A Video-Based Intervention on and Evaluation of Nursing Aides' Therapeutic Communication and Residents' Agitation During Mealtime in a Dementia Care Unit.
A Video-Based Intervention on and Evaluation of Nursing Aides' Therapeutic Communication and Residents' Agitation During Mealtime in a Dementia Care Unit.
复制标题
基于视频的痴呆症护理病房护理人员治疗沟通和住院医师进餐期间躁动的干预和评估。
DOI：
10.1080/21551197.2016.1238430
复制
发表时间：
2016
影响因子：
--
通讯作者：
Chen,Xiao
中科院分区：
文献类型：
--
作者：
Levy-Storms,Lené;Harris,LesleyM;Chen,Xiao
研究人员对注册护士助理（CNA）进行了沟通培训干预。干预的目的是改善CNAs的治疗技术，在护理过程中与激动的居民。本研究的重点是使用视频的用餐时间的互动进行深入的评估。16名CNA和16名来自一家长期护理机构的痴呆症患者在治疗性沟通培训计划前后的进餐时间互动期间进行了录像。混合效应Poisson回归分析显示，干预对居民拒绝的总体效果不明显，但干预确实改善了CNAs的沟通。使用特定的CNA的治疗性沟通行为的额外分析表明，在后测而不是前测的拒绝显着负相关。研究结果提出了一些沟通机制的干预如何积极影响居民的拒绝。
The researchers conducted a communication training intervention for certified nursing assistants (CNAs). The intervention aimed at improving CNAs’ therapeutic techniques for relating to agitated residents during care. This study focused on an in-depth evaluation of mealtime interactions using videos. Sixteen CNAs and 16 residents living with dementia from one long-term care facility were videotaped during mealtime interactions before and after a therapeutic communication training program. Mixed-effect Poisson regression revealed no effect of the intervention as a whole on residents’ refusals, but the intervention did improve CNAs’ communication. Additional analyses using specific CNAs’ therapeutic communication behaviors indicated a significant negative association with refusals at post-test but not pretest. The findings suggest some communication mechanisms for how the intervention positively influenced residents’ refusals.