Formal caregivers' perceptions of everyday interaction with Deaf people with dementia.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2023-01-14 DOI:10.1080/07317115.2023.2167623

Minna Rantapää, Ira A Virtanen, Seija Pekkala

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引用次数: 0

Abstract

Objectives: Deteriorating interactive ability of people with dementia challenges formal caregivers. In Finland, Deaf people with advanced dementia may live in a nursing home designed for their care where the staff use Finnish Sign Language (FiSL). This study describes the perceptions of formal caregivers, focusing on the challenges, how they solve the challenges, and what support they need to improve interaction with Deaf residents.

Methods: Semi-structured interviews with 13 formal caregivers who work with Deaf people with dementia were conducted and analyzed using qualitative content analysis. A purposive sampling was used.

Results: Three key themes were challenges in interaction, strategies in supporting interaction, and support for coping. Caregivers perceived challenges in interaction caused by linguistic changes, deteriorating physical mobility and memory, and Deaf residents' behavioral challenges. Caregivers supported Deaf residents by learning to know them and using personal and linguistic strategies. Support for coping comprised supporting family members and other caregivers.

Conclusions: Efficient skills in sign language (SL) and knowledge of dementia are essential in interacting with Deaf residents and to build interpersonal relationships for care.

Clinical implications: Supporting Deaf residents requires learning the way they interact which can be achieved over time.

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正式照护者对与痴呆症聋人日常互动的看法。

目标：痴呆症患者的互动能力不断下降，这对正规护理人员提出了挑战。在芬兰，患有晚期痴呆症的聋人可以住在专门为他们设计的疗养院里，那里的工作人员使用芬兰手语（FiSL）。本研究描述了正式护理人员的看法，重点是他们面临的挑战、他们如何解决这些挑战以及他们需要哪些支持来改善与聋人住户的互动：对 13 名与痴呆症聋人打交道的正式护理人员进行了半结构化访谈，并采用定性内容分析法对访谈内容进行了分析。采用有目的的抽样调查：结果：三个关键主题是互动中的挑战、支持互动的策略和应对挑战的支持。护理人员认为，语言的变化、身体活动能力和记忆力的衰退以及聋人居民的行为挑战都给互动带来了挑战。护理人员通过了解聋人住客，并使用个人和语言策略，为他们提供支持。支持应对措施包括支持家庭成员和其他照顾者：结论：高效的手语技能和痴呆症知识对于与聋人住户互动和建立护理人际关系至关重要：临床启示：为聋人住户提供支持，需要学习他们的互动方式，而这需要时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.