我们能帮助护理人员更有效地与住在长期护理院的痴呆症患者沟通吗?

K. McGilton, K. McGilton, E. Rochon, E. Rochon, S. Sidani, Alexander C. Shaw, Alexander C. Shaw, Boaz M. Ben-David, M. Saragosa, V. Boscart, Rozanne Wilson, Rozanne Wilson, Rozanne Wilson, Karmit K. Galimidi-Epstein, M. Pichora-Fuller, M. Pichora-Fuller
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引用次数: 38

摘要

背景:长期护理院(LTCHs)中痴呆症患者与护理人员之间的有效沟通对于以患者为中心的护理至关重要。目的:探讨沟通干预对居民生活质量和护理的影响,以及对护理人员感知知识、情绪和负担的影响。方法:干预包括:(1)个性化沟通计划,(2)痴呆护理研讨会,(3)护理提供者支持系统。比较干预前和干预后的得分来评估干预的效果。共有12名住院医师和20名护理人员参与了可行性研究。结果:护理人员对沟通计划的依从率为91%。干预后,居民的总体生活质量显著提高。护理人员情绪有明显改善,负担减轻。结论:沟通干预对居民生活质量、护理人员情绪和负担均有积极影响。
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Can We Help Care Providers Communicate More Effectively With Persons Having Dementia Living in Long-Term Care Homes?
Background: Effective communication between residents with dementia and care providers in long-term care homes (LTCHs) is essential to resident-centered care. Purpose: To determine the effects of a communication intervention on residents’ quality of life (QOL) and care, as well as care providers’ perceived knowledge, mood, and burden. Method: The intervention included (1) individualized communication plans, (2) a dementia care workshop, and (3) a care provider support system. Pre- and postintervention scores were compared to evaluate the effects of the intervention. A total of 12 residents and 20 care providers in an LTCH participated in the feasibility study. Results: The rate of care providers’ adherence to the communication plans was 91%. Postintervention, residents experienced a significant increase in overall QOL. Care providers had significant improvement in mood and perceived reduced burden. Conclusion: The results suggest that the communication intervention demonstrates preliminary evidence of positive effects on residents’ QOL and care providers’ mood and burden.
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