Williams Christine L, Newman David, Hammar Lena Marmstål
a Christine E. Lynn College of Nursing, Florida Atlantic University , Boca Raton , Florida , USA.
b School of Education, Health and Social Studies, Dalarna University , Falun , Sweden.
Issues Ment Health Nurs. 2017 May;38(5):381-390. doi: 10.1080/01612840.2017.1279248. Epub 2017 Mar 1.
Little attention has been given to sociable/unsociable communication in persons with dementia despite the importance of these behaviors in maintaining engagement in marital relationships. An observational measure of verbal and nonverbal communication in persons with dementia (Verbal and Nonverbal Interaction Scale-CR) who were engaged in conversations with spouses was tested for reliability and validity. Married persons with dementia were video-recorded at home conversing with spouses over 10 weeks (N = 118 recordings). Reliability [inter-coder (.92), test-retest (r =.61-.77), internal consistency (α =.65 -.79)] were adequate. Following an intervention, the Verbal and Nonverbal Interaction Scale-CR predicted improved communication over 10 weeks. The ratio of sociable to unsociable communication improved by 4.46 points per session [β = 4.46, t(10) = 1.96, p =.039]. VNVIS-CR is recommended to describe sociable and unsociable communication in persons with dementia as they engage in conversations with spouses.
尽管社交性/非社交性沟通行为对于维持婚姻关系中的互动至关重要，但痴呆症患者的此类沟通却很少受到关注。针对与配偶进行对话的痴呆症患者，对一种言语和非言语沟通的观察性测量工具（言语和非言语互动量表-CR）进行了信效度检验。患有痴呆症的已婚人士在家中与配偶进行对话的过程被录像，为期10周（共118次录像）。信度[编码员间信度（0.92）、重测信度（r = 0.61 - 0.77）、内部一致性（α = 0.65 - 0.79）]良好。经过干预后，言语和非言语互动量表-CR预测了10周内沟通的改善情况。社交性沟通与非社交性沟通的比例每次会话提高了4.46分[β = 4.46，t(10) = 1.96，p = 0.039]。建议使用言语和非言语互动量表-CR来描述痴呆症患者与配偶对话时的社交性和非社交性沟通情况。
