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职业护理人员和家庭护理人员对社区痴呆患者非自愿治疗的态度
Author(s) -
Mengelers Angela M. H. J.,
Bleijlevens Michel H. C.,
Verbeek Hilde,
Capezuti Elizabeth,
Tan Frans E. S.,
Hamers Jan P. H.
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13839
Subject(s) - feeling , dementia , family caregivers , medicine , intervention (counseling) , family member , nursing , psychology , family medicine , social psychology , pathology , disease
Aims The aim of this study was to gain insight into professional and family caregivers’ attitudes towards involuntary treatment in community‐dwelling people with dementia (PwD). Background The number of PwD with complex care needs living at home is increasing rapidly. In some situations, caregivers provide care against the will of PwD, referred to as involuntary treatment, which includes non‐consensual care, psychotropic medication and physical restraints. Design A cross‐sectional study. Methods A total of 228 professional (nursing staff, general practitioners ( GP s) and other healthcare professionals such as physical therapists and psychologists) and 77 family caregivers of PwD completed the Maastricht Attitude Questionnaire—Home Care. This questionnaire measures attitudes towards involuntary treatment and perceived restrictiveness of and experienced discomfort in using involuntary treatment. Data were collected in the Netherlands between June and November 2016. Results Family caregivers and GP s had more positive attitudes towards involuntary treatment than nursing staff and other healthcare professionals, indicating that they are more accepting of involuntary treatment. A more positive attitude was associated with higher perceived caregiver burden and being a family caregiver. Family caregivers and GP s found the use of involuntary treatment less restrictive and indicated feeling more comfortable when using these measures. Conclusion It is important to account for the differences in attitudes and foster dialogue among professional and family caregivers to find common ground about alternatives to involuntary treatment. These results will inform the development of an intervention that aims to prevent involuntary treatment in home care.