ABSTRACT

Background

Engagement in non-verbal communication positively influences well-being of persons with dementia, but requires good communication skills from caregivers. An important element of non-verbal communication is attunement, but even though communication is essential for persons experiencing severe cognitive decline, attunement has not been systematically examined in dementia care.

Method

A meta-ethnographic review was conducted to investigate the concept of attunement in dementia care.

Results

Six qualitative studies met the inclusion criteria. Three interwoven themes formed a line-of-argument describing attunement with persons with dementia; (1) Taking the perspective of the person with dementia and the importance of person-centred approach, (2) Developing understanding through an empathic approach and (3) Using musical parameters in the interaction: Tempo adjustments, timing and the use of music.

Conclusion

The results bring new knowledge about reciprocity and musical elements in non-verbal communication in dementia care and how these elements potentially increase well-being of persons with dementia.

中文翻译：

---

将痴呆护理中的协调概念化：元民族志回顾

摘要

背景

参与非语言交流会对痴呆症患者的健康产生积极影响，但需要护理人员具备良好的沟通技巧。非语言交流的一个重要元素是协调，但即使交流对于经历严重认知衰退的人来说是必不可少的，但在痴呆症护理中尚未系统地检查协调。

方法

进行了一项元人种学审查，以调查痴呆护理中协调的概念。

结果

六项定性研究符合纳入标准。三个相互交织的主题形成了一个论点，描述了与痴呆症患者的协调；(1) 从痴呆症患者的角度和以人为本的方法的重要性，(2) 通过移情方法发展理解，以及 (3) 在互动中使用音乐参数：节奏调整、时间安排和音乐的使用。

结论

结果带来了关于痴呆症护理中非语言交流中的互惠和音乐元素的新知识，以及这些元素如何潜在地增加痴呆症患者的幸福感。