参与痴呆症患者的三元决策的第一步:确定谁在什么时候说话
I L Windeatt-Harrison1, T Walker1, S M Bell2,3
1Division of Human Communication Sciences, The University of Sheffield, Sheffield, UK.
Research on language and social interaction
|November 13, 2024
概括
痴呆症患者需要有机会参与健康决策. 使用"你"代词有助于他们响应,而"她/他"可以排除他们,影响医疗访问期间的沟通.
科学领域:
- 语言学的语言学.
- 老年学是指老年学的学科.
- 医疗保健通讯 医疗保健通讯
背景情况:
- 对于患有痴呆症的人来说,包容性医疗保健决策至关重要.
- 医疗预约通常涉及三方:痴呆症患者,伴侣和医疗保健提供者.
- 有效的沟通对于使患者参与护理决策至关重要.
研究的目的:
- 调查三元对话中代词的使用如何影响痴呆症患者在医疗保健决策中的参与.
- 确定在医疗咨询期间促进或阻碍痴呆症患者纳入的沟通策略.
主要方法:
- 在涉及痴呆症患者及其同伴的医疗预约期间,对自然发生的对话进行分析.
- 专注于轮流,代名词使用 (第二人称"你",第三人称"她/他"),以及体现的线索 (手势,目光).
- 检查中段发音代词切换及其对交互性包容性的影响.
主要成果:
- 第二人称代名词 ("你") 促进痴呆症患者的反应.
- 第三人称代词 ("她/他") 可以导致排斥,尽管上下文 (位置,手势,目光) 可以减轻这种情况.
- 中间发言代名词的变化往往导致符号化的包含,受顺序组织和体现的相互作用的影响.
结论:
- 代词的选择显著影响了痴呆症患者在医疗保健决策对话中的纳入.
- 医疗保健提供者和陪伴者应该注意代词的使用,以促进真正的参与.
- 体现的互动和对话背景在克服痴呆症患者沟通障碍方面发挥着至关重要的作用.
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