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Caring for relatives with agitation at home: a qualitative study of positive coping strategies

机译：在家中躁动时照顾亲戚：积极应对策略的定性研究

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BackgroundududTrials of psychological interventions for reducing agitation in people with dementia living at home have been unsuccessful.ududAimsududTo inform future interventions by identifying successful strategies of family carers with relatives with dementia and agitation living at home.ududMethodududQualitative in-depth individual interviews were performed with 18 family carers. We used thematic analysis to identify emerging themes.ududResultsududCarers described initial surprise and then acceptance that agitation is a dementia symptom and learned to respond flexibly. Their strategies encompassed: prevention of agitation by familiar routine; reduction of agitation by addressing underlying causes and using distraction; prevention of escalation by risk enablement, not arguing; and control of their emotional responses by ensuring their relative’s safety then walking away, carving out some time for themselves and using family and services for emotional and practical help.ududConclusionsududThese strategies can be manualised and tested in future randomised controlled trials for clinical effectiveness in reducing agitation in people with dementia living at home.
机译：背景 ud ud针对减少在家中痴呆症患者的躁动的心理干预试验一直没有成功。 ud udAims ud ud通过确定在家中患有痴呆症和躁动症亲戚的家庭照顾者的成功策略来为将来的干预提供信息。 ud udMethod ud ud对18位家庭护理人员进行了定性深入的个人访谈。我们使用主题分析来识别新出现的主题。 ud udResults ud udCarers描述了最初的惊奇，然后接受了躁动是痴呆症状并学会了灵活应对。他们的策略包括：通过熟悉的常规预防躁动；通过解决根本原因并分散注意力来减少激动；通过风险支持防止升级，而不是争论；通过确保亲戚的安全来控制自己的情绪反应，然后走开，自​​己花费一些时间，并利用家庭和服务获得情感和实际帮助。 ud ud结论 ud ud这些策略可以在以后的随机对照中进行手动和测试减少在家中痴呆症患者躁动的临床疗效试验。

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