住院老年痴呆病人喊叫行为背后意义的民族志研究  

Ethnographic study on meaning behind of shout behavior of dementia inpatients

作　　者：陈妮[1] 程云[2] 胡三莲[1] 

机构地区：[1]上海交通大学附属第六人民医院 [2]复旦大学附属华东医院

出　　处：《护理研究（中旬版）》2013年第11期3610-3614,共5页Chinese Nursing Researsh

基　　金：上海交通大学附属第六人民医院科学研究基金项目;编号:院-1372

摘　　要：[目的]探讨老年痴呆病人住院期间喊叫行为背后的意义。[方法]采用焦点民族志研究方法,通过参与式观察和深度访谈法收集6例住院老年痴呆病人的喊叫行为资料。采用Spradley民族志分析方法对收集的资料进行分析。[结果]在老年痴呆病人住院的情境中,失智老人喊叫行为的背后意义提炼为3个主题:智能和体能的受限性,向外界表达和进行沟通的一种方式,具有多重性、阶段性和情景性。[结论]本研究挖掘出了老年痴呆病人喊叫行为背后代表的意义。医护人员和照顾者应该正确认识和理解这些喊叫行为,及时找出这些喊叫行为背后代表的意义,根据喊叫行为具体情境下的特殊意义,有效应对这些喊叫行为。Objective：To probe into the meaning behind shouting behavior of Alzheimer＇ s inpatients during hospitalization.Methods：Focus ethnographic research method was used and the shouting behavioral data of six Alzheimer＇s inpatients was collected by participant observation and depth interviews.Spradley ethnographic analysis method was used to analyze the collected data.Results：In the context of Alzheimer＇ s inpatients,meaning behind shouting behavior of demented elders was refined into three topics：the limited intelligence and physical resistance,a way to expression and communication to the outside world,with multiplicity,stage and situational.Conclusion：This study excavated the meaning behind shouting behavior of Alzheimer＇s inpatients.Health care workers and caregivers should correctly recognize and understand these shouting behaviors,promptly identify the meaning behind these shouting behaviors,according to the special significance under specific contexts of shouting behaviors to effectively cope with these shouting behaviors.

关 键 词：老年痴呆 喊叫 文化 意义 民族志研究 

分 类 号：R473.74[医药卫生—护理学]