆症患者

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice

Pub Date : 2020-12-08 DOI: 10.1177/1471301220975955

P. Roach

引用次数: 0

Sandra Evans, Jane Garner and Rachel Darnley-Smith, Psychodynamic approaches to the experience of dementia 桑德拉·埃文斯，简·加纳和蕾切尔·达恩利-史密斯，痴呆症经历的心理动力学方法

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice

Pub Date : 2020-11-23 DOI: 10.1177/1471301220976448

E. Wolverson

引用次数: 0

Corrigendum to “An acceptance, role transition, and couple dynamics-based program for caregivers: A qualitative study of the experience of spouses of persons with young-onset dementia” “对照顾者的接受、角色转换和基于夫妻动态的计划:对年轻痴呆患者配偶经验的定性研究”的勘误表

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice

Pub Date : 2020-11-01 DOI: 10.1177/1471301219872587

引用次数: 0

Ann-Charlotte Nedlund, Ruth Bartlett and Charlotte L. Clarke, Everyday citizenship and people with dementia 安-夏洛特·内德伦德，露丝·巴特利特和夏洛特·l·克拉克，日常公民和痴呆症患者

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice

Pub Date : 2020-07-15 DOI: 10.1177/1471301220944815

J. Keady

引用次数: 0

The Post-Diagnostic Support needs of Family Members and Friends who Provide Care and Support 提供护理和支持的家人和朋友的诊断后支持需求

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice

Pub Date : 2020-06-15 DOI: 10.4324/9781315709000-7

A. Innes, L. Calvert, Gail Bowker

引用次数: 0

Conclusion 结论

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice

Pub Date : 2020-06-15 DOI: 10.4324/9781315709000-12

A. Innes, L. Calvert, Gail Bowker

引用次数: 0

Diagnosis of Dementia 痴呆症的诊断

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice

Pub Date : 2020-06-15 DOI: 10.4324/9781315709000-4

A. Innes, L. Calvert, Gail Bowker

Stanley I. Rapoport, MD, is Chief of the Laboratory of Neurosciences, National Institute on Aging, Bethesda, Maryland. Synopsis Using standardized history, physical and neurological examinations, laboratory evaluation, and tests of cognitive performance, mood, and functional status, 155 patients admitted consecutively to an outpatient dementia clinic were diagnosed as "demented" or "nondemented." Diagnostic groups were: primary degenerative dementia (60 percent); multi-infarct dementia (7.1 percent); mixed degenerativevascular dementia (12.3 percent); miscellaneous dementias (11.6 percent); referral group with normal test scores (9 percent). The Hachinski Ischemic Score distinguished (p < 0.05) the multi-infarct and mixed degenerative-vascular dementia groups from the nondemented subjects. The Mini-Mental State Examination Score, which indicated that the demented patients were, on an average, moderately demented (mean score 11 to 21), was highly correlated (r = 0.91) with the Blessed Memory, Information and Concentration Test. Both equally discriminated the demented groups from the nondemented group. Functional impairment, as measured by the Katz Index ofActivities ofDaily Living, was moderate in the demented patients. For the primary progressive dementia patients, severity ofdementia was correlated with duration, functional impairment, and depressive symptoms.

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引用次数: 0

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