碩士 / 國立成功大學 / 老年學研究所 / 99 / Alzheimer’s disease is the major cause of dementia. Behavioral and psychological symptoms of dementia are not only troublesome to home caregivers but also the major reason for the decision of the patient’s relocation. They affect the quality of life for both patients and their caregivers. Delusion is one of the common psychiatric symptoms in patients with dementia. It is believed that the syndromes of delusion are associated with patients’ past life experiences, environment and need; however, scientific evidence is still lacking. Therefore, the purpose of this study was to explore the related factors and the underlying meanings of delusions in patients with Alzheimer's disease. Qualitative research approach and purposive sampling were used. Twelve patients who were diagnosed with Alzheimer's disease with delusion syndromes from the medical institutions in southern part of Taiwan were recruited. In-depth interview with a semi-structured questionnaire was used and data were analyzed by directed content analysis method. The results of this study were categorized into related factors of delusions and possible needs. There were three themes and eight sub-themes in the related factors of delusions. The first theme was“the interference of other symptoms”including two sub-themes: “secondary to cognitive symptoms”and“secondary to other behavioral and psychological symptoms of dementia”. The second theme was “traction of past life experiences”including two sub-themes:“tracing back the past negative experiences”and “reappearance of previous life situation”. The last theme was “ existing environment stimulation”including four sub-themes: “relatives not visit for a long time”, “sunset time ”, “sound and light stimulation in the environment”, “speech and behavior of caregivers”. Besides, under the category of “possible needs of patient with delusions”, three themes were extracted, including (1) physical comfort need, (2) sense of security, and (3) sense of belongingness. Findings of this study facilitate health care providers and caregivers to understand the related factors of delutions so as to manage such factors and adjust to the symtoms. Furthermore, effective communication based on the information found will satisfy patients’ needs, reduce caregiving load and improve quality of life for both patients and caregivers.
| Identifer | oai:union.ndltd.org:TW/099NCKU5201020 |
| Date | January 2011 |
| Creators | Pei- JuLai, 賴姵如 |
| Contributors | Jing-Jy Wang, 王靜枝 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 129 |
Page generated in 0.0126 seconds