Managing problem behaviors of elderly patients.
Managing problem behaviors of elderly patients.
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管理老年患者的问题行为。
DOI：
10.1176/ps.27.5.325
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发表时间：
1976
期刊：
影响因子：
--
通讯作者：
M. Oberleder
中科院分区：
文献类型：
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作者：
M. Oberleder
必须反复提醒在疗养院与老年人一起工作的专业和非专业工作人员，大多数问题行为都是诸如未解决的冲突、失去正常、适当的生活角色以及对疾病和死亡的预期等潜在问题的症状。作者描述了这些问题如何反映在语无伦次、失禁、仪式感和不恰当的性行为等“老年”行为中。她认为压力下人格回归的概念是帮助员工理解和管理此类行为的有用框架。她说明了非专业工作人员如何通过使用某些行为矫正技术、角色扮演、识别导致问题行为的感受并帮助患者宣泄情绪，帮助患者实现更令人满意的调整。
Professional as well as nonprofessional staff who work with the elderly in nursing homes must be reminded repeatedly that most problem behaviors are symptoms of such underlying problems as unresolved conflicts, the loss of normal, appropriate life roles, and the anticipation of illness and death. The author describes how those problems are reflected in such "senile" behaviors as incoherence, incontinence, ritualism, and inappropriate sexual behaviors. She believes the concept of personality regression under stress is a useful framework for helping staff understand and manage such behaviors. She illustrates how nonprofessional staff can help patients achieve a more satisfactory adjustment by using certain behavior modification techniques, by roleplaying, and by identifying feelings responsible for porblem behaviors and helping patients ventilate them.