与阿尔茨海默病患者沟通：对推荐策略的审视
Communicating with individuals with Alzheimer's disease: examination of recommended strategies.
作者信息
Tappen R M, Williams-Burgess C, Edelstein J, Touhy T, Fishman S
机构信息
College of Nursing Florida Atlantic University, Boca Raton 33431, USA.
出版信息
Arch Psychiatr Nurs. 1997 Oct;11(5):249-56. doi: 10.1016/s0883-9417(97)80015-5.
Abstract
Meaningful conversation with individuals in the later stages of Alzheimer's disease (AD) has been considered difficult if not impossible. Limiting communication to simple concrete subjects and closed-ended questions is frequently recommended. Thirty-five 30 minute conversations with individuals with advanced AD (mean Mini-Mental State Examination [MMSE] = 10) were transcribed and the interactions examined. No significant differences in length or relevance of response by type of question was found indicating that subjects were able to respond to open-ended questions. Use of broad opening statements or questions, establishing commonalities, speaking as equals, and sharing of self-facilitated expression of feeling; recognizing themes with salience for the individual helped to maintain the discussion.
摘要
与处于阿尔茨海默病（AD）晚期的个体进行有意义的对话即使并非不可能，也一直被认为是困难的。人们经常建议将交流限制在简单具体的主题和封闭式问题上。对35名患有晚期AD的个体（简易精神状态检查表[MMSE]平均分 = 10）进行了时长30分钟的对话并转录，然后对互动情况进行了检查。未发现按问题类型划分的回答长度或相关性存在显著差异，这表明受试者能够回答开放式问题。使用宽泛的开场白或问题、建立共同点、平等交谈以及分享自我促进情感表达；识别对个体具有显著意义的主题有助于维持讨论。
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