Levy-Storms Lené, Harris Lesley M, Chen Xiao
a Departments of Social Welfare and Medicine/Geriatrics , University of California , Los Angeles , California , USA.
b Kent School of Social Work , University of Louisville , Louisville , Kentucky , USA.
J Nutr Gerontol Geriatr. 2016 Oct-Dec;35(4):267-281. doi: 10.1080/21551197.2016.1238430.
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.
研究人员对注册护理助理（CNA）进行了沟通训练干预。该干预旨在改善护理助理在护理过程中与烦躁不安的居民互动时的治疗技巧。本研究聚焦于使用视频对用餐时间互动进行深入评估。在一个长期护理机构中，16名护理助理和16名患有痴呆症的居民在接受治疗性沟通训练项目前后的用餐时间互动期间被录像。混合效应泊松回归显示，该干预整体对居民的拒绝行为没有影响，但确实改善了护理助理的沟通。使用护理助理特定治疗性沟通行为的进一步分析表明，在测试后与拒绝行为存在显著负相关，但在测试前不存在。研究结果揭示了该干预如何对居民的拒绝行为产生积极影响的一些沟通机制。
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