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首页> 外文期刊>International journal of older people nursing >Using drama to improve person-centred dementia care.
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Using drama to improve person-centred dementia care.

机译：利用戏剧改善以人为本的痴呆症护理。

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AIMS AND OBJECTIVES: We implemented a 12-week drama-based educational intervention to introduce to dementia practitioners person-centred care that emphasizes the notion of embodied selfhood (defined as non-verbal self-expression). BACKGROUND: Person-centred dementia care guidelines emphasize the assessment of individual needs, and where appropriate, the use of non-pharmacological interventions before resorting to pharmacological management. However, dementia care is not consistent with these guidelines suggesting conceptual limitations and reliance on passive knowledge translation strategies. DESIGN AND METHODS: Focus groups and semi-structured interviews with practitioners (n = 24) in two nursing homes in central Canada were undertaken to assess the effectiveness of the drama-based components of the intervention. RESULTS: Our findings suggest that drama was effective as an educational modality, and helped implement the person-centred approach into practice. Significant practice outcomes included: new awareness that residents' body movements and dispositions can convey meaning; seeking biographical information from families; increased time efficiency; and supporting residents' independence. CONCLUSIONS: Our findings make an important contribution to person-centred dementia care by broadening the notion of personhood, and by facilitating implementation using drama. IMPLICATIONS FOR PRACTICE: As an enhancement of person-centred care, the support of embodied selfhood may significantly improve residents' quality of life, quality of care, and practitioners' care-giving experience.
机译：目的和目标：我们实施了一项为期12周的基于戏剧的教育干预措施，向痴呆症患者介绍以人为本的护理，该护理强调体现自我的概念（定义为非语言自我表达）。背景：以人为中心的痴呆症护理指南强调评估个人需求，并在适当时采用非药物干预措施，然后再进行药物管理。但是，痴呆症护理与这些指南不一致，表明概念上的局限性和对被动知识翻译策略的依赖。设计与方法：在加拿大中部的两个疗养院进行了焦点小组和对从业者（n = 24）的半结构化访谈，以评估基于戏剧的干预措施的有效性。结果：我们的发现表明戏剧作为一种教育方式是有效的，并有助于将以人为本的方法付诸实践。重大的实践成果包括：重新认识到居民的身体运动和性格可以传达含义;向家庭寻求传记信息;提高时间效率;支持居民独立。结论：我们的发现通过扩大人格观念并通过戏剧促进实施，对以人为中心的痴呆护理做出了重要贡献。实践的意义：作为一种以人为本的照护的增强，对体现自我的支持可以显着改善居民的生活质量，照护质量和从业者的照护经验。

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