Login Register Cart 0
Generic placeholder image

当代阿耳茨海默病研究

Editor-in-Chief

ISSN (Print): 1567-2050
ISSN (Online): 1875-5828

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe Translate in English
Research Article

通过精神病医院痴呆病房社会网络分析探讨阿尔茨海默病患者人格进步

卷 16, 期 6, 2019

页: [505 - 517] 页: 13

弟呕挨: 10.2174/1567205016666190612160955

open access plus

摘要

背景：在调查痴呆症病房的医疗团队如何促进阿尔茨海默病（PWA）患者的人格问题方面知之甚少。 目标：目前的研究旨在确定痴呆症保健人员的社交网络，以促进公立和私立精神病院急性或长期痴呆病房的PWA人格。 方法：我们使用混合方法研究方法。民族志观察和双模式社会网络分析（SNA）利用SocNetv版本2.4捕获了促进PWA人格的医疗保健专业人员的角色和社交网络。社交网络图表通过计算每个专业人员的中心程度（％DC）来说明专业人员如何参与PWA护理;较高的值表明，在提供人格关怀方面，与其他人相比，职业角色具有更多的统计意义。人格的类别是生物，个人和社会学。如果他们正在促进PWA人格，则观察护士，医生，病房管理员，医院管理人员，临床心理学家，职业治疗师，护理协调员，物理治疗师，医疗保健助理和家庭成员。 结果：生病人群中SNA的最高％DC由病房护士（36％）持有，其次是病房医生（20％）和病房管理者（20％）。所有专业角色都涉及16％的个人人格促进案件，而医院管理人员的DC％（33％）最高，其次是社会人员中的病房管理人员和护士（27％）。 结论：尽管评估的背景存在一些限制，但所有专业角色都被认为可以促进痴呆病房中的PWA人格。

