A Hospital Ward Environment that Ensures Quality of Life for Dementia Patients

确保痴呆症患者生活质量的医院病房环境

• 批准号: 11672392
• 负责人: KITAGAWA Kimiko
• 金额: $ 1.28万
• 依托单位: HEALTH SCIENCES UNIVERSITY OF HOKKAIDO
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672392/
• 关键词: dementia; a hospital ward environment; 看護管理者; エンパワメント; 物的環境

This study investigated the conditions that lead to the creation of a hospital ward environment that promotes both independence and safety for dementia patients. The authors interviewed interviewing nursing directors and nursing staff in ward environments that were characterized as maximizing the potential of dementia patients. Observational studies were also conducted on dementia patients in geriatric hospitals not actively committed to the creation of a quality-of-life ward environment. The survey indicated that ;1. Nursing directors who were actively engaged in providing for the safety and comfort of dementia patients tended to make relevant professional information available to the staff and helped to create working conditions that enabled the nursing staff to work more autonomously. As a result, the entire hospital organization was able to focus on providing patient care, thus succeeding in the creation of a ward environment with high-quality patient care. In such ward environment … More s, there were no restrictions on visiting hours. The nursing staff was encouraged to make suggestions and was actively engaged in improving patient care. In addition, staff turnover was low under such conditions.2. In cases where the ward environment was not set up to handle dementia patients, these patients were often isolated from other patients in the room and spent much of their day in the immediate vicinity of their beds. Although these patients showed interest in objects within their reach, as well as interest in various types of sounds, they were not able to take full advantage of these stimuli.Thus, a high quality ward environment was found to be one in which the autonomy of dementia patients and their family is preserved, and in which the active participation of the nursing staff is encouraged. The results of this survey suggest that the success or failure of being able to create a high-quality-of-life ward environment is very much dependent on the skills and ability of the nursing director. Less

这项研究调查了导致创造一个促进痴呆症患者独立性和安全性的医院病房环境的条件。作者采访了病房环境中的护理主任和护理人员，这些环境的特点是最大限度地发挥痴呆症患者的潜力。还对老年医院中的痴呆症患者进行了观察性研究，这些患者并没有积极致力于创造高质量的病房环境。调查显示：1.积极为痴呆症患者提供安全和舒适服务的护理主任，倾向于向工作人员提供相关的专业信息，并帮助创造工作条件，使护理人员能够更自主地工作。因此，整个医院组织能够专注于提供患者护理，从而成功地创造了一个高质量的患者护理的病房环境。在这样的病房环境中，…S多了，探视时间没有限制。护理人员被鼓励提出建议，并积极参与改善患者护理。此外，在这种情况下，工作人员流动率较低。在病房环境没有设置为处理痴呆症患者的情况下，这些患者通常与房间里的其他患者隔离，一天中的大部分时间都在床位附近度过。虽然这些患者对触手可及的物体和各种声音都表现出了兴趣，但他们无法充分利用这些刺激。因此，一个高质量的病房环境被发现是一个保留了痴呆症患者及其家人的自主性，并鼓励护理人员积极参与的环境。这项调查的结果表明，能否创造一个高质量的病房环境的成败，在很大程度上取决于护理主任的技能和能力。较少