通过患者尊严量表透视居家早期痴呆症患者对尊严的感知:一项纵向研究。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Lucie Klůzová Kráčmarová, Kristýna A Černíková, Kateřina Stolaríková, Helena Kisvetrová
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引用次数: 0

摘要

目的:早期痴呆症患者(PwESD)的尊严是以人为本的护理的核心价值。为了评估针对这一人群的干预计划的有效性,需要一种可靠的工具来衡量早期痴呆症患者的尊严。本研究基于对患者如何感知和体验尊严的定性分析,旨在确定捷克版患者尊严量表(PDI-CZ)是否适用于这一患者群体:方法:样本来自捷克的两家门诊诊所,包括 60 岁或以上患有轻度痴呆症的居家患者。在第一次访谈(T1)中,共有 21 名受访者;其中 10 人参加了 12 个月后进行的第二次访谈(T2)。定性材料采用基于 PDI-CZ 领域的演绎法进行分析:主题分析表明,残疾人在访谈中将 PDI-CZ 的所有领域主题化,他们对尊严的看法随着时间的推移保持稳定。PDI-CZ 未考虑某些经历(如社会支持减少、自我主张能力降低或感觉生活条件不合适):结论:在开发该工具的修订版时,应纳入反映尊严缺失观点的项目。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perceptions of dignity in home-dwelling patients with early-stage dementia through the lens of the Patient Dignity Inventory: a longitudinal study.

Objectives: Dignity of patients with early-stage dementia (PwESD) is a core value of person-centered care. To evaluate the effectiveness of the intervention programs targeted at this population, a reliable tool that would measure dignity in PwESD is needed. Based on a qualitative analysis of how PwESD perceive and experience dignity, this study aims to determine the adequacy of the Czech version of the Patient Dignity Inventory (PDI-CZ) for this patient population.

Method: The sample from two outpatient clinics in Czechia included home-dwelling individuals aged 60 years or older with mild dementia. In the first interview (T1), there were 21 respondents; 10 of whom participated in the second interview (T2) that was conducted after 12 months. The qualitative material was analyzed using a deductive approach based on the PDI-CZ domains.

Results: Thematic analysis shows that the PwESD thematized all domains of the PDI-CZ in their interviews and their views of dignity were stable over time. Some experiences were not considered in the PDI-CZ (such as lowered support of the society, lowered ability to advocate for oneself, or feeling of not suitable living conditions).

Conclusion: When developing a revised version of the tool, items that reflect missing views of dignity should be included.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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