Implementing Person-Centered Care in Residential Dementia Care
Implementing Person-Centered Care in Residential Dementia Care
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DOI：
10.1080/07317115.2012.702654
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发表时间：
2012-01-01
影响因子：
2.8
通讯作者：
Norman, Richard
中科院分区：
文献类型：
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作者：
Stein-Parbury, Jane;Chenoweth, Lynn;Norman, Richard
对痴呆症患者的以人为中心的护理(PCC)是一种基于这样一种信念的护理系统，即尽管认知障碍，但人格可以保持。最近进行的一项整群随机试验(Chenoweth等人，2009年)表明，PCC在住院护理的痴呆症患者中减少焦虑是有效的。本文详细概述了这项研究中的PCC干预部门，并描述了用于促进PCC实施的培训和程序。培训强调社交世界对痴呆症患者的影响，并促进人际交往技能，特别是与情感表达有关的技能。促进现场学习包括护理规划，包括获取痴呆症患者的生活故事和观察社会互动。PCC干预的成功与这种双管齐下的方法有关，其中包括管理人员的支持。实施PCC需要一种全系统的方法，其中包括管理人员的支持。实施PCC需要一种全系统的方法，其中包括正式和非正式学习。
Person-centered care (PCC) for people with dementia is a system of care that is based on the belief that personhood can be maintained despite cognitive impairment. A recently conducted cluster randomized trial (Chenoweth et al., 2009) demonstrated that PCC was effective in reducing agitation in people with dementia who were in residential care. This article provides a detailed overview of the PCC intervention arm of the study and describes the training and procedures used to facilitate implementation of PCC. Training emphasized the impact of the social world on the person with dementia and promoted the skills of interpersonal engagement, especially in relation to feeling expression. Facilitated on-site learning involved care planning that included obtaining a life story of the person with dementia and observing social interactions. The success of the PCC intervention was related to this two-pronged approach, which included support from managers. Implementation of PCC requires a whole-of-system approach, which included support from managers. Implementation of PCC requires a whole-of-system approach, which includes formal and informal learning.