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外文摘要
引文資料
題名:
輕度認知功能障礙長者其家庭照顧者負荷改善案例--以家庭為基礎之個案管理計畫
書刊名:
護理雜誌
作者:
陳敏佳
/
邱逸榛
/
魏碧美
/
徐文俊
作者(外文):
Chen, Min-chia
/
Chiu, Yi-chen
/
Wei, Pi-mei
/
Hsu, Wen-chuin
出版日期:
2017
卷期:
64:3
頁次:
頁105-111
主題關鍵詞:
輕度認知功能障礙
;
失智症家庭照顧者
;
個案管理
;
Mild cognitive impairment
;
Dementia family caregiver
;
Case management
原始連結:
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相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:
4
點閱:9
認知功能障礙合併問題行為者之長期照護,會帶給家庭照顧者極大壓力與負荷。本文描述一位罹患多重慢性病的家庭照顧者,亦擔負照顧家中輕度認知功能障礙合併問題行為與藥物不遵從的先生。護理期間為2015年9月23日至2015年12月29日,藉由家庭照顧者壓力理論評估其身、心、及社會負荷問題,運用以失智症家庭為基礎之個別式護理教育、照護技術訓練、傾聽與諮商及資源連結等介入措施,協助家庭照顧者減輕照顧負荷。以個別式家庭教育介入,評估主要照顧者需求及壓力源,確認護理問題為照顧者負荷過重,包含:照顧病人知識不足、藥物管理困擾、睡眠障礙、社會資源知識缺乏等方面壓力源。透過持續性關懷,建立信任關係,訂定照護需求的優先次序,分階段提供照顧知識、技巧,增進照護能力;藉由協助認識疾病與問題行為病程及藥物管理,提升認知與正向觀點,減少家庭衝擊;透過社會支持與長照資源的介入,協助照顧者增進生活品質,減輕照顧負荷。
以文找文
The long-term care of cognitively impaired patients with concomitant behavioral problems brings great stress and burdens to family caregivers. The present article describes a family caregiver with multiple chronic diseases who concurrently shouldered primary care responsibilities for her husband, a patient with mild cognitive impairment, problematic behaviors, and medication non-adherence issues. The period of care was between September 23rd and December 29th, 2015. Data on physiological, psychological, and social burdens were collected based on a stress process model for family caregiving. We then applied a home-based, individually tailored intervention, which included nursing education, skills training, listening/counseling, and resource connecting, that effectively helped the family caregiver reduce her burdens. Our assessment identified nursing-care-related problems as the primary source of caregiver burden in this case, with identified stressors including a lack of knowledge regarding patient care, medication management problems, sleep disorders, and inadequate social resources. Using continuous care interactions, we established a trust relationship with the family caregiver, prioritized her needs, and provided dementia care knowledge and skills, which gradually improved her caregiving competence. Our instruction included increasing caregiver understanding of the disease course of dementia, related problematic behaviors, and medication management. Our intervention enhanced the disease awareness of the caregiver and helped her become more positive about her caregiving tasks. Therefore, the negative impacts on her family were reduced. Social support and long-term care resources further reduced her burden and improved her quality of life.
以文找文
期刊論文
1.
Petersen, R. C.(2004)。Mild cognitive impairment as a diagnostic entity。Journal of Internal Medicine,256(3),183-194。
2.
Pearlin, L. I.、Mullan, J. T.、Semple, S. J.、Skaff, M. M.(1990)。Caregiving and the stress process: An overview of concepts and their measures。Gerontologist,30(5),583-594。
3.
翁菁甫、林坤霈、詹鼎正(20140600)。老人憂鬱與認知功能障礙。內科學誌,25(3),158-164。
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4.
黃惠玲、劉錦螢、徐亞瑛(20061200)。以家庭為基礎之社區失智症照顧模式簡介。長期照護雜誌,10(4),333-342。
延伸查詢
5.
邱逸榛、廖叙淳、彭立民、黃秀梨、林青蓉(2015)。運用理論引導失智症家庭照顧者量裁式照護之經驗。長庚護理,26(4)=92,503-512。
延伸查詢
6.
陳志豪、杜怡君、王鵬智(2015)。以壓力歷程模式探討女性失智症家庭照顧者其正向照顧經驗、因應模式及睡眠之相關研究。輔仁醫學期刊,13(1),27-40。
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7.
