Krøier Julie Kolbe, McDermott Orii, Ridder Hanne Mette
Department of Communication and Psychology, Aalborg University, Aalborg, Denmark.
Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK.
Arts Health. 2022 Feb;14(1):32-48. doi: 10.1080/17533015.2020.1827276. Epub 2020 Sep 30.
Engagement in non-verbal communication positively influences well-being of persons with dementia, but requires good communication skills from caregivers. An important element of non-verbal communication is attunement, but even though communication is essential for persons experiencing severe cognitive decline, attunement has not been systematically examined in dementia care.
A meta-ethnographic review was conducted to investigate the concept of attunement in dementia care.
Six qualitative studies met the inclusion criteria. Three interwoven themes formed a line-of-argument describing attunement with persons with dementia; (1) Taking the perspective of the person with dementia and the importance of person-centred approach, (2) Developing understanding through an empathic approach and (3) Using musical parameters in the interaction: Tempo adjustments, timing and the use of music.
The results bring new knowledge about reciprocity and musical elements in non-verbal communication in dementia care and how these elements potentially increase well-being of persons with dementia.
参与非言语交流对痴呆症患者的幸福感有积极影响，但这需要护理人员具备良好的沟通技巧。非言语交流的一个重要元素是协调一致，然而，尽管沟通对认知严重衰退的人至关重要，但在痴呆症护理中，协调一致尚未得到系统研究。
进行了一项元民族志综述，以调查痴呆症护理中协调一致的概念。
六项定性研究符合纳入标准。三个相互交织的主题形成了一条论证线，描述了与痴呆症患者的协调一致；（1） 从痴呆症患者的角度出发以及以患者为中心方法的重要性，（2） 通过共情方法增进理解，以及（3） 在互动中使用音乐参数：节奏调整、时机把握和音乐的运用。
研究结果带来了关于痴呆症护理中非言语交流中的互惠性和音乐元素的新知识，以及这些元素如何潜在地提高痴呆症患者的幸福感。
