Maturation of the MOUTh Intervention From Reducing Threat to Relationship-Centered Care

Maturation of the MOUTh Intervention From Reducing Threat to Relationship-Centered Care
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DOI:
10.3928/00989134-20160212-05
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发表时间:
2016-03-01
影响因子:
1.3
通讯作者:
Azuero, Andres
Azuero, Andres
中科院分区:
医学4区
文献类型:
--
作者:
Jablonski-Jaudon, Rita A.;Kolanowski, Ann M.;Azuero, Andres

文献摘要

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这篇文章的目的是描述一种个性化的做法,最初被设想为一种预防和最大限度地减少护理抵抗行为的方法,以向患有痴呆症的老年人提供口腔护理。最初的干预措施是使用减少威胁策略管理口腔卫生,在临床试验研究期间成熟为以关系为中心的干预措施,重点是制定支持居民行为健康和参与护理的工作人员的策略。最初务实的关系(即,专注于完成口腔护理的任务)发展成更个人化和响应性的关系,涉及口腔护理提供者和疗养院(NH)居民之间更深层次的接触。口腔护理以NH居民和口腔护理提供者满意的方式完成和完成。口腔干预还可以同时肯定护理接受者的尊严和人格,因为它强调与老年人的联系。
The purpose of the current article is to describe a personalized practice originally conceived as a way to prevent and minimize care-resistant behavior to provide mouth care to older adults with dementia. The original intervention, Managing Oral Hygiene Using Threat Reduction Strategies (MOUTh), matured during the clinical trial study into a relationship-centered intervention, with emphasis on developing strategies that support residents' behavioral health and staff involved in care. Relationships that were initially pragmatic (i.e., focused on the task of completing mouth care) developed into more personal and responsive relationships that involved deeper engagement between mouth care providers and nursing home (NH) residents. Mouth care was accomplished and completed in a manner enjoyable to NH residents and mouth care providers. The MOUTh intervention may also concurrently affirm the dignity and personhood of the care recipient because of its emphasis on connecting with older adults.