Bathing: A framework for intervention focusing on psychosocial, architectural and human factors considerations
Bathing: A framework for intervention focusing on psychosocial, architectural and human factors considerations
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DOI：
10.1016/j.archger.2006.09.001
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发表时间：
2007-09-01
影响因子：
4
通讯作者：
Parpura-Gill, Aleksandra
中科院分区：
文献类型：
--
作者：
Cohen-Mansfield, Jiska;Parpura-Gill, Aleksandra
对于大多数人来说，沐浴的过程通常是愉快和放松的，虽然它满足卫生需求，但它通常根据个人的喜好进行个性化，以增强愉快的体验。相比之下，患有痴呆症的老年人洗澡的过程对于痴呆症患者及其照顾者来说往往是一种创伤经历。与其他时间相比，洗澡时更容易表现出烦躁的行为。影响沐浴过程体验并导致烦躁行为的因素可分为四大类：痴呆症患者的需求、护理人员的需求、沐浴发生的物理环境和制度因素。已采用多种方法来治疗洗澡时的烦躁行为；然而，尚未制定解决所有上述因素的综合办法。本文介绍了探索躁动治疗路线（TREA）方法在更大的人为因素框架内进行非药物干预的有效性的初步结果，满足居民和工作人员的需求、环境因素以及人为因素分析，以改善沐浴过程。案例研究证明了这种方法在减少沐浴期间的烦躁行为方面的功效。 (c) 2006 Elsevier Ireland Ltd. 保留所有权利。
The process of bathing is usually pleasurable and relaxing for most persons and, although it serves hygienic needs, it is often individualized to a person's preferences in order to enhance the pleasurable experience. In contrast, the bathing process for elderly people suffering from dementia is often a traumatic experience for both the persons with dementia and their caregivers. Agitated behaviors are manifested more often during bathing than at other times. Factors influencing the experience of the bathing process and resulting in agitated behaviors can be categorized into four broad groups: the needs of the person with dementia, the needs of the caregiver, the physical environment in which bathing takes place and institutional factors. A number of approaches have been employed to treat agitated behaviors during bathing; however, a comprehensive approach addressing all of the above factors has not been developed. This paper presents preliminary findings on the effectiveness of the Treatment Routes for Exploring Agitation (TREA) approach for non-pharmacological interventions within a larger framework of human factors, addressing the needs of residents and staff members, environmental factors as well as human factors analysis to improve the process of bathing. A case study demonstrates the efficacy of this approach in reducing agitated behaviors during bathing. (c) 2006 Elsevier Ireland Ltd. All rights reserved.