Department of Geriatrics, University of Bern, University Hospital Inselspital Bern, 3010 Bern, Switzerland.
Department of ENT, Head and Neck Surgery, University of Bern, University Hospital Inselspital Bern, 3010 Bern, Switzerland.
Int J Environ Res Public Health. 2023 Mar 3;20(5):4543. doi: 10.3390/ijerph20054543.
The aim of this study was to investigate real-life speech levels of health professionals during communication with older inpatients in small group settings.
This is a prospective observational study assessing group interactions between geriatric inpatients and health professionals in a geriatric rehabilitation unit of a tertiary university hospital (Bern, Switzerland). We measured speech levels of health professionals during three typical group interactions (discharge planning meeting ( = 21), chair exercise group ( = 5), and memory training group = 5)) with older inpatients. Speech levels were measured using the CESVA LF010 (CESVA instruments s.l.u., Barcelona, Spain). A threshold of <60 dBA was defined as a potentially inadequate speech level.
Overall, mean talk time of recorded sessions was 23.2 (standard deviation 8.3) minutes. The mean proportion of talk time with potentially inadequate speech levels was 61.6% (sd 32.0%). The mean proportion of talk time with potentially inadequate speech levels was significantly higher in chair exercise groups (95.1% (sd 4.6%)) compared to discharge planning meetings (54.8% (sd 32.5%), = 0.01) and memory training groups (56.3% (sd 25.4%), = 0.01).
Our data show that real-life speech level differs between various types of group settings and suggest potentially inadequate speech levels by healthcare professionals requiring further study.
本研究旨在调查小团体环境中卫生专业人员与老年住院患者交流时的真实言语水平。
这是一项前瞻性观察研究，评估了瑞士伯尔尼一所三级大学医院老年康复病房中老年住院患者和卫生专业人员之间的小组互动。我们测量了卫生专业人员在与老年住院患者进行的三种典型小组互动（出院计划会议（=21）、椅子运动小组（=5）和记忆训练小组（=5））期间的言语水平。使用 CESVA LF010（CESVA 仪器 s.l.u.，巴塞罗那，西班牙）测量言语水平。<60 dBA 的阈值定义为潜在的言语水平不足。
总体而言，记录会话的平均谈话时间为 23.2 分钟（标准差 8.3）。潜在言语水平不足的谈话时间比例的平均值为 61.6%（标准差 32.0%）。椅子运动小组（95.1%（标准差 4.6%））中潜在言语水平不足的谈话时间比例明显高于出院计划会议（54.8%（标准差 32.5%），= 0.01）和记忆训练小组（56.3%（标准差 25.4%），= 0.01）。
我们的数据表明，各种类型的小组环境中的真实言语水平不同，并提示医疗保健专业人员的潜在言语水平不足，需要进一步研究。
