Testing the Implementation of the Veder Contact Method: A Theatre-Based Communication Method in Dementia Care
Testing the Implementation of the Veder Contact Method: A Theatre-Based Communication Method in Dementia Care
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DOI：
10.1093/geront/gnx200
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发表时间：
2019-08-01
期刊：
影响因子：
5.7
通讯作者：
Droes, Rose-Marie
中科院分区：
文献类型：
--
作者：
Boersma, Petra;van Weert, Julia C. M.;Droes, Rose-Marie
背景与目的：目前缺乏以人为本的护理理念在护理之家实施的研究。本研究的目的是评估实施的Veder接触方法（VCM），一个新的以人为本的方法，使用戏剧，诗歌和音乐沟通的应用程序在24小时carry.Research设计和方法：照顾者（n = 136）和居民（n = 141）参加了为期1年的准实验研究。基金会剧院维德实施VCM的六个实验病房，并评价实施质量。六个控制病房提供了常规护理。实施前后，照顾者的行为进行了评估，在观察过程中使用的Veder观察列表和质量的照顾者的行为列表。照顾者的态度进行了评估与痴呆症的方法问卷。生活质量，行为和情绪的居民进行测量，与EQUIDEM，INTERACT和FACE。居民的护理计划进行了检查，以人为本的背景信息。结果：照顾者的沟通行为显着改善（即，应用VCM的能力，建立积极的互动）和居民行为和生活质量的某些方面（即，积极情感，社会关系），发现在实验病房与高实施得分，相比，实验病房与低实施得分，和控制病房。在照顾者的态度，居民的护理计划，或mood.Discussion和影响：积极的变化，照顾者的行为和居民的幸福感的高执行分数病房确认部分成功的VCM实施组之间没有显着差异。区分病房与高和低的实施分数提供了深入了解的因素是成功实施的关键。
Background and Objectives: There is a lack of research on implementation of person-centered care in nursing home care. The purpose of this study was to assess the implementation of the Veder contact method (VCM), a new person-centered method using theatrical, poetic and musical communication for application in 24-hr care.Research Design and Methods: Caregivers (n = 136) and residents (n = 141) participated in a 1-year quasi-experimental study. Foundation Theater Veder implemented VCM on six experimental wards and rated implementation quality. Six control wards delivered care-as-usual. Before and after implementation, caregiver behavior was assessed during observations using the Veder-observation list and Quality of Caregivers' Behavior-list. Caregiver attitude was rated with the Approaches to Dementia Questionnaire. Quality of life, behavior, and mood of the residents were measured with QUALIDEM, INTERACT and FACE. Residents' care plans were examined for person-centered background information.Results: Significant improvements in caregivers' communicative behavior (i.e., the ability to apply VCM, establishing positive interactions) and some aspects of residents' behavior and quality of life (i.e., positive affect, social relations) were found on the experimental wards with a high implementation score, as compared to the experimental wards with a low implementation score, and the control wards. No significant differences were found between the groups in caregivers' attitudes, residents' care plans, or mood.Discussion and Implications: The positive changes in caregivers' behavior and residents' well-being on the high implementation score wards confirm the partly successful VCM implementation. Distinguishing between wards with a high and low implementation score provided insight into factors which are crucial for successful implementation.