Article

Person-centred care can improve the well-being of patients and is therefore a key
driver in healthcare developments in the UK. The current study aims to
investigate the complex relationship between cognitive impairment, dependency and
well-being in people with a wide range of acquired brain and spinal injuries.
Sixty-five participants, with varied acquired brain and spinal injuries, were
selected by convenience sampling from six inpatient clinical neuroscience
settings. Participants were observed using Dementia Care Mapping -
Neurorehabilitation (DCM-NR) and categorised based on severity of cognitive
impairment. A significant difference in the behaviours participants engaged in,
their well-being and dependency was found between the severe cognitive impairment
group and the mild, moderate or no cognitive impairment groups. Dependency and
cognitive impairment accounted for 23.9% of the variance in well-ill-being scores
and 17.2% of the variance in potential for positive engagement. The current study
highlights the impact of severe cognitive impairment and dependency on the
behaviours patients engaged in and their well-being. It also affirms the utility
of DCM-NR in providing insights into patient experience. Consideration is given
to developing DCM-NR as a process that may improve person-centred care in
neuroscience settings.

Langue : ANGLAIS