Food intake is associated with verbal interactions between nursing home staff and residents with dementia: A secondary analysis of videotaped observations.
Food intake is associated with verbal interactions between nursing home staff and residents with dementia: A secondary analysis of videotaped observations.
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DOI：
10.1016/j.ijnurstu.2020.103654
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发表时间：
2020-09
影响因子：
8.1
通讯作者：
Hein M
中科院分区：
文献类型：
--
作者：
Liu W;Perkhounkova E;Williams K;Batchelor M;Hein M
患有痴呆症的养老院居民通常会经历低食物摄入，导致负面的功能和营养后果。虽然在进餐时间的工作人员居民（二元）互动的重要性是公认的，很少有研究探讨二元语言互动的食物摄入量的作用。本研究旨在探讨食物摄取与二元言语互动的关系。这项研究是一个次要的分析，110个录像观察的进餐时间护理互动25名居民与痴呆症和29名工作人员（42个独特的二人组）在9个养老院。工作人员积极的话语和居民的积极和消极的话语（自变量）和食物摄入量（因变量）进行编码，从录像观察使用提示利用和参与痴呆症视频编码方案。线性混合模型拟合数据。检验了食物类型和视频时长与各自变量的双向交互作用以及自变量间的双向交互作用。模型中包含的协变量是工作人员作为照顾者工作的年数，以及居民年龄，性别和饮食功能。该模型包括三个显着的交互效应涉及言语变量：工作人员的积极话语与居民的积极话语的交互效应（p = 0.030），工作人员的积极话语与食物类型的交互效应（p = 0.027），和居民的消极话语与视频持续时间的交互效应（p = 0.002）。当居民没有做出积极的话语时，每分钟液体食物摄入量的增加与每分钟工作人员积极话语数量的增加相关。每分钟固体食物摄入量的减少与每分钟工作人员积极话语的增加有关，特别是当居民每分钟0到3个积极话语时。随着视频持续时间的增加，每分钟的摄入量增加了一个或多个负面言论的居民，减少了在视频中没有负面言论的居民。每分钟摄入量与居民性别相关，男性居民每分钟摄入量比女性居民增加（p = 0.017），与其他参与者特征无关。摄入量与二元言语互动，这种关系是复杂的，因为它是由食物类型和视频时间调节。研究结果支持的重要作用，摄入量的二元口头互动，并告知有效的，量身定制的用餐时间护理干预措施，以促进摄入量的发展。
Nursing home residents with dementia commonly experience low food intake, leading to negative functional and nutritional consequences. While the importance of staff-resident (dyadic) interactions during mealtime is acknowledged, little research has examined the role of dyadic verbal interactions on food intake. This study aimed to examine the relationship between food intake and dyadic verbal interactions. This study was a secondary analysis of 110 videotaped observations of mealtime care interactions among 25 residents with dementia and 29 staff (42 unique dyads) in 9 nursing homes. Staff positive utterances and resident positive and negative utterances (independent variables) and food intake (dependent variable) were coded from the videotaped observations using the Cue Utilization and Engagement in Dementia video coding scheme. A linear mixed model was fit to the data. The two-way interaction effects of food type and video duration with each independent variable as well as two-way interaction effects among the independent variables were tested. Covariates included in the model were the number of years staff worked as a caregiver, and resident age, gender, and eating function. The model included three significant interaction effects involving verbal variables: the interaction effect of staff positive utterances with resident positive utterances (p = .030), the interaction effect of staff positive utterances with food type (p = .027), and the interaction effect of resident negative utterances with video duration (p = 0.002). Increased number of intakes of liquid food per minute was associated with increased number of staff positive utterances per minute when residents did not make positive utterances. Decreased number of intakes of solid food per minute was associated with increased number of staff positive utterances per minute, especially when residents made between 0 and 3 positive utterances per minute. As the duration of the videos increased, the number of intakes per minute increased for residents who made one or more negative utterances and decreased for residents who made no negative utterances in the videos. The number of intakes per minute was associated with resident gender in that male residents had increased number of intakes per minute compared with female residents (p = .017), and was not associated with other participant characteristics. Intake was associated with dyadic verbal interactions, and such relationship was complex in that it was moderated by food type and video duration. Findings support the significant role of dyadic verbal interactions on intake, and inform the development of effective, tailored mealtime care interventions to promote intake.
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影响因子：
3.7
作者：
Chang CC;Lin YF;Chiu CH;Liao YM;Ho MH;Lin YK;Chou KR;Liu MF
通讯作者：
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影响因子：
3.6
作者：
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作者：
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DOI：
10.1016/j.jamda.2017.05.003
发表时间：
2017-11-01
影响因子：
7.6
作者：
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通讯作者：
Villalon, Lita
影响因子：
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作者：
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通讯作者：
Amella, Elaine J.