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痴呆症患者照护者沟通技巧课程体验:赋能对话,一个定性框架分析。

Experiences of a communication-skills course for care partners of people living with dementia, empowered conversations: A qualitative framework analysis.

机构信息

Institute of Dementia, School of Health and Society, University of Salford, Salford, UK.

Association for Dementia Studies, University of Worcester, Worcester, UK.

出版信息

Br J Clin Psychol. 2024 Jun;63(2):227-243. doi: 10.1111/bjc.12447. Epub 2024 Jan 30.

DOI:10.1111/bjc.12447
PMID:38288632
Abstract

OBJECTIVES

Our aims were to examine whether an experiential course for care partners of people living with dementia, Empowered Conversations (EC), was acceptable to participants and to explore participants' perceptions of the impact of the course upon their communicative interactions. EC is based on an integrative model derived from psychological and linguistic theory and empirical evidence. EC is based on mentalisation theory, perceptual control theory and linguistic theory (The Communicative Impact Model).

METHODS

Qualitative data were collected via 28 semistructured interviews. Framework analysis was used to analyse data.

RESULTS

Three superordinate themes, 'improved communication', 'improved well-being' and 'support through others' were identified. Twenty-seven out of the 28 participants described feeling that they were able to better connect with the person living with dementia that they were supporting through attending EC.

CONCLUSIONS

The findings indicated that EC was acceptable and beneficial to care partners. Care partners developed a range of strategies and understandings that enabled them to communicate better with the person they were supporting, enhanced well-being and relationships, as well as developing social networks. This is the first qualitative study to examine a psychosocial intervention for care partners of people living with dementia using a non-CBT framework and indicates that perceived control could influence how care partners respond to stress and difficulties.

摘要

目的

本研究旨在考察体验式痴呆症患者照顾者课程——赋能对话(EC)对参与者的接受程度,并探讨参与者对课程对其沟通互动影响的看法。EC 基于从心理和语言理论以及实证证据中得出的综合模型。EC 基于心理化理论、感知控制理论和语言理论(沟通影响模型)。

方法

通过 28 次半结构化访谈收集定性数据。采用框架分析对数据进行分析。

结果

确定了三个上位主题:“改善沟通”、“改善幸福感”和“通过他人获得支持”。28 名参与者中有 27 名表示,他们觉得通过参加 EC,能够更好地与他们所支持的痴呆症患者建立联系。

结论

研究结果表明,EC 是可以接受的,对照顾者有益。照顾者发展了一系列策略和理解,使他们能够更好地与他们所支持的人沟通,提高幸福感和人际关系,并发展社交网络。这是第一个使用非认知行为疗法框架来研究痴呆症患者照顾者心理社会干预的定性研究,表明感知控制可能会影响照顾者对压力和困难的反应方式。

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