当前位置: X-MOL 学术Clin. Psychol. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
A psychological needs-based intervention to facilitate adjustment and improve wellbeing in newly admitted aged care residents: three illustrative case studies
Clinical Psychologist ( IF 1.5 ) Pub Date : 2021-05-09 , DOI: 10.1080/13284207.2021.1909419
Julie Kelly 1 , Tanya E. Davison 1 , Marita P. McCabe 1
Affiliation  

ABSTRACT

Objective

Moving into residential aged care (RAC) is recognised as a major life transition and is associated with adjustment difficulties and depression for many older adults. We developed the Programme to Enhance Adjustment to Residential Living (PEARL) to assist newly admitted residents to adjust to their new environment through the introduction of tailored strategies that meet their psychological needs for autonomy, relatedness, and competence.

Method

The structure and content of PEARL is described. Clinical information via three cases are presented to illustrate how the programme facilitates the adjustment and psychological wellbeing of residents following their transition to RAC.

Results

The cases highlight the potential benefit of individualised approaches to address the psychological needs of new residents and demonstrate how staff can be assisted to facilitate these needs through a simple, brief intervention.

Conclusions

PEARL is a structured step by step programme that can be used by clinicians working in this field. While additional empirical data evaluating the efficacy and cost-effectiveness of this intervention is required, PEARL offers promise as a non-pharmacological approach to address the current high rates of distress and mental health disorders in RAC.

KEY POINTS

What is already known about this topic:

(1) Mental health concerns among older adults in permanent residential aged care are common, and many newly admitted residents find it difficult to adjust to an institutional environment.

(2) Newly admitted residents should have the opportunity to receive adequate support to meet their psychological needs; however, currently, these needs are poorly met.

(3) Previous research has identified factors that can contribute to better adjustment to residential aged care however, there are limited evidenced based programmes that support and assist residents during this transition.

What this topic adds:

(1) PEARL is a five session, structured, tailored intervention that enables clinicians to collaborate with admitted residents and facility staff in an attempt to meet residents’ psychological needs and assist in facilitating their adjustment to residential aged care.

(2) Clinical information including the structure and content of PEARL is provided including case studies to illustrate the implementation of the programme.

(3) While the clinical approach underpinning PEARL is simple, it represents a major departure from standard care that is potentially feasible for wide-spread use.



中文翻译:

一种基于心理需求的干预措施,以促进新入院老年护理居民的调整和改善幸福感:三个说明性案例研究

摘要

客观的

进入养老院 (RAC) 被认为是人生的重大转变,并且与许多老年人的适应困难和抑郁有关。我们制定了增强住宅生活适应计划 (PEARL),通过引入量身定制的策略来帮助新入住的居民适应新环境,以满足他们对自主性、相关性和能力的心理需求。

方法

描述了 PEARL 的结构和内容。通过三个案例展示了临床信息,以说明该计划如何促进居民在过渡到 RAC 后的调整和心理健康。

结果

这些案例突出了个性化方法解决新居民心理需求的潜在好处,并展示了如何通过简单、简短的干预来帮助员工满足这些需求。

结论

PEARL 是一个结构化的分步程序,可供在该领域工作的临床医生使用。虽然需要额外的经验数据来评估这种干预的有效性和成本效益,但 PEARL 提供了一种非药物方法来解决当前 RAC 中高痛苦率和精神健康障碍的前景。

关键点

关于这个主题的已知信息:

(1) 长期寄宿养老机构老年人心理健康问题普遍,很多新入院的老人难以适应机构环境。

(2)新入住的居民应有机会获得足够的支持,以满足他们的心理需求;然而,目前,这些需求并没有得到很好的满足。

(3) 先前的研究已经确定了有助于更好地调整住宅老年护理的因素,但是,在此过渡期间支持和帮助居民的循证计划有限。

本主题添加的内容:

(1) PEARL 是一个五次、结构化、量身定制的干预措施,使临床医生能够与入院的居民和设施工作人员合作,以尝试满足居民的心理需求并帮助他们适应养老院。

(2) 提供包括 PEARL 结构和内容在内的临床信息,包括案例研究,以说明该计划的实施。

(3) 虽然支撑 PEARL 的临床方法很简单,但它代表了与标准护理的重大背离,标准护理可能广泛使用。

更新日期:2021-05-09
down
wechat
bug