The relation between mood, activity, and interaction in long-term dementia care

The relation between mood, activity, and interaction in long-term dementia care
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DOI:
10.1080/13607863.2016.1227766
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发表时间:
2018-01-01
影响因子:
3.4
通讯作者:
Hamers, Jan P. H.
Hamers, Jan P. H.
中科院分区:
医学2区
文献类型:
--
作者:
Beerens, Hanneke C.;Zwakhalen, Sandra M. G.;Hamers, Jan P. H.

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目的:本研究的目的是确定长期护理机构中痴呆症患者(PwD)日常生活中情绪、活动参与、活动位置和社会互动之间的关联程度。方法:采用瞬间评价法进行观察性研究。研究人员使用基于平板电脑的马斯特里赫特电子日常生活观察工具,对所有115名参与者进行了84次情绪、活动参与度、活动地点和社交互动的瞬时评估。结果:共完成9660次瞬间评估。115名参与者的平均年龄为84岁,其中大多数(75%)是女性。在2%、25%和73%的观察中,分别记录了消极、中性或积极的情绪。积极情绪与参与活动、户外活动和社会互动有关。活动类型对情绪的影响不如残疾人参与某项活动的事实重要。当PwD试图进行社交互动但没有得到回应时,情绪明显低落。结论:满足残疾人的职业需求和社会交往需求与以人为本的痴呆护理重点相一致,应在痴呆护理中优先考虑。
Objective: The aim of the study is to identify the degree of association between mood, activity engagement, activity location, and social interaction during everyday life of people with dementia (PwD) living in long-term care facilities.Method: An observational study using momentary assessments was conducted. For all 115 participants, 84 momentary assessments of mood, engagement in activity, location during activity, and social interaction were carried out by a researcher using the tablet-based Maastricht Electronic Daily Life Observation-tool.Results: A total of 9660 momentary assessments were completed. The mean age of the 115 participants was 84 and most (75%) were women. A negative, neutral, or positive mood was recorded during 2%, 25%, and 73% of the observations, respectively. Positive mood was associated with engagement in activities, doing activities outside, and social interaction. The type of activity was less important for mood than the fact that PwD were engaged in an activity. Low mood was evident when PwD attempted to have social interaction but received no response.Conclusion: Fulfilling PwD's need for occupation and social interaction is consistent with a person-centred dementia care focus and should have priority in dementia care.