SanteMusiqueV1, Main, Corpus, bibRecord, 001481

The impact of caregivers' singing on expressions of emotion and resistance during morning care situations in persons with dementia: an intervention in dementia care.

Identifieur interne : 001481 ( Main/Corpus ); précédent : 001480; suivant : 001482

The impact of caregivers' singing on expressions of emotion and resistance during morning care situations in persons with dementia: an intervention in dementia care.

Auteurs : Lena M. Hammar ; Azita Emami ; Eva Götell ; Gabriella Engström

Source :

Journal of clinical nursing [ 1365-2702 ] ; 2011.

RBID : pubmed:21309873

English descriptors

KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Caregivers (MeSH), Dementia (nursing), Dementia (physiopathology), Emotions (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Sweden (MeSH).
MESH :
- geographic : Sweden.
- nursing : Dementia.
- physiopathology : Dementia.
- Aged, Aged, 80 and over, Caregivers, Emotions, Female, Humans, Male.

Abstract

AIMS AND OBJECTIVES

The aim was to describe expressions of emotions and resistiveness to care among persons with dementia (PWD), during morning care situations without and with music therapeutic caregiving (MTC).

BACKGROUND

Effective caregiving is dependent on the interpersonal relationship between nurse and patient. PWD suffer from major cognitive impairment, making interaction with others problematic. Such patients often react with problematic behaviours such as resistance and anger towards the care activity and the caregiver. Earlier research suggests that MTC - when caregivers sing for or together with PWD during caregiving - can reduce resistance and evoke positive emotions in PWD.

DESIGN

This was an intervention study whereby MTC was implemented during morning care situations while PWD were being cared for.

METHOD

The study included ten, 66-92-year-old men and women with severe dementia living in a nursing home in Sweden. Video observations of eight weekly sessions, consisting of four recordings of usual morning care and four recordings of morning care with MTC, provided data. The resistiveness to care scale and the observed emotion rating scale were used for analysis.

RESULTS

Pull away was the most common resistant behaviour under both conditions. The PWDs' expressions of resistant behaviour, such as pull away, grab object and adduction, were significantly reduced under the intervention situation. Positively expressed emotions, specifically pleasure and general alertness, significantly increased under the MTC intervention compared with the 'usual' morning care sessions.

CONCLUSIONS

MTC can be an effective nursing intervention to provide PWD a more pleasant experience of morning care situations as it decreases resistant behaviour and increases positive emotions.

RELEVANCE TO CLINICAL PRACTICE

MTC offers a potential non-pharmacologic treatment that can be used in caring for PWD.

DOI: 10.1111/j.1365-2702.2010.03386.x
PubMed: 21309873

Links to Exploration step

pubmed:21309873

Le document en format XML

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<author><name sortKey="Hammar, Lena M" sort="Hammar, Lena M" uniqKey="Hammar L" first="Lena M" last="Hammar">Lena M. Hammar</name>
<affiliation><nlm:affiliation>Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden. lena.marmstal.hammar@mdh.se</nlm:affiliation>
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<author><name sortKey="Emami, Azita" sort="Emami, Azita" uniqKey="Emami A" first="Azita" last="Emami">Azita Emami</name>
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<author><name sortKey="Gotell, Eva" sort="Gotell, Eva" uniqKey="Gotell E" first="Eva" last="Götell">Eva Götell</name>
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<author><name sortKey="Engstrom, Gabriella" sort="Engstrom, Gabriella" uniqKey="Engstrom G" first="Gabriella" last="Engström">Gabriella Engström</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The impact of caregivers' singing on expressions of emotion and resistance during morning care situations in persons with dementia: an intervention in dementia care.</title>
<author><name sortKey="Hammar, Lena M" sort="Hammar, Lena M" uniqKey="Hammar L" first="Lena M" last="Hammar">Lena M. Hammar</name>
<affiliation><nlm:affiliation>Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden. lena.marmstal.hammar@mdh.se</nlm:affiliation>
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<author><name sortKey="Emami, Azita" sort="Emami, Azita" uniqKey="Emami A" first="Azita" last="Emami">Azita Emami</name>
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<author><name sortKey="Gotell, Eva" sort="Gotell, Eva" uniqKey="Gotell E" first="Eva" last="Götell">Eva Götell</name>
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<author><name sortKey="Engstrom, Gabriella" sort="Engstrom, Gabriella" uniqKey="Engstrom G" first="Gabriella" last="Engström">Gabriella Engström</name>
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<series><title level="j">Journal of clinical nursing</title>
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<term>Aged, 80 and over (MeSH)</term>
<term>Caregivers (MeSH)</term>
<term>Dementia (nursing)</term>
<term>Dementia (physiopathology)</term>
<term>Emotions (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
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<term>Sweden (MeSH)</term>
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<keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Dementia</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dementia</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Caregivers</term>
<term>Emotions</term>
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<term>Humans</term>
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<front><div type="abstract" xml:lang="en"><p><b>AIMS AND OBJECTIVES</b>
</p>
<p>The aim was to describe expressions of emotions and resistiveness to care among persons with dementia (PWD), during morning care situations without and with music therapeutic caregiving (MTC).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Effective caregiving is dependent on the interpersonal relationship between nurse and patient. PWD suffer from major cognitive impairment, making interaction with others problematic. Such patients often react with problematic behaviours such as resistance and anger towards the care activity and the caregiver. Earlier research suggests that MTC - when caregivers sing for or together with PWD during caregiving - can reduce resistance and evoke positive emotions in PWD.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>This was an intervention study whereby MTC was implemented during morning care situations while PWD were being cared for.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHOD</b>
</p>
<p>The study included ten, 66-92-year-old men and women with severe dementia living in a nursing home in Sweden. Video observations of eight weekly sessions, consisting of four recordings of usual morning care and four recordings of morning care with MTC, provided data. The resistiveness to care scale and the observed emotion rating scale were used for analysis.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Pull away was the most common resistant behaviour under both conditions. The PWDs' expressions of resistant behaviour, such as pull away, grab object and adduction, were significantly reduced under the intervention situation. Positively expressed emotions, specifically pleasure and general alertness, significantly increased under the MTC intervention compared with the 'usual' morning care sessions.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>MTC can be an effective nursing intervention to provide PWD a more pleasant experience of morning care situations as it decreases resistant behaviour and increases positive emotions.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RELEVANCE TO CLINICAL PRACTICE</b>
</p>
<p>MTC offers a potential non-pharmacologic treatment that can be used in caring for PWD.</p>
</div>
</front>
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<Title>Journal of clinical nursing</Title>
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The impact of caregivers' singing on expressions of emotion and resistance during morning care situations in persons with dementia: an intervention in dementia care.

The impact of caregivers' singing on expressions of emotion and resistance during morning care situations in persons with dementia: an intervention in dementia care.

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki