Lucidity in a woman with severe dementia related to conversation. a case study.
Lucidity in a woman with severe dementia related to conversation. a case study.
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患有严重痴呆症的女性的清醒与谈话有关。
DOI：
10.1111/j.1365-2702.2005.01134.x
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发表时间：
2005
影响因子：
4.2
通讯作者：
K. Asplund
中科院分区：
文献类型：
--
作者：
H. K. Normann;Nils Henriksen;A. Norberg;K. Asplund
目的和目标
本研究的目的是探讨患有严重痴呆症的女性在对话期间是否存在清醒状态，以及当对话伙伴或患有严重痴呆症的女性发起有关当前、过去或未来时间的对话主题时是否会出现这种情况，以及在对话过程中她是否得到支持或要求。
背景
文献报道了痴呆症患者的沟通问题以及清醒状态。
设计
一名研究人员与一名患有严重痴呆症的女性进行了 20 个小时的交谈。女儿参加了大约三个半小时。谈话被录音并逐字转录。
方法
文本被分为多个分析单元。然后，作者分别评估每个分析单元并进行讨论。进行卡方检验和逻辑回归分析。伦理委员会批准了这项研究。
结果
研究发现，女性作为对话话题的发起者以及对话伙伴在对话过程中对女性的支持是解释清醒状态的最重要因素，而有关当前或过去时间的对话则与清醒状态无关。很少有主题（n = 7）涉及未来时间，并且它们没有用于统计分析。研究人员发起了 41% 的话题，女性发起了 43% 的话题，女儿发起了 16% 的话题。在分析单位中，49% 表示支持，15% 表示要求，16% 表示支持和要求。 58%的主题与现在有关，40%的主题与过去有关。
结论
本研究是一个案例研究，结果不能一概而论。对于患有严重痴呆症的女性，对话双方仔细关注女性发起的对话主题，同时在对话过程中支持她，从而促进了她的清醒。
与临床实践的相关性
分享对现实的相同看法，关注由严重痴呆症患者发起的话题并对患者所说的内容采取支持态度，有望让患者有更多的清醒期。这种护理严重痴呆症患者的方法可能会给日常护理中的对话伙伴带来更多意义和幸福感。
AIMS AND OBJECTIVES
The aim of this study was to explore the presence of lucidity in a woman with severe dementia during conversations and whether it occurred when conversational partners or the woman with severe dementia initiated the conversation topics about the present, past or future time and whether she was presented with support or demands during the conversation.
BACKGROUND
Communication problems as well as episodes of lucidity in people with dementia are reported in the literature.
DESIGN
A researcher held 20 hours of conversation with a woman with severe dementia. A daughter participated for about three and a half hours. The conversation was tape-recorded and transcribed verbatim.
METHODS
The text was divided into units of analysis. Each unit of analysis was then assessed separately and discussed among the authors. Chi-square tests and logistic regression analysis were performed. An ethics committee approved the study.
RESULTS
The woman as initiator of the conversation topic and support to the women during conversation from the conversation partner were found to be the most significant factors explaining lucidity, while conversation about the present or past time showed no connection with lucidity. Very few topics (n = 7) concerned future time and they were not used in the statistical analysis. The researcher initiated 41%, the woman 43% and the daughter 16% of the topics. Support was registered in 49%, demands in 15% and both support and demands in 16% of the units of analysis. There were 58% topics about present and 40% about the past time.
CONCLUSIONS
The presented study is a case study and the results cannot be generalized. For the woman with severe dementia, lucidity was promoted by the conversational parties carefully focusing on conversation topics initiated by the woman while supporting her during conversation.
RELEVANCE TO CLINICAL PRACTICE
To share the same perception of reality, focusing on the topics initiated by the patient with severe dementia and a supporting attitude to what the patient tells, will hopefully give more episodes of lucidity in the patient. This approach in caring for patients with severe dementia might give more meaning and well-being to the conversational partners in daily care.
与阿尔茨海默病患者沟通：检查推荐策略。
影响因子：
2.3
作者：
Tappen,RM;Williams-Burgess,C;Edelstein,J;Touhy,T;Fishman,S
通讯作者：
Fishman,S