Implementing Nurse-Facilitated Person-Centered Care Approaches for Patients With Delirium Superimposed on Dementia in the Acute Care Setting.
Implementing Nurse-Facilitated Person-Centered Care Approaches for Patients With Delirium Superimposed on Dementia in the Acute Care Setting.
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DOI：
10.3928/00989134-20170623-01
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发表时间：
2017-12-01
影响因子：
1.3
通讯作者：
Mion L
中科院分区：
文献类型：
--
作者：
Yevchak A;Fick DM;Kolanowski AM;McDowell J;Monroe T;LeViere A;Mion L
很少有人了解使用以人为本的护理（PCC）的个人与谵妄叠加痴呆（DSD），特别是在急性护理设置。作为一个更大的临床试验的一部分，这项探索性研究的目的是描述的例子和定性派生的主题，护士促进，以人为本的护理住院老年痴呆症和谵妄。在三个不同的急性护理站点共分析了750次谵妄。PCC的定性衍生主题包括：1）了解患者的基线; 2）了解患者的兴趣和价值观; 3）增强沟通的感官能力; 4）个性化认知刺激;以及5）增强舒适和睡眠的行为方法。障碍包括未能将患者视为个体和缺乏时间。PCC的原则得到了有效利用，证明了PCC可以减轻医疗团队所有成员的DSD负担。
Little is understood about the use of Person-Centered Care (PCC) for individuals with delirium superimposed on dementia (DSD), especially in the acute care setting. As part of a larger clinical trial, the purpose of this exploratory study was to describe examples and qualitatively derived themes of nurse-facilitated, person-centered care for hospitalized older adults with dementia and delirium. A total of 750 delirium rounds were analyzed across three diverse acute care sites. Qualitative derived themes of PCC included: 1) Knowing the Patient’s Baseline; 2) Knowing the Patient’s Interests and Values; 3) Enhancing Sensory Abilities to Communicate; 4) Individualizing Cognitive Stimulation; and 5) Enhancing Behavioral Approaches to Comfort and Sleep. Barriers included failure to see the patient as an individual and lack of time. Principles of PCC were effectively utilized, demonstrating the potential for PCC to ease the burden of DSD for all members of the healthcare team.
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影响因子：
4
作者：
Krogseth, Maria;Watne, Leiv Otto;Wyller, Torgeir Bruun
通讯作者：
Wyller, Torgeir Bruun
影响因子：
168.9
作者：
Inouye, Sharon K.;Westendorp, Rudi G. J.;Saczynski, Jane S.
通讯作者：
Saczynski, Jane S.
影响因子：
6.3
作者：
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通讯作者：
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影响因子：
1.6
作者：
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通讯作者：
Towsley, Gail L.
影响因子：
2.6
作者：
Fick, Donna M.;Steis, Melinda R.;Waller, Jennifer L.;Inouye, Sharon K.
通讯作者：
Inouye, Sharon K.