摘要
目的深入了解临床照顾者应对痴呆患者精神行为症状时的真实体验。方法采用描述性质性研究方法,对13名有精神行为症状的住院痴呆患者的照顾者进行访谈,并对访谈内容进行分析。结果提炼出3个主题:1照顾者的应对感受,包括身心疲惫、委屈、退缩和成就感。2照顾者成功应对痴呆患者精神行为症状(behavioral and psychological symptoms of dementia,BPSD)的经验,包括理解患者、针对患者特点采取应对措施、主动与患者沟通、积极激励患者。3影响照顾者应对BPSD的因素,包括BPSD的严重程度、照顾者的工作经验、患者与照顾者的关系及相关人员给予的支持。结论应对痴呆患者BPSD是照顾者无法回避的挑战之一,了解照顾者应对痴呆患者BPSD时的体验、经验和影响因素,有助于为痴呆患者BPSD的应对以及照顾者的培训和支持提供参考依据。
Objective To understand formal caregivers＇ experience of coping with behavioral and psychological symptoms of dementia（BPSD）. Methods Descriptive qualitative research design was used and interviews were con- ducted among 13 formal caregivers of patients with BPSD. Results Three themes were identified：①Coping feeling included exhaustion of body and mind,grievance,withdrawal and achievement. ②Successful experience of coping BPSD included understanding of BPSD,selecting coping strategy according to the characteristics of the patients,active communication,and actively using incentives. ③Factors affecting caregivers＇ coping were severity of BPSD ,experience of caregivers,relationship between patients and earegivers,and supports from others. Conclusion Coping with BPSD is a challenge in dementia care. Understanding caregivers＇ feelings,experience and influencing factors in caring of patients with BPSD will facilitate our understanding of the challenge and provide information about supports needed by caregivers.
出处
《中华护理杂志》
CSCD
北大核心
2016年第10期1174-1179,共6页
Chinese Journal of Nursing
关键词
临床护理
痴呆
心理体验
Clinical Nursing
Dementia
Psychology Experiences
