DEVELOPMENT AND CONSEQUENCES OF GROUP LIVING IN SWEDEN - A NEW MODE OF CARE FOR THE DEMENTED ELDERLY

DEVELOPMENT AND CONSEQUENCES OF GROUP LIVING IN SWEDEN - A NEW MODE OF CARE FOR THE DEMENTED ELDERLY
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DOI:
10.1016/0277-9536(93)90187-9
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发表时间:
1993-12-01
影响因子:
5.4
通讯作者:
ANNERSTEDT, L
ANNERSTEDT, L
中科院分区:
医学2区
文献类型:
--
作者:
ANNERSTEDT, L

文献摘要

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开发一种新的模式护理痴呆老人,群体生活(GL)的过程中,评估和讨论的后果。瑞典老年人口比例的增加意味着痴呆症的发病率更高。大多数接受传统机构长期护理的患者表现出认知能力下降。长期以来,人们观察到在数量和质量上都存在关爱不足的情况。这一点,以及对痴呆症及其症状和后果的更好认识和理解,推动了为明确界定的老年痴呆症群体开发另一种护理模式——群体生活(GL)。这里讨论的GL概念是指严格适应中度阿尔茨海默病和血管性痴呆患者的能力和社会心理需求的环境。特别强调安全性、完整性、促进治疗和激活。说明了在执行新概念的过程中,向不同类型的行动者同时通报和教育社会和物理模式的结构变化的重要性。
The process of developing a new mode of care for the demented elderly, group living (GL), is evaluated and the consequences discussed.The increasing proportion of very old persons in Sweden means a higher prevalence of dementia. The majority of patients in traditional institutional long term care show cognitive deterioration. An insufficient caring situation, both in quantity and quality has long been observed. This, and a better knowledge and understanding of dementing diseases, their symptoms and consequences, has been the impetus to develop an alternative care model, group living (GL), for well defined groups of demented elderly. The concept of GL discussed here means a setting strictly adapted to the abilities and psychosocial needs of moderately diseased Alzheimer and vascular demented patients. Security, integrity promoting therapy and activation are specially stressed. The importance of informing and educating different kinds of actors simultaneously to structural changes in social and physical patterns within the implementation of the new concept is illustrated.