Kindell Jacqueline, Sage Karen, Cruice Madeline
School of Nursing, Social Work and Midwifery, University of Manchester, Manchester, UK.
Department of Health and Applied Sciences, University of the West of England, Bristol, UK.
Qual Ageing Older Adults. 2015 Sep 14;16(3):153-164. doi: 10.1108/QAOA-08-2014-0016.
The purpose of this paper is to gain consensus regarding the clinical priorities and tasks required in supporting communication needs in those living with semantic dementia and their families, by specialist speech and language therapists (SLTs), working in clinical practice within dementia care settings in the UK.
DESIGN/METHODOLOGY/APPROACH: A nominal group technique was used, followed by further exploration and refinement of issues using a modified Delphi technique with a group of six SLTs who specialised in dementia care and who had experience of working with individuals with semantic dementia and their families.
The findings in the study demonstrate a broader scope of practice than is evident within the research literature with this client group. Therapists identified a range of psychosocial issues for both the person with semantic dementia and their family, in particular finding ways to support activity and participation in conversation and explore barriers and facilitators within the communication environment.
ORIGINALITY/VALUE: This represents the first study to explore everyday practice in this rarer dementia and the information gathered here will be of use to a variety of health and social care professions interested in supporting those with semantic dementia and their families.
本文旨在让英国痴呆症护理机构临床实践中的专业言语和语言治疗师（SLT）就支持语义性痴呆患者及其家人沟通需求所需的临床重点和任务达成共识。
设计/方法/途径：采用名义小组技术，随后运用改良的德尔菲技术，与一组六名专门从事痴呆症护理且有与语义性痴呆患者及其家人合作经验的言语和语言治疗师进一步探讨并完善问题。
该研究结果表明，与该客户群体的研究文献相比，实践范围更广。治疗师确定了语义性痴呆患者及其家人面临的一系列心理社会问题，特别是找到支持活动和参与对话的方法，并探索沟通环境中的障碍和促进因素。
原创性/价值：这是第一项探索这种较为罕见的痴呆症日常实践的研究，此处收集的信息将对致力于支持语义性痴呆患者及其家人的各种健康和社会护理专业人士有用。
