Ekman S L, Wahlin T B, Norberg A, Winblad B
Department of Advanced Nursing, Umeå University, Sweden.
Int J Aging Hum Dev. 1993;37(1):37-54. doi: 10.2190/NU87-FGP0-CNEU-DCH5.
This study illuminates the relationship between bilingual demented patients and bilingual/monolingual caregivers during morning care sessions regarding the promotion of integrity in demented persons. Seven demented Finnish immigrants were videotaped during morning care together with bilingual and monolingual Swedish-speaking caregivers. A phenomenological-hermeneutic analysis of the videotapes was performed based on Ricoeur's philosophy. The structural analysis was made by means of the Erikson theory of "eight stages of man." Comparisons were made regarding demented immigrants' relationships with Swedish-Finnish speaking and Swedish speaking caregivers respectively. Three different patterns of relationship were seen: positive, negative, and mixed relationship. The study showed that bilingual caregivers' relationships with bilingual patients was positive or mainly positive (mixed), while the monolingual Swedish speaking caregivers had severe problems communicating with the same patients and therefore had more difficulties creating a positive relationship with them. It seems important that bilingual caregivers engage in the care of demented bilingual patients in order to help them use their latent competence and show themselves more clearly in the communication with their caregivers.
本研究阐明了在晨间护理过程中，双语痴呆患者与双语/单语护理人员之间在促进痴呆患者尊严方面的关系。七名患有痴呆症的芬兰移民在晨间护理期间与双语和单语瑞典语护理人员一起被录像。基于利科的哲学对录像带进行了现象学-诠释学分析。结构分析借助埃里克森的“人的八个阶段”理论进行。分别比较了痴呆移民与讲瑞典语-芬兰语和讲瑞典语护理人员的关系。观察到三种不同的关系模式：积极关系、消极关系和混合关系。研究表明，双语护理人员与双语患者的关系是积极的或主要是积极的（混合关系），而讲瑞典语的单语护理人员在与相同患者沟通时存在严重问题，因此在与他们建立积极关系方面有更多困难。双语护理人员参与照顾双语痴呆患者似乎很重要，以便帮助他们发挥潜在能力，并在与护理人员的沟通中更清晰地展现自己。
