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本文引用的文献

1
A Communication Intervention to Reduce Resistiveness in Dementia Care: A Cluster Randomized Controlled Trial.一种减少痴呆症护理中抵抗的沟通干预:一项集群随机对照试验。
Gerontologist. 2017 Aug 1;57(4):707-718. doi: 10.1093/geront/gnw047.
2
Nursing Home Staff Intentions for Learned Communication Skills: Knowledge to Practice.养老院工作人员学习沟通技巧的意图:从知识到实践。
J Gerontol Nurs. 2016 Mar;42(3):26-34. doi: 10.3928/00989134-20160212-06.
3
Communication in Assisted Living.辅助生活中的沟通。
J Aging Stud. 2009 Jan 1;23(1):24-36. doi: 10.1016/j.jaging.2007.09.003.
4
Elderspeak's influence on resistiveness to care: focus on behavioral events.老年歧视对护理抗拒的影响:关注行为事件。
Am J Alzheimers Dis Other Demen. 2009 Oct-Nov;24(5):417-23. doi: 10.1177/1533317509341949. Epub 2009 Aug 19.
5
Levels of personhood: a model for dementia care.人格层次:一种痴呆症护理模式。
Geriatr Nurs. 2008 Sep-Oct;29(5):324-32. doi: 10.1016/j.gerinurse.2007.11.001.
6
Elderspeak communication: impact on dementia care.老年语言交流:对痴呆症护理的影响。
Am J Alzheimers Dis Other Demen. 2009 Feb-Mar;24(1):11-20. doi: 10.1177/1533317508318472. Epub 2008 Jun 30.
7
Nursing home staff attitudes towards residents with dementia: strain and satisfaction with work.养老院工作人员对痴呆症患者的态度:工作压力与满意度
J Adv Nurs. 2003 Dec;44(6):583-90. doi: 10.1046/j.0309-2402.2003.02848.x.
8
Nursing home residents' perceptions of the quality of their care.养老院居民对其护理质量的看法。
J Psychosoc Nurs Ment Health Serv. 1995 May;33(5):34-41. doi: 10.3928/0279-3695-19950501-10.

养老院痴呆症护理中的年龄歧视发声

Voicing Ageism in Nursing Home Dementia Care.

作者信息

Williams Kristine, Shaw Clarissa, Lee Alexandria, Kim Sohyun, Dinneen Emma, Turk Margaret, Jao Ying-Ling, Liu Wen

出版信息

J Gerontol Nurs. 2017 Sep 1;43(9):16-20. doi: 10.3928/00989134-20170523-02. Epub 2017 May 30.

DOI:10.3928/00989134-20170523-02
PMID:28556867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5572481/
Abstract

Elderspeak (i.e., infantilizing communication) is a common form of ageism that has been linked to resistiveness to care in nursing home residents with dementia. Nursing home staff use elderspeak by modifying speech with older residents based on negative stereotypes, which results in patronizing communication that provides a message of incompetence. The purpose of the current secondary analysis was to describe communication practices used by nursing home staff that reflect ageism. Transcripts of 80 video recordings of staff-resident communication collected during nursing home care activities were re-analyzed to identify specific elderspeak patterns, including diminutives, collective pronouns, tag questions, and reflectives. Elderspeak was used in 84% of transcripts, and specifically during bathing, dressing, oral care, and other activities. Collective pronoun substitution occurred most frequently-in 69% of recorded conversations. Subgroup analysis of the inappropriate terms of endearment found that "honey"/"hon" and "sweetheart"/"sweetie" were most commonly used. [Journal of Gerontological Nursing, 43(9), 16-20.].

摘要

老年化语言(即婴儿化交流方式)是一种常见的年龄歧视形式,与患有痴呆症的养老院居民对护理的抵触情绪有关。养老院工作人员基于负面刻板印象,在与老年居民交流时采用老年化语言,这导致了屈尊俯就的交流方式,传递出一种能力不足的信息。本次二次分析的目的是描述养老院工作人员反映年龄歧视的交流行为。对在养老院护理活动中收集的80份工作人员与居民交流的视频记录文本进行重新分析,以识别特定的老年化语言模式,包括昵称、集体代词、附加疑问句和反身代词。84%的文本中使用了老年化语言,尤其是在洗澡、穿衣、口腔护理和其他活动期间。集体代词替换出现得最为频繁,在69%的记录对话中都有出现。对不当亲昵称呼的子组分析发现,“亲爱的”/“宝贝”和“甜心”/“亲爱的”是最常用的。[《老年护理杂志》,43(9),16 - 20。]