Daytime Vocal Activity in Institutionalized Severely Demented Patients Identified as Vocally Disruptive by Nurses
A.K. Edberg
Bok Engelsk
| Utgitt | IR Hallberg Kristianstad Coll Hlth Profess Car
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| Omfang | 10 s.
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| Utgave | Kopi
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| Opplysninger | SUMMARY: This study aimed at exploring vocal activity in severly demented patients with vocally disruptive behaviour as identified by nurses. Continuous tape-recordings (07.00 am - 07.00 pm) of the vocal activity of 33 residents in psycho-geriatric wards were analysed regarding duration, level, number, type, content and direction. The activity lasted for a mean of 338.7 minutes/patient and the longest episode of each patient had a mean duration of 103.5 minutes and turned into shouting in 17 cases. The vocal activity consisted of (1) inarticulate sounds or syllables;(2) predominance of inarticulate vocal activity;(3) articulate words or sentences; (4) predomiinance of articulate vocal activity; and lastly (5) 'dialogue vocal activity'. No significant relationships emerged when a multiple regression analysis with type as dependent and demographic data as independent variables was applied. The vocal activity was: impossible to interpret, directed to others, responsive, or non-directed utterances. The communicative function of the words used related to need for someone, incompetence, protest, need for help, in pain and despair/fear - hence, relating to an emotionally negative content, and less often to a strong emotions mostly of a negative nature and a 'language' stemming from strong emotions mostly of a negative nature and a 'language' used in monologues which could represent a self-stimulating 'language', thus meeting the need for activity. The results indicated that patients' emotional state must be attended to.
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