Giving full excavation of language and care
-Take the care of patients with Alzheimer's disease as an example
October 12, 2021 08:56 Source: "China Social Sciences", October 12, 2021, Issue 2263, Issue 2263: Song Lu Jiang Zhan Liu Hongyan

2019,China Elderly Health Association Alzheimer Disease Branch (ADC) released the first domestic "Survey Report of the Family Survival Status of Alzheimer's Diseases" (hereinafter referred to as the "Report"),Content involved the condition of patients with Alzheimer's disease、Take medication、Stress of the caregiver、Expectation of policies and other aspects。"Report" display,As of 2019,There are more than 10 million patients in our country,It is the country with the largest number of patients in the world。It is estimated,From 2050,The number of patients with Alzheimer's disease in my country will exceed 30 million。"Report" pointed out,35.46%of patients do not know how to better care for patients,65.34%of the caregivers may not see the treatment hope,Undertake huge psychological pressure。"Report" also mentioned at the same time,Family -based pension models cover the seriousness of Alzheimer's disease to a certain extent,Standardized、Standardized clinical diagnosis and treatment and humanized care rehabilitation needs are far from being met。Observing the life of the patient is not difficult to find,Dialogue between patients and caregivers runs through all aspects of their daily care。Visible,Daily exchanges play an important role in the care of patients。Discuss the non -drug intervention of language in daily care,Improve the professionalism of daily care,It is important for improving the quality of life of patients and caregivers。

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Prejudice to patients,Bet365 lotto review or from the fear of collective consciousness for diseases and deaths,or due to the behavior of abnormalities and communication difficulties caused by cognitive decline to patients。This prejudice psychology for patients,More common among the caregivers in patients with moderate to severe patients。The caregiver is suffering huge psychological pressure and care pressure every day,Prejudice is more likely to be revealed in the care behavior and daily dialogue。Although the prejudice psychology of the patient is not intentional for the caregiver,But the behavior and language under this psychological lead will seriously weaken the patient's personality dignity,Make the patient discriminated against、The neglected situation,Deepen the degree of anxiety and depression。

Why do we hold prejudice against patients? This is not related to the impact of Alzheimer's disease on language and interactive communication。Due to the lack of neurons and synapse nodes,It is difficult for the patient's brain to play a complete function。Degeneration of brain structure makes the patient's memory、Smart and comprehensive ability gradually decline,Interpersonal relationships and interaction also changed with this。Alzheimer's early patients with diseases often have difficulty finding words、Bettering of words; worsening of naming disorder in the mid -term patient,An increase of empty words,The complexity of the syntax of the spontaneous language decreases,Different words; more voice disorders in patients with advanced patients,Vocabulary drop sharply,Answer not to ask,Repeat speech; the language ability can be completely lost at the end of the end。Alzheimer's disease's persistent destruction to patient's language ability,The most common communication tool for language is damaged。Bet365 lotto review but,Cognitive degradation and loss of language ability is a gradual process,In this process, patients still retain their self -awareness and communication ability。Even in the end stage,Patients still have these abilities。

We understand the world through the daily dialogue with others,Understand the dialogue partner,Participate in social activities。In daily communication, we will realize the choice we make through language,I will also realize the choice of communication partners。Since the language we use daily reflects our understanding of various interaction and communication methods with others,Then the patient’s daily dialogue will also reflect their inner world。Unfortunately,We pay too much attention to the patient's cognitive degradation and language recession,Ignoring the language communication ability of this group,Thoughts reflected by language ability、Emotional、Value and Perception Rules。

  Language can play a non -drug intervention function

Current,Alzheimer's disease cannot be cured globally,Treatment can only bring a certain degree of neural cognition (including language)、Function and/or behavioral improvement,Patients enter the temporary stable period,Family members can temporarily slow down the expectations of the reduction rate,But the whole course is still irreversible。Even so,Temporary stability is still great to improve the quality of life of patients and family members。Most home caregivers lack enough medical knowledge and nursing knowledge,Therefore, it is necessary to master simple and feasible non -drug intervention methods,such as language intervention。

