Managing Problem Behaviors in Cognitively Impaired Older People: The Competence and Preparedness of Healthcare Providers in Long-Term Care Facilities

Chia-Hsiu Chang; Yu-Hung Lin; Shu-Hui Yeh; Li-Wei Lin

doi:10.1097/JNR.0b013e3181ed5809

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P164 - 173

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

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Managing Problem Behaviors in Cognitively Impaired Older People: The Competence and Preparedness of Healthcare Providers in Long-Term Care Facilities

长期照护机构照护人员对失智症老人之问题行为处理能力及照顾准备度之探讨

张嘉秀(Chia-Hsiu Chang) ；林昱宏(Yu-Hung Lin) ；叶淑惠(Shu-Hui Yeh) ；林丽味(Li-Wei Lin)

The Journal of Nursing Research ； 18 卷 3 期 (2010 / 09 / 01) ， P164 - 173

英文 DOI： 10.1097/JNR.0b013e3181ed5809

处理能力；照顾准备度；问题行为；失智症老人；长期照护机构； competence ； preparedness for caring ； problem behaviors ； cognitively impaired elders ； long-term care facilities

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摘要 │ 参考文献 (31) │ 被引用文献 (3) │ 国际计量

摘要〈TOP〉

Background: The prevelance of cognitive impairment in older individuals is increasing in Taiwan. Most healthcare providers (HCPs) experience deep frustration while caring for residents of long-term care facilities who are cognitively impaired. Competence and preparedness of HCPs represent key factors in being able to successfully create and maintain a safe environment for elderly wards and are one of the main concerns of cognitive impairment care.
Purpose: The purpose of this study was to investigate the competence and preparedness of HCPs to manage the problem behaviors of cognitively impaired elders living in long-term care facilities.
Methods: This study utilized a correlational research design and included 221 participants that were recruited using a stratified random sampling process. Structured and semistructured questionaires on competence and preparedness of caring for cognitively impaired elders were used to collect data. Descriptive statistics and univariate and multivariate analyses were used to analyze the relationship between HCP demographic characteristics and their competence or preparedness in managing cognitive impairment care.
Results: Ninety-five percent of participants were women. The top scoring item in the competence dimension was ”preventing problem behaviors from occurring” (M±SD=3.89±2.89), and the lowest scoring item was ”reading related books and articles” (2.91±0.85). In the preparedness dimension, ”modification of environment” (3.22±1.07) was the highest scoring item, and ”resources referral skills” was the lowest scoring item (3.02±1.03). Results showed supervisors (F=7.89, p=.001) and college graduates (F=2.89, p=.047) to have higher levels of competency than other participants. Participant knowledge level in dealing with problem behaviors was significantly and positively correlated with frequency of continuing education participation (F=28.73, p＜001).
Conclusions/Implications for Practice: Results point to the need for continuing education, practicum, counseling, staffing resources, and involvement of other professionals to increase HCP readiness and competence.

并列摘要〈TOP〉

参考文献 ( 31 ) 〈TOP〉

Yeh, S. H.,Lin, L. W.,Wang, S. Y.,Ho, T. H.(2001).Continuing education needs and knowledge of gerontological nursing among nurses in nursing homes.Nursing Research,9(3),300-310.
连结：
Family Caregiver Alliance. (2003). The stresses of caregiving. Retrieved March 5, 2010, from http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=891
Taiwan Cognitive Impairment Society. (2007). The prevalence of cognitive impairment. Retrieved May 5, 2009, from http://www.tds.org.tw/html/front/bin/ptdetail.phtml?Part=021&Category=121256 (Original work published in Chinese)
Alzheimer's Disease International. (2009). World Alzheimer report 2009-Executive summary. Retrieved December 3, 2009, from http://www.alz.co.uk/research/files/World%20Alzheimer%20Report%20Executive%20Summary.pdf
World Health Organization. (2010). Mental and neurological disorders. Retrieved June 31, 2010, from http://www.who.int/whr/1997/media_centre/executive_summary1/en/index14.html

被引用文献 ( 3 ) 〈TOP〉

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