我国资深养老护理员痴呆照护体验的质性研究

A qualitative research on the experience of the senior nursing staffs for dementia care

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。

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.