Therapeutic group work with depressed elderly

This article presents several approaches to therapeutic group work with the elderly, drawing from experience in designing and implementing several group interventions for frail nursing home residents. What is important to recognize is that the common preconception that the elderly, in general, and the frail, in particular, cannot participate in therapy and groups is a misconception at least, if not a prejudice.     

Group work in occupational therapy: a survey of practice

This paper documents the extent to which occupational therapists use groups in practice. A questionnaire was mailed to 300 occupational therapists nationwide. Questions included the types of groups occupational therapists lead, the facilities in which the groups take place, the patients included, the activities presented, and individual and groups goals. Results were tabulated based on the responses of 120 therapists. We established that 60% of occupational therapists in all areas of practice lead groups in treatment. Of the 209 groups described by the respondents, there was a significantly greater number of activity groups than verbal groups. Also, there were significantly more groups with ten or less members than groups of more than ten. This paper describes the ten categories of groups that were identified in this study.     

Group work is political work: a feminist perspective of interpersonal group psychotherapy

When practicing as group leaders, mental health nurses often incorporate Irvin Yalom's (1995, 1998) concepts of social microcosm and here-and-now. This article examines these concepts from a feminist perspective and offers an approach to group psychotherapy that processes gender issues and fosters collective consciousness-raising. A feminist perspective in group therapy challenges us to view the social microcosm as a reenactment of sociopolitical contexts and the here-and-now as a medium for developing personal and social responsibility. Therapy is not only about individual and interpersonal change in group members, but is an opportunity for healthy social change. Therapy becomes political work, raising the social consciousness of each participant as well as the group as a whole.     

老年离退休干部疗养整体护理模式构建与实践

目的 为适应新形势的变化,满足老年离退休干部对疗养护理的新要求,积极构建和实施整体护理模式.方法 针对老年离退休干部特点,以各类慢性病防治和健康教育为出发点,以注重他们的人文关怀和心理需求为着力点.制定全新的疗养整体护理模式.结果 在全面实施整体护理模式后.入院的老年离退休干部对疗养护理工作的满意度由之前的91.5%提升到98%以上.结论 积极构建针对老年离退休干部整体护理模式并全力实施,大幅提升了疗养老干部的疗养效果,提高了疗养员对护理服务的满意度,取得了预期效果.     

浅谈开展军队离退休干部医疗保健工作的主要做法

军队离退休干部是献身国防事业、戎马一生的群体,作为疗养院门诊部,能够为他们提供医疗保健服务是职责和荣耀,也是工作的动力和压力。多年来,随着医疗卫生工作的发展及离退休干部保健需求的不断提高,我们坚持以服务保障对象为中心,以质量建设为核心,注重加强医务人员业务素质培养,不断提升医疗服务技能,安全、优质、高效地完成了离退休人员的医疗服务保障工作。     

整体疗养护理对老年离退休糖尿病患者疗效观察

<正>随着社会的不断发展,人们的生活水平也在日渐提高,从而导致了一些疾病发病率的增长,如人们常说的富贵病——糖尿病。它其实是一种由遗传基因决定的全身慢性代谢性疾病[1],导致体内胰岛素的相对或绝对不足而引起糖、脂肪和蛋白质的代谢紊乱,其特点是高血糖、高尿糖。     

离退休老年人及老年患者生活质量的调查

目的:老龄化过程中,老年人在生理、心理和社会功能上发生一系列的改变,而这些变化可体现在老年人群的生活质量的变化上。调查分析离退休老年人群及老年患者的生活质量状况。方法:实施研究的时间2001-10/2003-06,研究对象为广东省人民医院东病区住院患者、广州市白云区老年大学学员。总样本量746名。纳入标准:年龄≥60岁,离退休干部,能够独立完成问卷,自愿原则。排除标准:意识障碍;有严重认知功能障碍无法单独完成问卷调查;严重躯体疾病病情不稳定者。采用世界卫生组织生活质量量表(WHOQOL-100)中文版对537名离退休老年人和209名离退休老年住院患者进行测评。结果:与常模样本相比较,研究发现,生理领域、心理领域、独立性领域及总的生活质量与健康状况,均为离退休老年人群差于常模样本,差异有显著性意义(P<0.01);其余因子,包括社会关系领域、环境领域和精神支柱/宗教/个人信仰因子分与常模样本相比较差异无显著性意义(P>0.05)。离退休老年患者与一般离退休干部比较,在生理领域、心理领域、独立性领域及总的生活质量与健康状况因子分,均为离退休老年患者差于一般离退休老年人群,差异有显著性意义(P<0.01);社会关系领域、环境领域和精神支柱/宗教/个人信仰因子分两组比较,差异无显著性意义(P>0.05)。结论:随     

不同养老模式下的离退休老年人健康相关生命质量分析

目的评价不同养老模式下离退休老年人健康相关生命质量(HRQo L)状况及其影响因素。方法采用欧洲五维健康量表(EQ-5D)对居家和机构养老者的HRQo L进行调查,并分析其影响因素。结果老年人健康问题最多的是疼痛或不适维度。机构养老者中行动能力、自我照顾能力、日常活动、焦虑或抑郁4个维度存在问题的比例显著高于居家养老者(P0.05);居家养老者EQ-5D指数和视觉模拟评分为(0.792±0.074)分、(77.352±10.240)分,均高于机构养老者[(0.745±0.105)分、(72.681±12.019)分],差异有统计学意义(P0.01)。居家养老者EQ-5D指数的影响因素主要有睡眠质量、性别、运动锻炼和慢性病,机构养老者EQ-5D指数影响因素有运动锻炼、慢性病和年龄。结论不同养老模式下离退休老人的HRQo L有明显差异且受多因素影响,应积极采取措施改善离退休老人的生命质量。     

离退休老人的睡眠质量及其相关因素分析

目的　探讨军队离退休老人睡眠的特点及相关因素。方法　采用问卷访问和体格检查相结合的方法对安徽省军队离退休干部 76 7人进行流行病学调查分析。结果　睡眠质量与老年人的心理健康水平、日常生活能力及躯体疾病等密切相关。结论　要提高老年人的睡眠质量 ,需要老年人自己的努力及家庭、社会的支持和配合。     

From teaching to learning. Experiences of small CME group work in general practice in Sweden

OBJECTIVE: To describe the experiences of learning in small groups and the impact of small group continuing medical education (CME). DESIGN: Literature review, personal communication and critical reflection. SETTING: General practice in Sweden. SUBJECTS: Small CME groups. MAIN OUTCOME MEASURES: Occurrence, themes and impact of small CME groups. RESULTS: In 1998, there were approximately 230 small CME groups in Sweden, which means that nearly half of Swedish general practitioners (GPs) participated in such activities. Although widely used in Sweden, small CME groups are less practised than "traditional" CME activities, such as lectures. Group work might enhance knowledge development, enable the assessment of individual learning needs and facilitate the adoption of national guidelines and agreements between primary and secondary care. A competent group leader is crucial. CONCLUSION: A transition from passive to interactive learning in small groups is recommended.     

人性化护理在离退休老干部疗养中的应用

<正>随着社会的发展,医学模式发生了巨大变化,医学不再被认为是单纯的自然学科,医护人员的工作重心从以疾病为中心,转变为以病人为中心,人文因素在医学中的地位和作用日益突显,人性化护理成了护理事业发展的