Meaningful engagement and person-centered residential dementia care: A critical interpretive synthesis
Meaningful engagement and person-centered residential dementia care: A critical interpretive synthesis
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DOI：
10.1080/11038128.2018.1441323
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发表时间：
2019-07-29
影响因子：
1.9
通讯作者：
McGrath, Margaret
中科院分区：
文献类型：
--
作者：
Du Toit, Sanetta H. J.;Shen, Xizi;McGrath, Margaret
背景：居住在养老院的中重度痴呆症患者面临职业剥夺的风险。以人为本的护理已被采纳为指导原则，为患有痴呆症的老年人提供住宿护理。在这方面，职业治疗实践已经从关注职业表现转向关注有意义的参与。虽然有意义的参与和以人为中心的关怀都得到了很好的研究，但这两个概念之间的关系却鲜为人知。目的：进行一项关键的解释性综合研究，以确定以人为中心的护理原则如何指导职业治疗实践，促进中、重度痴呆症患者的有意义的参与。方法：对中、重度痴呆症患者有意义参与的研究进行系统搜索，确定了26篇论文。结果：论文分为理论论文和实证研究两大类。出现了两个最重要的结构，即促进协作护理的文化和将居民理解为一个有过去、现在和未来的人。结论：如果中重度痴呆症患者的成长和参与机会不延伸到他们的生活史之外，职业剥夺盛行，以人为中心的护理没有得到充分解决。
Background: People with moderate to advanced dementia living in residential care are at risk of occupational deprivation. Person-centered care has been adopted as a guiding principle in the provision of residential care for older adults with dementia. In this context, there has been shift in occupational therapy practice from addressing occupational performance towards focusing on meaningful engagement. While both meaningful engagement and person-centered care have been well researched the relationship between the two concepts is poorly understood. Aim: A critical interpretative synthesis was conducted to determine how principles of person-centered care inform occupational therapy practice in relation to promotion of meaningful engagement among residents with moderate to advanced dementia. Methods: A systematic search of research addressing meaningful engagement of people with moderate to advanced dementia identified 26 papers. Results: Papers were classified as theoretical papers and empirical research. Two overarching constructs emerged, namely promoting a culture of collaborative care and understanding the resident as a person with a past, present and future. Conclusions: Occupational deprivation prevails and person-centered care is not fully addressed if opportunities for growth and engagement for residents with moderate to advanced dementia is not extended beyond their life history.