Elderspeak's influence on resistiveness to care: focus on behavioral events.

Elderspeak's influence on resistiveness to care: focus on behavioral events.
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DOI:
10.1177/1533317509341949
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发表时间:
2009-10
期刊:
American journal of Alzheimer's disease and other dementias
影响因子:
--
通讯作者:
Williams KN
Williams KN
中科院分区:
其他
文献类型:
--
作者:
Herman RE;Williams KN

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老年痴呆症患者的护理抵抗(RTC)通常会破坏护理。研究发现,疗养院工作人员使用老年语(婴儿化沟通)会增加患有痴呆症的老年人发生RTC的可能性。目前的分析使用GSEQ软件来分析特定行为事件的行为序列。我们发现,老年痴呆症患者最常通过消极的发声(尖叫或大喊大叫,消极的言语,哭泣)来回应老年人的交流。由于消极的发声干扰护理,减少老年人使用的工作人员可能会减少这些行为,从而提高护理质量,这些居民。结果清楚地表明,行为事件的顺序分析是一个有用的工具,在检查复杂的交际互动和针对特定的问题行为。
Resistiveness to care (RTC) in older adults with dementia commonly disrupts nursing care. Research has found that elderspeak (infantilizing communication) use by nursing home staff increases the probability of RTC in older adults with dementia. The current analysis used GSEQ software to analyze behavior sequences of specific behavioral events. We found that older adults with dementia most frequently reacted to elderpeak communication by negative vocalizations (screaming or yelling, negative verbalizations, crying). Since negative vocalizations disrupt nursing care, reduction in elderpeak use by staff may reduce these behaviors thereby increasing quality of care to these residents. The results clearly demonstrate that sequential analysis of behavioral events is a useful tool in examining complex communicative interactions and targeting specific problem behaviors.
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