Relationship between speaking English as a second language and agitation in people with dementia living in care homes: Results from the MARQUE (Managing Agitation and Raising Quality of life) English national care home survey.
Relationship between speaking English as a second language and agitation in people with dementia living in care homes: Results from the MARQUE (Managing Agitation and Raising Quality of life) English national care home survey.
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DOI：
10.1002/gps.4786
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发表时间：
2018-03
影响因子：
4
通讯作者：
Livingston G
中科院分区：
文献类型：
--
作者：
Cooper C;Rapaport P;Robertson S;Marston L;Barber J;Manela M;Livingston G
由于不会说英语作为第一语言可能会导致与工作人员和其他居民沟通的困难增加，我们（1）测试了我们的主要假设，即说英语作为第二语言的痴呆症护理之家居民经历更多的躁动和整体神经精神症状，（2）定性探索工作人员如何考虑居民的语言，种族和文化可能会影响他们如何管理躁动。我们采访了86家护理院（2014-2015年）的工作人员，痴呆症患者及其家庭照顾者，了解居民的神经精神症状，激越，生活质量和痴呆症的严重程度。我们对25名工作人员进行了定性访谈。在接受采访的1420名老年痴呆症护理院居民中，有71人（5%）将英语作为第二语言。在控制了痴呆的严重程度、年龄和性别，并考虑了护理之家和工作人员的代理聚类后，将英语作为第二语言与作为第一语言相比，与科恩-曼斯菲尔德激越量表（平均值的调整差异为8.3，95%置信区间为4.1至12.5）和神经精神量表评分（4.1，0.65至7.5）显著较高相关。工作人员的叙述描述了在一个没有居民或工作人员分享你的文化或语言的养老院里，语言和文化是如何孤立痴呆症患者的，以及这有时是如何导致或恶化焦虑的。在选择护理院时考虑痴呆症患者的需要并开发技术资源以实现痴呆症友好的翻译服务可能是减少居住在护理院的少数民族痴呆症患者痛苦的重要策略。
As not speaking English as a first language may lead to increased difficulties in communication with staff and other residents, we (1) tested our primary hypotheses that care home residents with dementia speaking English as a second language experience more agitation and overall neuropsychiatric symptoms, and (2) explored qualitatively how staff consider that residents' language, ethnicity, and culture might impact on how they manage agitation. We interviewed staff, residents with dementia, and their family carers from 86 care homes (2014–2015) about resident's neuropsychiatric symptoms, agitation, life quality, and dementia severity. We qualitatively interviewed 25 staff. Seventy‐one out of 1420 (5%) of care home residents with dementia interviewed spoke English as a second language. After controlling for dementia severity, age, and sex, and accounting for care home and staff proxy clustering, speaking English as a second language compared with as a first language was associated with significantly higher Cohen‐Mansfield Agitation Inventory (adjusted difference in means 8.3, 95% confidence interval 4.1 to 12.5) and Neuropsychiatric inventory scores (4.1, 0.65 to 7.5). Staff narratives described how linguistic and culturally isolating being in a care home where no residents or staff share your culture or language could be for people with dementia, and how this sometimes caused or worsened agitation. Considering a person with dementia's need to be understood when selecting a care home and developing technology resources to enable dementia‐friendly translation services could be important strategies for reducing distress of people with dementia from minority ethnic groups who live in care homes.
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影响因子：
2.9
作者：
Rapaport P;Livingston G;Murray J;Mulla A;Cooper C
通讯作者：
Cooper C
影响因子：
4.2
作者：
Badger, Frances;Clarke, Laura;Clifford, Collette
通讯作者：
Clifford, Collette
影响因子：
4
作者：
Potkins, D;Myint, P;Margallo-Lana, M
通讯作者：
Margallo-Lana, M
影响因子：
4.1
作者：
Lord K;Livingston G;Robertson S;Cooper C
通讯作者：
Cooper C
影响因子：
5.4
作者：
Livingston, Gill;Barber, Julie;Cooper, Claudia
通讯作者：
Cooper, Claudia