Exploring the status of non-dementia residents living with dementia residents in the long term care facility
| Autor: | Yi-Hsun Liu, 劉依薰 |
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| Rok vydání: | 2019 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 107 This study examined the living conditions of residents with and without dementia in long-term care (LTC) institutions. A qualitative research design was adopted, and 30 residents without dementia from 3 institutions in central Taiwan were selected through purposive sampling to participate in semistructured interviews. Additionally, the authors conducted on-site observations at 6 sites at one institution. Qualitative data were first analyzed using inductive content analysis and then converted into quantitative data to calculate the number of occurrences. A thematic analysis yielded the following 3 themes: (1) grievance of living together, (2) acceptance and challenges, and (3) peer companion and reciprocity. The sleep and mood of some residents without dementia were affected by the noise created by their roommates with dementia. Moreover, others presented grievances against residents with dementia, including poor personal hygiene, invasion of other’s privacy caused by wandering in the cohabitation field, asking for food, odd behavior and speech, and interrupting TV shows. Some residents with dementia experienced difficulty in communication and levelled accusations against coresidents without dementia. Furthermore, some residents without dementia felt uncomfortable in the situations created by the residents with dementia but were unable to move out. Additionally, they felt the burden and helplessness from caring for their roommates with dementia. Some residents without dementia overcame the grievances and inability to accept cohabitation with residents with dementia and attempted to defend themselves or solve their problems. However, the residents without dementia exhibited peer accompaniment behaviors and reciprocal gestures. Specifically, coresidents expressed care for each other, greetings, companionship, sharing, advice, and apprehension and transferal of the problematic behavior of residents with dementia. Furthermore, the residents without dementia accepted their fate of cohabitation with those with dementia. They exhibited compassion and empathy toward patients with dementia and provided help, attempted to understand behavioral problems, and endured the negative effects of living with residents with dementia. Both groups helped each other in daily care and sought assistance from institution staff to ensure that the safety of residents with dementia is maintained in a timely manner. Seven (35%) participants did not mention the interference or negative effect of living with dementia residents, whereas 13 (65%) residents did. The main factors that affected the quality of sleep of residents without dementia were the behaviors of their roommates with dementia, such as shouting, muttering, and hitting the bed. Another reported factor was feeling upset about being accused of stealing by roommates with dementia. A total of 23 (76.7%) residents reported that they did not experience any disturbance or negative effect from the dementia residents, and 7 (23.3%) residents reported that they did. Apart from negative effects, positive reciprocal behavior was observed among residents with and without dementia; 10 (50%) participants specified that they had actively helped a roommate with dementia, whereas 8 (26.6%) participants said they had helped a coresident with dementia. From the observations at 6 institutions, this study discovered that among 67 residents who demonstrated behavioral and psychological symptoms of dementia (BPSD), 28 (41.79%) interacted with other residents positively and displayed positive behaviors of mutual help and assisting staff members. This study noted that although cohabitation elicited the negative effects of mental problems related to dementia behaviors, positive and mutually beneficial interactive behaviors occurred between residents with and without dementia. By caring for residents with dementia, residents without dementia experienced positive effects, such as enhanced senses of self-esteem, accomplishment, and gratification from assisting others. Cohabitation also provided opportunities for residents with dementia to participate socially and interact. To mitigate the negative effect of dementia residents’ BPSD on other residents, LTC institutions who actively assist in providing management should consider the negative effects of cohabitation with residents with dementia. Establishing a protective or segregated space in the institutions may be necessary to provide protective isolation temporarily for residents with serious BPSD. This study revealed the advantages and disadvantages of cohabitation between residents with and without dementia in LTC institutions. Cohabitation in care can delay the cognitive impairment and loss of physiological functions of residents with dementia through their social interactions with others, thus creating optimal mutual benefits for cohabitation of residents with and without dementia. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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