Eggers Thomas, Ekman Sirkka-Liisa, Norberg Astrid
Umeå University, Sweden.
Res Theory Nurs Pract. 2013;27(1):19-34. doi: 10.1891/1541-6577.27.1.19.
People with advanced dementia disease (ADD) are known to have communication difficulties and thus it presents a challenge in understanding the expressions of these people. Because successful communication presupposes cooperation at least between 2 individuals, both individual's actions must be acknowledged. The aim of this study is to describe nursing staff's ways of understanding the expressions of people with ADD when communicating with them. Interviews from 8 nursing staff were analyzed using qualitative content analysis. Two themes were constructed: "Being in communication" and "Doing communication." Being in communication means that nursing staff perceive people with ADD as being capable of communication. Doing communication means that nursing staff attempt different individualized strategies to understand what people with ADD communicate. Good care of people with ADD presupposes nursing staff that are willing and able to relate to other people and to maintain good care for people with ADD continuous education and supervision are needed.
众所周知，患有晚期痴呆症（ADD）的人存在沟通困难，因此理解这些人的表达颇具挑战。由于成功的沟通至少需要两个人之间的合作，所以双方的行为都必须得到认可。本研究的目的是描述护理人员在与患有ADD的人沟通时理解其表达的方式。采用定性内容分析法对8名护理人员的访谈进行了分析。构建了两个主题：“处于沟通中”和“进行沟通”。处于沟通中意味着护理人员认为患有ADD的人具备沟通能力。进行沟通意味着护理人员尝试不同的个性化策略来理解患有ADD的人所传达的信息。对患有ADD的人的良好护理需要护理人员愿意并能够与他人建立联系，并且为了持续为患有ADD的人提供良好护理，需要进行继续教育和监督。