Almberg, B.、Grafström, M.、Winblad, B.(1997)。Caring for a demented elderly person--Burden and burnout among caregiving relatives。Journal of Advanced Nursing,25(1),109-116。
8.
Bradway, C.、Trotta, R.、Bixby, M. B.、McPartland, E.、Wollman, M. C.、Kapustka, H.、Naylor, M. D.(2012)。A qualitative analysis of an advanced practice nurse-directed transitional care model intervention。The Gerontologist,52(3),394-407。
9.
Clissett, P.、Porock, D.、Harwood, R. H.、Gladman, J. R. F.(2013)。The challenges of achieving person-centred care in acute hospitals: A qualitative study of people with dementia and their families。International Journal of Nursing Studies,50(11),1495-1503。
10.
Corcoran, M. A.、Gitlin, F. N. L.(2001)。Family caregiver acceptance and use of environmental strategies provided in an occupational therapy intervention。Physical and Occupational Therapy in Geriatrics,19(1),1-20。
11.
Fisher, G. G.、Franks, M. M.、Plassman, B. L.、Brown, S. L.、Potter, G. G.、Llewellyn, D.、Langa, K. M.(2011)。Caring for individuals with dementia and cognitive impairment, not dementia: Findings from the aging, demographics, and memory study。Journal of the American Geriatrics Society,59(3),488-494。
12.
Hayes, T. L.、Larimer, N.、Adami, A.、Kaye, J. A.(2009)。Medication adherence in healthy elders: Small cognitive changes make a big difference。Journal of Aging and Health,21(4),567-580。
13.
Hudani, Z. K.、Rojas-Fernandez, C. H.(2016)。A scoping review on medication adherence in older patients with cognitive impairment or dementia。Research in Social and Administrative Pharmacy,12(6),815-829。
14.
Joling, K. J.、van Hout, H. P. J.、Schellevis, F. G.、van der Horst, H. E.、Scheltens, P.、Knol, D. L.、van Marwijk, H. W. J.(2010)。Incidence of depression and anxiety in the spouses of patients with dementia: A naturalistic cohort study of recorded morbidity with a 6-year follow-up。The American Journal of Geriatric Psychiatry,18(2),146-153。
15.
Oskoei, A. S.、Nejati, V.、Ajilchi, B.(2013)。The effectiveness of cognitive rehabilitation on improving the selective attention in patients with mild cognitive impairment。Journal of Behavioral and Brain Science,3(6),474-478。
16.
Pater, C.(2011)。Mild cognitive impairment (MCI): The novel trend of targeting Alzheimers disease in its early stages--Methodological considerations。Current Alzheimer Research,8(7),798-807。
17.
Werner, P.(2012)。Mild cognitive impairment and caregiver burden: A critical review and research agenda。Public Health Reviews,34(2),1-15。
18.
Zarit, S. H.、Kim, K.、Femia, E. E.、Almeida, D. M.、Savla, J.、Molenaar, P. C.(2011)。Effects of adult day care on daily stress of caregivers: A within-person approach。The Journals of Gerontology Series B,66B(5),538-546。
19.
王培寧、林克能、劉秀枝(20120900)。輕度認知障礙之診斷與治療:臺北榮總經驗。應用心理研究,55,15-35。
延伸查詢
20.
邱麗蓉、謝佳容、蔡欣玲(20070900)。失智症病患主要照護者的壓力源、評價和因應行為與健康之相關性探討。精神衛生護理雜誌,2(2),31-44。
延伸查詢
研究報告
1.
邱逸榛(2016)。記憶介入措施於輕度認知功能缺損老人服藥行為之成效研究 (計畫編號:NSC102-2314-B-182-050-MY2)。桃園市:長庚大學護理學系。
延伸查詢
學位論文
1.
蔡欣霓(2013)。認知障礙相關因素之初探(碩士論文)。國立成功大學,台南市。
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多元個案管理對失智者問題行為及家庭照顧者困擾、自我效能、憂鬱、負荷和健康促進行為之成效
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後疫情下機構式晚期失智者安寧照護倫理議題初探
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淺談失智症遊戲
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失智老人及其照顧者使用社區式服務影響因素之研究
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運用理論引導失智症家庭照顧者量裁式照護之經驗
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及時診治與平安善終
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輕度認知障礙之診斷與治療:臺北榮總經驗
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