Physical therapy processes-interactions between a physical therapist and an older client with dementia
Physical therapy processes-interactions between a physical therapist and an older client with dementia
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物理治疗过程 - 物理治疗师和患有痴呆症的老年客户之间的互动
DOI：
10.1080/09593985.2021.1913776
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发表时间：
2021
影响因子：
2
通讯作者：
Yoneda Y
中科院分区：
文献类型：
--
作者：
Yokogawa M;Taniguchi Y;Yoneda Y
背景在日本，人口老龄化率凸显了研究针对痴呆症老年人的各种护理措施的必要性，包括物理治疗。然而，尽管有其积极的效果，但为患有痴呆症的老年人提供物理治疗也存在许多挑战。目的这项定性案例研究考察了物理治疗师和痴呆症患者之间的互动以及为她提供物理治疗的过程。方法这项研究利用修改的扎根理论方法来分析对一位物理治疗师的采访，她是一位拥有四年临床经验的女性，专门为老年痴呆症患者提供物理治疗，她为她的客户（一位患有老年痴呆症的女性）提供了 20 分钟的物理治疗课程。 80 年代患有痴呆症，寻求保持日常生活活动能力并保持独立性。数据收集于 2017 年 1 月。结果确定了代表治疗师向客户提供的服务各个方面的 15 个概念。得出了五个不同的类别：1）关系的基础； 2）了解个人因素； 3）支持职能活动的执行； 4）评估认知功能； 5) 支持确保日常生活安全。结论物理治疗师帮助患有痴呆症的老年人进行功能性活动，这有助于确保他们的安全和独立，并培养牢固的治疗师与客户关系。未来的研究应该采访多名物理治疗师以产生更多的概念。此外，量化这些概念并开发评估客户的工具将改善护理服务，并为治疗痴呆症患者经验有限的物理治疗师提供信息。
BackgroundIn Japan, the population aging rate highlights the need to examine various care provisions for older adults with dementia, including physical therapy. However, despite its positive effects, there are also many challenges associated with providing physical therapy for older adults with dementia.ObjectiveThis qualitative case study examined the interactions between a physical therapist and a patient with dementia and the process by which physical therapy was provided to her.MethodsThis study utilized a modified grounded theory approach to analyze the interview of one physical therapist, a woman with four years of clinical experience who specializes in physical therapy for older adults who provided a 20-minute physical therapy session to her client, a woman in her 80s with dementia who sought to maintain her ability to perform activities of daily living and preserve her independence. Data were collected in January 2017.ResultsFifteen concepts that represent aspects of the services that the therapist provided to her client were identified. Five distinct categories were derived: 1) foundations of the relationship; 2) understanding individual factors; 3) supporting execution of functional activities; 4) assessing cognitive function; and 5) support to ensure safety in daily living.ConclusionPhysical therapists help older adults with dementia execute functional activities, which helps ensure their safety and independence, and fosters strong therapist–client relationships. Future studies should interview multiple physical therapists to generate additional concepts. Further, quantifying these concepts and developing tools to assess clients will improve care provision and inform physical therapists with limited experience in treating patients with dementia.