关键词: 阿尔茨海默病，人格，社会网络分析，民族志，痴呆病房，混合方法研究。

« Previous Next »
[1]
Alzheimer Society. Fix dementia care and hospitals – the statistics (2018) (accessed on June 10, 2018). Available from: https://www.alzheimers.org.uk/get-involved/our-campaigns/fix-dementia-care-hospitals-statistics.
[2]
Department of Health Dementia: a state of the nation report on dementia care and support in England 2013.
[3]
Lakey L. Counting the cost: caring for people with dementia on hospital wards Alzheimer’s Society (2009) available at: https://www.alzheimers.org.uk/sites/default/files/2018-05/Counting_the_cost_report.pdf (accessed January 6, 2019). .
[4]
David Cameron, Prime Minister. Prime Minister Challenge on dementia 2020. Cabinet Office, Department of Health & Social Care, Prime Minister Office 10 Downing Street (2019), available at: https://www.gov.uk/government/publications/prime-ministers-challenge-on-dementia-2020/prime-ministers-challenge-on-dementia-2020 (accessed: January 6, 2019) .
[5]
Department of Health. Dementia: A state of the nation report on dementia care and support in England (2013), available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/262139/Dementia.pdf (accessed: January 6, 2019) .
[6]
Kitwood T. Dementia reconsidered. New York: Open University Press 1997; p. 25.
[7]
Bahar-Fuchs A, Clare L, Woods B. Cognitive training and cognitive rehabilitation for mild to moderate Alzheimer’s disease and vascular dementia. (review). Cochrane Database of Systematic Reviews 2013; (Issue 6): Art. No.: CD003260.
[8]
National Institute for Health and care Excellence (NICE). Dementia: assessment, management and support for people living with dementia and their carers. NICE Guidelines [NG 97] (2018). [Online] Available at: https://www.nice.org.uk/guidance/ng97/chapter/recommendations#cognitive-training.
[9]
Mars RB, Neubert FX, Noonan MAP, Sallet J, Toni I, Rushworth MFS. On the relationship between the “default mode network” and the “social brain”. Front Hum Neurosci 6: 189. 2012
[10]
De Marco M, Meneghello F, Pilosio C, Rigon J, Venneri A. Up-regulation of DMN connectivity in mild cognitive impairment via network based cognitive training. Curr Alzheimer Res 15(6): 578-89. 2018
[11]
De Marco M, Meneghello F, Duzzia D, Rigona J, Pilosio C, Venneri A. Cognitive stimulation of the default-mode network modulates functional connectivity in healthy aging. Brain Res Bull 121: 26-41. 2016
[12]
Schapmire TJ, Head BA, Nash WA, Yankeelov PA, Furman CD, Wright B, et al. Overcoming barriers to interprofessional education in gerontology: the interprofessional curriculum for the care of Older Adults. Adv Med Educ Pract 9: 109-18. 2018
[13]
Hughes JC. How we think about dementia: personhood, rights, ethics, the arts, and what they mean for care. London, Philadelphia: Jessika Kingsley Publishers 2014.
[14]
Oxford Online Dictionary. Personhood (2019), available at: https://en.oxforddictionaries.com/definition/personhood (accessed: January 6, 2019) .
[15]
Olson ET. Personal Identity In: Zalta EN (ed), The Stanford Encyclopedia of Philosophy (2017), available at: https://plato.stanford.edu/archives/sum2017/entries/identity-personal/ (accessed: January 4, 2019). .
[16]
Hughes JC. Thinking through dementia. Oxford: Oxford University press 2011.
[17]
Kitwood T. Dementia reconsidered. Berkshire: Open University Press-McGraw-Hill Education 1997.
[18]
Buron B. Levels of personhood: a model for dementia sare. Geriatr Nurs 29(5): 324-32. 2008
[19]
Farinde A. The interprofessional management of dementia-related behavioral and psychological disturbances. Health Interprofessional Prac 2(2): eP1064: 1-5. 2014
[20]
Hogan DB, Bailey P, Black S, Carswell AC, Chertkow H, Clarke B, et al. Diagnosis and treatment of dementia: 4. Approach to management of mild to moderate dementia. CMAJ 179(8): 787-93. 2008
[21]
Health Professions Networks Nursing & Midwifery Human Resources for Health Framework for action on interprofessional education & collaborative practice. World Health Organization Geneva (2010) available at: https://www.who.int/hrh/resources/ framework_action/en/ (accessed: January 6, 2019) .
[22]
Douglas NF, McDonald K. Interprofessional care in the management of alzheimer’s dementia: leaving our silos. Persp ASHA Special Interest Groups SIG 2 Vol. 1(Part 3): 129-37. 2016
[23]
Carson S, McDonagh MPH, Peterson K. A systematic review of the efficacy and safety of atypical antipsychotics in patients with psychological and behavioral symptoms of dementia. J Am Geriatr Soc 54: 354-61. 2006
[24]
National Institute for Health and Care Excellence. Dementia: assessment, management and support for people living with dementia and their carers. [NICE guideline: NG97] (2018). Available at URL: https://www.nice.org.uk/guidance/ng97 (accessed: January 6, 2019) .
[25]
Dupuis S, McAiney C, Fortune D, Ploeg J, Witt L. Theoretical foundations guiding culture change: the work of the Partnerships in Dementia Care Alliance. Dementia 15(1): 85-105. 2016
[26]
Glasby J, Dickinson H. Partnership: working in health and social care. 2nd ed. Bristol: Policy Press 2014.
[27]
Sinclair P. ASK: dementia outcome measure Health Innovation Network, South London, (2017) available at: http://healthinnovationnetwork.com/system/resources/resources/000/000/395/original/HIN_Measuring_Outcomes_in_Dementia_Services_V2.pdf (accessed: June 8, 2018)..
[28]
Topp SM, Chipukuma JM. A qualitative study of the role of workplace and interpersonal trust in shaping service quality and responsiveness in Zambian primary health centres. Health Policy Plan 31: 192-204. 2016
[29]
Miller C, Freeman M, Ross N. Interprofessional practice in health and social care: challenging the shared learning agenda. London: Arnold 2001.
[30]
Rokstad AMM, Vatnern S, Engedalmd K, Selbæ KG. The role of leadership in the implementation of person-centred care using dementia care. J Nurs Manag 23: 15-26. 2015
[31]
