Staff interaction with vocally disruptive demented patients compared with demented controls

Aging : Clinical and Experimental Research
I R HallbergS Eriksson

Abstract

This study addressed the effect of social isolation on vocally disruptive demented patients (V); the results center on the amount of time patients spent in interactions, and the differences in type and time of staff-patient interaction (IA), compared to controls (C). Semi-structured observations were collected (1100 hours) for 37 vocally disruptive patients and 37 controls, all residents of psychogeriatric wards. Quantitative analysis revealed a low frequency of interactions, elicited mainly for procedural matters and short duration of most interaction episodes. Multiple regression analysis showed a significant difference in the type of interaction: there was more correction of undesired behaviour for vocally disruptive patients than for controls. The results show that social isolation is part of the institutionalized demented patients' life. The dominance of short interaction episodes could contribute to overstimulation. The only significant difference found was the frequency of corrective interactions in the group of vocally disruptive patients. We conclude that this is not the cause of their behaviour, but it may reinforce it. Other factors that might cause and maintain this behaviour require investigation.

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Citations

Jan 1, 1991·Scandinavian Journal of Caring Sciences·S L EkmanB Winblad
Feb 15, 2008·International Psychogeriatrics·Armin von GuntenBrigitte Schupbach
Apr 25, 2000·Journal of Gerontological Nursing·C K Beck, T S Vogelpohl
Feb 24, 2005·Journal of Psychiatric Research·Jiska Cohen-Mansfield, Alexander Libin
Jan 1, 1993·International Journal of Aging & Human Development·S L EkmanB Winblad
Jan 1, 1995·Journal of Psychiatric and Mental Health Nursing·A K EdbergI R Hallberg

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