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 : 001410 ( Main/Exploration ); précédent : 001409; suivant : 001411The 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 [Suède] ; Azita Emami ; Eva Götell ; Gabriella EngströmSource :
- Journal of clinical nursing [ 1365-2702 ] ; 2011.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Suède.
English descriptors
- KwdEn :
- 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
Affiliations:
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Hammar</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden. lena.marmstal.hammar@mdh.se</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Emami, Azita" sort="Emami, Azita" uniqKey="Emami A" first="Azita" last="Emami">Azita Emami</name></author><author><name sortKey="Gotell, Eva" sort="Gotell, Eva" uniqKey="Gotell E" first="Eva" last="Götell">Eva Götell</name></author><author><name sortKey="Engstrom, Gabriella" sort="Engstrom, Gabriella" uniqKey="Engstrom G" first="Gabriella" last="Engström">Gabriella Engström</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21309873</idno><idno type="pmid">21309873</idno><idno type="doi">10.1111/j.1365-2702.2010.03386.x</idno><idno type="wicri:Area/Main/Corpus">001481</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001481</idno><idno type="wicri:Area/Main/Curation">001481</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001481</idno><idno type="wicri:Area/Main/Exploration">001481</idno></publicationStmt><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 wicri:level="3"><nlm:affiliation>Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden. lena.marmstal.hammar@mdh.se</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Emami, Azita" sort="Emami, Azita" uniqKey="Emami A" first="Azita" last="Emami">Azita Emami</name></author><author><name sortKey="Gotell, Eva" sort="Gotell, Eva" uniqKey="Gotell E" first="Eva" last="Götell">Eva Götell</name></author><author><name sortKey="Engstrom, Gabriella" sort="Engstrom, Gabriella" uniqKey="Engstrom G" first="Gabriella" last="Engström">Gabriella Engström</name></author></analytic><series><title level="j">Journal of clinical nursing</title><idno type="eISSN">1365-2702</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><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><term>Male (MeSH)</term><term>Sweden (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aidants (MeSH)</term><term>Démence (physiopathologie)</term><term>Démence (soins infirmiers)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Suède (MeSH)</term><term>Émotions (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Sweden</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Dementia</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Démence</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dementia</term></keywords><keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Démence</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Caregivers</term><term>Emotions</term><term>Female</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Aidants</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Suède</term><term>Émotions</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Suède</term></keywords></textClass></profileDesc></teiHeader><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></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21309873</PMID><DateCompleted><Year>2011</Year><Month>06</Month><Day>27</Day></DateCompleted><DateRevised><Year>2011</Year><Month>03</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2702</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>7-8</Issue><PubDate><Year>2011</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Journal of clinical nursing</Title><ISOAbbreviation>J Clin Nurs</ISOAbbreviation></Journal><ArticleTitle>The impact of caregivers' singing on expressions of emotion and resistance during morning care situations in persons with dementia: an intervention in dementia care.</ArticleTitle><Pagination><MedlinePgn>969-78</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1365-2702.2010.03386.x</ELocationID><Abstract><AbstractText Label="AIMS AND OBJECTIVES" NlmCategory="OBJECTIVE">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).</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="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.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">This was an intervention study whereby MTC was implemented during morning care situations while PWD were being cared for.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">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. 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Positively expressed emotions, specifically pleasure and general alertness, significantly increased under the MTC intervention compared with the 'usual' morning care sessions.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText><AbstractText Label="RELEVANCE TO CLINICAL PRACTICE" NlmCategory="CONCLUSIONS">MTC offers a potential non-pharmacologic treatment that can be used in caring for PWD.</AbstractText><CopyrightInformation>© 2011 Blackwell Publishing Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hammar</LastName><ForeName>Lena M</ForeName><Initials>LM</Initials><AffiliationInfo><Affiliation>Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden. lena.marmstal.hammar@mdh.se</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Emami</LastName><ForeName>Azita</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Götell</LastName><ForeName>Eva</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Engström</LastName><ForeName>Gabriella</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>02</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Clin Nurs</MedlineTA><NlmUniqueID>9207302</NlmUniqueID><ISSNLinking>0962-1067</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017028" MajorTopicYN="Y">Caregivers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003704" MajorTopicYN="N">Dementia</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="N">nursing</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004644" MajorTopicYN="Y">Emotions</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013548" MajorTopicYN="N" Type="Geographic">Sweden</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>2</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>2</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>6</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21309873</ArticleId><ArticleId IdType="doi">10.1111/j.1365-2702.2010.03386.x</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Suède</li></country><region><li>Svealand</li></region><settlement><li>Stockholm</li></settlement></list><tree><noCountry><name sortKey="Emami, Azita" sort="Emami, Azita" uniqKey="Emami A" first="Azita" last="Emami">Azita Emami</name><name sortKey="Engstrom, Gabriella" sort="Engstrom, Gabriella" uniqKey="Engstrom G" first="Gabriella" last="Engström">Gabriella Engström</name><name sortKey="Gotell, Eva" sort="Gotell, Eva" uniqKey="Gotell E" first="Eva" last="Götell">Eva Götell</name></noCountry><country name="Suède"><region name="Svealand"><name sortKey="Hammar, Lena M" sort="Hammar, Lena M" uniqKey="Hammar L" first="Lena M" last="Hammar">Lena M. 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