Loveday B. Leadership for person-centred dementia care. London, and Philadelphia: Jessica Kingsley 2013.
[32]
School of Dementia Studies at the University of Bradford Dementia care mapping 2018 available at: https://www.england.nhs.uk/wp-content/uploads/2018/01/dg-dementai-care-mapping-evidence-review.pdf (accessed: July 7, 2018) .
[33]
Brooker D. Person-centred dementia care. London, and Philadelphia: Jessika Kingsley 2007.
[34]
McCormack B. Person-centeredness in gerontological nursing: an overview of the literature. Intern J Older People Nurs Assoc J Clin Nurs 13(3a): 31-8. 2004
[35]
Cook K, Clayton B. Chapter 3: Where are people cared for and who is involved? In: Sadler, C A Practical guide to end of life care Berkshire, England: McGraw-Hill Education. 30-47. 2015
[36]
Hughes JC, Bamford C, May C. Types of centredness in health care: themes and concepts. Med Health Care Philos 11(4): 455-63. 2008
[37]
Prell C. (2012) Social network Analysis: History, Theory and Methodology London: SAGE; p. 99.
[38]
Crossley N, Bellotti E, Edwards G, Everette MG, Koskinen J, Tranmer M. Social Network Analysis for Ego-Nets. London, Thousand Oaks, New Delhi, Singapore: SAGE 2015.
[39]
Cross R, Parker A. The hidden power of social networks: Understanding how work really gets done in organizations. Boston, MA: Harvard Business School Press 2004.
[40]
Lockhart NC. Social network analysis as an analytic tool for task group research: a case study of an interdisciplinary community of practice. J Spec Group Work 42(2): 152-75. 2017
[41]
Lubbers MJ, Molina JL, Valenzuela-García H. When networks speak volumes: Variation in the size of broader acquaintanceship networks. Soc Networks 56: 55-69. 2019
[42]
De Brún A, McAuliffe E. Social Network Analysis as a methodological approach to explore health systems: a case study exploring support among senior managers/executives in a hospital network. Int J Env Res Pub He 15(511): 1-11. 2018
[43]
Bae S-H, Nikolaev A, Seo JY, Castner J. healthcare provider social network analysis: a systematic review. Nurs Outlook 63: 566-84. 2015
[44]
Borgatti S, Everett MG, Johnson JC. Analyzing Social Networks. 2nd Edition. London, Thousand Oaks, New Delhi, Singapore: SAGE 2018.
[45]
Palazzolo M, Grippa F, Booth A, Rechner S, Bucuvalas Jm Gloor P. Measuring social network structure of clinical teams caring for patients with complex conditions. Procedia Soc Behav Sci 26: 17-29. 2011
[46]
Chambers D, Wilson P, Thompson C, Harden M. Social network analysis in healthcare Settings: a systematic scoping review. Plus ONE 7(8)e41911 2012
[47]
Leung CK-S, Carmichael CL. Exploring social networks: a frequent pattern visualization approach. 2010 IEEE International Conference on Social Computing / IEEE International Conference on Privacy, Security: 419-24. 2010
[48]
Lazzari C. Participant ethnographic research approach in the healthcare system: creating policies in dementia care. CPQ Medicine 1(6): 1-4. 2018
[49]
Willis EM. The problem of time in ethnographic health care research. Qual Health Res 20(4): 556-64. 2010
[50]
Montreuil M, Carnevale FA. Participatory hermeneutic ethnography: a methodological framework for health ethics research with children. Qual Health Res 28(7): 1135-44. 2018
[51]
Uhrenfeldt L, Martinsen B, Jørgensen LB, Sørensen EE. The state of Danish nursing ethnographic research: flowering, nurtured or malnurtured - a critical review. Scand J Caring Sci 32: 56-75. 2018
[52]
Gibbs G. Analyzing qualitative data. London, Thousand Oaks, New Delhi, Singapore: SAGE 2007.
[53]
Miles BM, Huberman AM. Qualitative Data Analysis. Thousand Oaks, CA: Sage Publications 1994.
[54]
Medcalc. Test for one proportion calculator. (2019) available at: https://www.medcalc.org/calc/test_one_proportion.php (accessed: 1 February 2019).
[55]
Social Network Visualizer. SocNetV version 2.4. (2018) available at https://socnetv.org/ (accessed: December 4, 2018).
[56]
Creswick N, Westbrook J. Social network analysis of medication advice-seeking interactions among staff in an Australian hospital. Int J Med Inform 79: e116-25. 2010
[57]
Blanchet K, James P. How to do (or not to do) a social network analysis in health system research. Health Policy Plan 27: 438-46. 2012
[58]
Krueger RA, Casey MA. Focus Groups A Practical Guide for Applied Research. 3rd Edition. Thousand Oaks, CA: Sage Publications 2000.
[59]
Iliffe SJ, De Lepeleire J, Van Hout H, Kenny G, Lewis A, Vernooij-Dassen M. & The Diadem Group Understanding obstacles to the recognition of and response to dementia in different European countries: A modified focus group approach using multinational, multi-disciplinary expert groups. Aging Ment Health 9(1): 1-6. 2005
[60]
Pinheiro Landim FL, Morais Fernandes A, Barreto de Mesquita R, Costa Collares PM, Albuquerque Frota M. Interpersonal Network Analysis: application to the reality of a nursing team working in a haematology unit. Saúde Soc São Paulo 19(4): 828-37. 2010
[61]
Gillieatt S, Fernandes C, Fielding A, Hendrick A, Martin R, Matthews S. Social network analysis and social work inquiry 68(3): 338-51. 2015
[62]
Sabot K, Wickremasinghe D, Blanchet K, Avan B, Schellenberg J. Use of social network analysis methods to study professional advice and performance among healthcare providers: a systematic review. Syst Rev 6: 1-23. 2017
[63]
Zhang S, de la Haye K, Ji M, An R. Application of social network analysis to obesity: a systematic review. Obes Rev 19: 976-88. 2018
[64]
Johnson JJ, Honnold JA, Stevens FP. Using Social Network Analysis to enhance Nonprofit organizational research capacity: a case study. J Comm Prac 18(4): 493-512. 2010
[65]
Giovagnoli AR, Manfredi V, Parente A, Schifano L, Olivieri S, Avanzini G. Cognitive training in Alzheimer’s disease: a controlled randomized study. Neurol Sci 38: 1485-93. 2017

Rights & Permissions Print Cite
Article Metrics
57
5
© 2024 Bentham Science Publishers | Privacy Policy