Self-identity in older persons suffering from dementia, preliminary results
Self-identity in older persons suffering from dementia, preliminary results
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DOI：
10.1016/s0277-9536(99)00471-2
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发表时间：
2000-08-01
影响因子：
5.4
通讯作者：
Arnheim, G
中科院分区：
文献类型：
--
作者：
Cohen-Mansfield, J;Golander, H;Arnheim, G
在这项研究中，我们探讨了老年痴呆症患者的养老院居民的角色认同，以及利用他们持久的自我认同感来提高他们的生活质量的潜力。四种类型的角色认同进行了探讨：专业，家庭角色，休闲活动，和个人属性。方法包括结构化访谈和案例研究。访谈的参与者是以色列两家养老院的38名居民。居民，亲属和工作人员进行了采访，以提供有关过去的角色和程度，这些角色是保持在目前的信息，以及有关战略，以加强自我认同感。确定了各种各样的作用。所有的角色认同都显著恶化，家庭角色在目前仍然占据最突出的地位。然而，所有角色都表现出很大的异质性。工作人员和家属都认为，大部分居民的认同感可以得到加强，这将对他们的福祉产生有益的影响。照顾者的受访者预计，这将是大约一半的居民大幅改善。该案例研究说明了自我认同如何在痴呆症中发生变化，以及如何利用它来提高生活质量。(C)2000爱思唯尔科技有限公司版权所有。
In this study, we explored the role-identity of nursing home residents suffering from dementia, as well as the potential for utilizing their enduring sense of self-identity for enhancing their quality of life. Four types of role-identity were explored: professional, family-role, leisure activities, and personal attributes. The methodology included structured interviews and a case study. Participants for the interviews were 38 residents of two nursing homes in Israel. Residents, relatives, and staff members were interviewed to provide information about past roles and the degree to which those roles are maintained in the present, and about strategies for bolstering the sense of self-identity. A large range of roles were identified. All role identities deteriorated significantly, with family roles retaining the greatest prominence in the present. However, much heterogeneity was manifested in all roles. Both staff members and relatives felt that a sense of identity in residents could be enhanced in most of the residents, which would exert a beneficial effect on their well-being. Caregiving respondents anticipated that this improvement would be substantial for about half of the residents. The case study illustrates how self-identity can change throughout dementia, and how it can be utilized to improve quality of life. (C) 2000 Elsevier Science Ltd. All rights reserved.