作者:Lynn Friss Feinberg、Carol J. Whitlatch
DOI:10.1093/geront/41.3.374
日期:2001.6.1
Purpose: This study examined the decision-making capacity of persons with cognitive impairment with respect to their everyday care preferences and choices. This is the first in a series of articles to report on findings from a larger study that examines choice, decision making, values, preferences, and practices in everyday care for community-dwelling persons with cognitive impairment and their family caregivers. Design and Methods: Fifty-one respondent pairs, or dyads, were interviewed, that is, persons with cognitive impairment (n = 51) and their family caregivers (n = 51). All persons with cognitive impairment were interviewed twice within a week using a parallel interview to determine stability and accuracy of responses. The family caregiver was interviewed once. Results: Persons with mild to moderate cognitive impairment (i.e., Mini-Mental State Exam scores 13–26) are able to respond consistently to questions about preferences, choices, and their own involvement in decisions about daily living, and to provide accurate and reliable responses to questions about demographics. Implications: Including the perspective of persons with cognitive impairment in both research and practice has the potential to enhance their autonomy and improve their quality of life.
目的:本研究考察了认知障碍人士在日常生活护理偏好和选择方面的决策能力。这是系列文章中的第一篇,旨在报告一项规模更大的研究的发现,该研究调查了社区居住的认知障碍人士及其家庭护理者日常护理中的选择、决策、价值观、偏好和实践。方法与设计:本研究采访了 51 对受访者组合,即认知障碍人士(n=51)及其家庭护理者(n=51)。所有认知障碍人士在一周内进行了两次平行访谈,以确定其回答的稳定性和准确性。家庭护理者接受了一次访谈。结果:轻度至中度认知障碍人士(即 MMSE 评分为 13-26 分)能够持续回答有关偏好、选择以及他们在日常生活决策中参与程度的问题,并能准确可靠地回答有关人口统计学的问题。启示:在研究和实践中纳入认知障碍人士的观点,有可能增强其自主性并提高其生活质量。