医学研究与教育 ›› 2023, Vol. 40 ›› Issue (1): 64-70.DOI: 10.3969/j.issn.1674-490X.2023.01.010

• 护理学 • 上一篇    下一篇

我国资深养老护理员痴呆照护体验的质性研究

周一萍1,刘涓2,李彤1,王彦1   

  1. 1.河北大学护理学院, 河北 保定 071000;
    2.河北大学附属医院康复医疗科, 河北 保定 071000
  • 收稿日期:2022-06-02 出版日期:2023-02-25 发布日期:2023-02-25
  • 通讯作者: 王彦(1969—),女,河北保定人,教授,主要从事心脏康复、老年护理研究工作。E-mail: chjanwy@163.com
  • 作者简介:周一萍(1997—),女,河北邯郸人,护师,主要从事老年护理研究工作。 E-mail: 2095499785@qq.com
  • 基金资助:
    河北省级引智项目(纵20180279)

  • Received:2022-06-02 Online:2023-02-25 Published:2023-02-25

摘要: 目的 深入了解中国资深养老护理员的痴呆症照护体验,以期为痴呆症照护有针对性地实施干预提供依据。方法 2021年8—9月,采用目的抽样法选取保定市某养老机构痴呆症护理单元的7名资深养老护理员为样本,运用Colaizz 7步分析法进行资料分析。结果 归纳出3个主题和10个副主题,即压力和挑战(沟通不畅、负担沉重、受伤风险)、调整和适应(态度转变、分享生活、发现价值、巧用沟通策略)、支持和期待(情感支持、教育支持、社会期待)。结论 养老护理员的痴呆症照护体验是多维度的,照护负担沉重且心理压力大,但本研究中养老护理员具备以人为本的信念感和良好的沟通素养。研究结果可为实施痴呆症照护能力干预和培训课程提供参考。

关键词: 痴呆症, 养老护理员, 照护体验, 质性研究

Abstract: Objective To deeply understand the experience of senior nursing staffs for dementia care in China and provide a basis for the targeted intervention implementation of dementia care. Methods From August to September 2021, 7 senior nursing staffs in a nursing home in Baoding selected with Colaizz-7 analysis methods were applied in the data analysis. Results Three topics and ten subtopics were obtained with analysis: Stress and Challenges(communication barriers, heavy burden, risk of injury), Adjustment and Adaptation(changing attitudes, life sharing, discovery value, clever communication strategies)and Support and Expectation(emotional support, educational support, social expectation). Conclusion The experience of nursing staffs is multi-dimensional, with the heavy care burden and great psychological pressure, but those nursing staffs have a sense of person-centered belief and the good communication literacy. The results of this study may provide a reference for the implementation of a dementia care competency intervention and training course.

Key words: dementia, nursing staff, care experience, qualitative research

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