护理学报 ›› 2023, Vol. 30 ›› Issue (8): 23-28.doi: 10.16460/j.issn1008-9969.2023.08.023
基于SEIPS模型的认知症激越行为照护体验的质性研究
王迪1, 李现文2
- 1.釜山加图立大学 护理学院,韩国 釜山 广域 46252;
2.南京医科大学 护理学院,江苏 南京 211166
摘要： 目的 基于SEIPS模型解析养老机构护士对认知症激越行为的照护体验,为提升认知症激越行为照护品质提供参考依据。方法 采用现象学研究目的抽样法,对上海市5所养老机构14名护士进行半结构化访谈,运用Colaizzi分析法对访谈资料进行分析、归纳及提炼主题。结果 共提炼出感知认知症激越行为发病的复杂性、照护工作获益感与挫折感并存的悖论、激越行为发生现场的主动化多元应对、促进照护微系统伴随阻碍照护宏系统等4个主题。结论 养老机构护士需要充分认识激越行为诱发多因素性,管理者则亟需多措并举提升护士主动应对激越行为的能力,并持续优化机构微系统和宏系统建设,提升认知症激越行为照护品质。
中图分类号:
- R473.59
| [1] World Health Organization. World failing to address dementia challenge[EB/OL].(2021-09-02)[2022-03-11]. https://www.who.int/news/item/02-09-2021-world-failing-to-address-dementia-challenge. [2] 王凤玲,王娅平,张露露. 蒙台梭利法在痴呆患者激越行为干预中的研究进展[J]. 中国实用神经疾病杂志, 2020, 23(18):1637-1641.DOI:10.12083/SYSJ.2020.18.019. [3] Rapaport P, Livingston G, Hamilton O,et al.How do care home staff understand, manage and respond to agitation in people with dementia? A qualitative study[J]. BMJ open, 2018, 8(6):1-9.DOI:10.1136/bmjopen-2018-022260. [4] Wolf MU, Goldberg Y, Freedman M.Aggression and agitation in dementia[J]. Continuum (Minneap Minn), 2018, 24(3):783-803.DOI:10.1212/CON.0000000000000605. [5] Sun C,Zhou R,Cui Y, et al.The adaptation of older adults' transition to nursing homes in Mainland China: a qualitative study[J]. J Transcult Nurs, 2021, 32(4):318-325.DOI:10.1177/1043659620923387. [6] Beach SR,Schulz R.Family caregiver factors associated with unmet needs for care of older adults[J]. J Am Geriatr Soc, 2017, 65(3):560-566.DOI:org/10.1111/jgs.14547. [7] 王蓉蓉,赵庆华,王富兰. 基于ICF理论老年人长期照护需求评估问卷的研制与信效度检验[J]. 护理研究, 2021, 35(9):1511-1515.DOI:10.12102/j.issn.1009-6493.2021.09.002. [8] Carayon P, Wetterneck TB, Rivera-Rodriguez AJ, et al.Human factors systems approach to healthcare quality and patient safety[J]. Appl Ergon, 2014, 45(1):14-25.DOI:org/10.1016/j.apergo.2013.04.023. [9] Morrow R, Rodriguez A, King N.Colaizzi's descriptive phenomenological method[J]. Psychologist, 2015, 28(8): 643-644. [10] 叶芬, 廖淑莉, 肖露. 养老机构失智老人激越行为的发生及其影响因素的研究进展[J]. 解放军护理杂志, 2021, 38(2):79-85.DOI:10.3969/j.issn.1008-9993.2021.02.021. [11] Kim JS.Emotional labor strategies, stress, and burnout among hospital nurses: a path analysis[J]. J Nurs Scholarsh, 2020, 52(1):105-112.DOI:10.1111/jnu.12532. [12] Wong AHW, Combellick J, Wispelwey BA, et al.The patient care paradox: an interprofessional qualitative study of agitated patient care in the emergency department[J]. Acad Emerg Med, 2017, 24(2):226-235.DOI:10.1111/acem.13117. [13] Lu N, Liu J, Lou VWQ.Exploring the reciprocal relationship between caregiver burden and the functional health of frail older adults in China: a cross-lag analysis[J]. Geriatr Nurs, 2016, 37(1):19-24.DOI:10.1016/j.gerinurse.2015.08.014. [14] Yu DSF, Cheng ST, Wang J.Unravelling positive aspects of caregiving in dementia: an integrative review of research literature[J]. Int J Nurs Stud, 2018, 79:1-26.DOI:10.1016/j.ijnurstu.2017.10.008. [15] 周淑玲,师新娟,张绡琦.多感官刺激疗法对阿尔茨海默病患者精神行为和心理状态的影响[J].医学综述,2021,27(5):1022-1026.DOI:10.3969/j.issn.1006-2084.2021.05.035. [16] 张瑜,邢颖,陈红丽,等.养老照护从业者多边知识流动体验的质性研究[J].中华现代护理杂志,2021, 27(35):4835-4840. DOI:10.3760/cma.j.cn115682-20210225-00850 [17] 王庆妍, 绳宇. 影响中国老年期痴呆患者家庭利用社会资源的文化因素[J]. 中国老年学杂志,2019, 39(5):1259-1262.DOI:10.3969/j.issn.1005-9202.2019.05.073. [18] Cho E, Lee NJ, Kim EY.Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: a cross-sectional study[J]. Int J Nurs Stud, 2016, 60:263-271. DOI:org/10.1016/j.ijnurstu.2016.05.009. |
| [1] | 杨娇娇, 彭丽丽, 王三香, 李翊澜, 石奥利, 田甜, 杨金花. 模拟社会生活照护对养老机构老年痴呆患者激越行为的影响[J]. 护理学报, 2022, 29(17): 75-78. |
| [2] | 吴斌, 武丽桂, 袁玲, 郭苗苗, 彭卫琴, 夏浩志. 肿瘤安宁疗护患者亲属照顾者照护体验的质性研究[J]. 护理学报, 2019, 26(6): 6-9. |
| [3] | 曾纪丽, 王新宇, 胡芬. 国内痴呆症患者照顾者照护体验质性研究的Meta整合[J]. 护理学报, 2018, 25(23): 28-34. |
| [4] | 章微微,王元姣. 脑卒中康复患者子女照护体验的质性研究[J]. 护理学报, 2014, (20): 67-69. |
|