Care Challenges in the Bathroom: The Views of Professional Care Providers Working in Clients' Homes
Care Challenges in the Bathroom: The Views of Professional Care Providers Working in Clients' Homes
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DOI：
10.1177/0733464816649278
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发表时间：
2018-04-01
影响因子：
3
通讯作者：
Andrews, Gavin J.
中科院分区：
文献类型：
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作者：
King, Emily C.;Holliday, Pamela J.;Andrews, Gavin J.
在家庭护理中，浴室活动，特别是洗澡和厕所，带来了一系列独特的挑战。在这项焦点小组研究中，专业的家庭护理提供者确定了增加帮助客户洗澡和如厕的危险和困难的因素。这些问题包括狭小的受限空间，现有设备与环境之间的不匹配，依赖手动处理技术(但没有足够的空间来使用最佳身体力学)，试图保持正常，以及照顾不稳定和不可预测的客户。护理人员发现每一项活动的具体内容都很困难，包括同时进行腰部以下护理(穿衣/脱衣、会护理)以及帮助病人抬腿进出浴缸等多项任务，以维持病人的稳定性。参与者不认为现有的辅助设备提供了足够的帮助来降低这些活动的危险和难度。
In home care, bathroom activitiesparticularly bathing and toiletingpresent a unique set of challenges. In this focus group study, professional home care providers identified factors that increase the danger and difficulty of assisting their clients with bathing and toileting. These included small restrictive spaces, a poor fit between available equipment and the environment, a reliance on manual handling techniques (but insufficient space to use optimal body mechanics), attempts to maintain normalcy, and caring for unsteady and unpredictable clients. Specific elements of each activity that care providers found difficult included multitasking to support client stability while performing care below the waist (dressing/undressing, providing perineal care) and helping clients to lift their legs in and out of a bathtub. Participants did not feel that available assistive devices provided enough assistance to reduce the danger and difficulty of these activities.