Patient's plot memory,That is the memory of a person in a certain time in a person,It is affected in the early stage of the onset。With the development of the disease,They can't remember Bet365 app download what happened recently,But still maintains a relatively complete long -term memory。For example,Most patients can't remember what they eat for breakfast today,But can I say what breakfast I have eaten in my youth。So,Tell the story when you are young、Recalling life experience such nostalgic conversations can improve the dialogue satisfaction of patients,Create a positive emotional experience。At the same time,Existing research discover,Although patients have chronic perception of the functional functional function,But the nervous system of its brain still has certain plasticity。Recalling life experience,Elimination plot memory,Help and reconstruction of memory,Stimulate the repair of neurons,Reinforcement of patients。By guiding patients to recall life stories,Can try to maintain or improve the patient's residual language ability and cognitive function,Delaying the progress of Alzheimer's disease disease。,Nostalgic conversation can also improve the integrity of patient memory,Makes their self -identity consciousness continuing,Enhance the social connection of patients,Enhance its psychological stability。Language intervention Although the form is simple、Convenient operation,But in the implementation process, you also need to master certain communication skills,Otherwise, the effect is very small。

  The caregiver needs speech communication skills

Although there is no set of exchanges suitable for all Alzheimer's individual,But we can adjust the language form、Master the basic communication principles。First,The caregiver should correct the prejudice psychology for patients,It should be regarded as an individual with a subjective initiative,Adhere to respect、Encouraged attitude communicates with patients,This is the prerequisite for implementing bet365 Play online games effective language intervention。Next,The caregiver must master the necessary speech communication skills,Observe the changes in the patient's language ability and cognitive function in practice,and look back to reflect、Perfect、Improve communication skills。

Specifically,In terms of background,The caregiver should clarify the patient's cognitive recession stage,and familiar with the patient's voice at this stage、Semantic、grammar、Characteristic features,This helps the caregiver to deal with unexpected communication obstacles。In terms of content,First,According to the patient's cultural level、Growth experience、Differences in the living environment Select the right nostalgic theme。For example,For patients who have experienced the people's commune system,"Production Team" and "Earning Works" are the most impressive life experience in their young age,These memories are still alive at the stage of its cognitive recession,It is an important nostalgic theme。Second,The focus of the conversation should be placed on the experience that can bring happiness and confidence to patients,Keep patient enthusiasm for conversation,Enhance its affirmation of self -worth。In form,First,Avoid asking special questions (such as "what", "why", "what to do") such as questions that need specific answers。Patient's organizational and understanding of the complicated grammar structure,Will prompt them to be silent for right,or answers not to ask。Second,Use more statements (such as "How do you teach me how to weave")、Choose a question (such as "" You have a son or a daughter or a daughter ") and the general problem with the scene described (such as" What farmers you have done in the production team "。Such problems can mobilize the semantic bet365 live casino games memory of patients,and can reduce their pressure on answering questions,Avoid dialogue suddenly stop。In terms of rhythm,After each question is thrown out,The caregiver should wait patiently for the patient's response,Even if the other party's answer is contrary to common sense,Don't correct or interrupt,The necessary feedback should be given in time。The caregiver needs to keep in mind,The principle of communication is to use continuous dialogue to bring interaction to patients,instead of paying attention to the correct semantic content。

To sum up,meaningful interaction originated from respect,Even if the face -to -cognitive decline is to protect the patient’s dignity and personality。Improve the social and living environment of patients,Let patients have a dignified life,Reduce care of the physiological and psychological burden of care for care,It is a person -centered care mode requirements,It is also the deserved meaning of active response to the aging project。At the same time,Research and nursing research related to elderly learning and nursing research has also entered the stage of multidisciplinary cooperation research and integrated interdisciplinary knowledge integration。Give play to the non -drug intervention of the language for patients,More linguists need to combine the patient's voice、Semantic、grammar、Protocol features,Concise、Identity Construction、Narrative analysis and other perspectives explore how to enhance the patient's positive emotional experience in daily conversations,to improve their quality of life。

  (This article is the National Social Science Fund project "Normal elderly and elderly Alzheimer's patients based on multi -mode library libraries and older Alzheimer's language erosion to fail to compare brain mechanism comparison" (19byy080) phase results)

(Author Unit: Graduate School of Xi'an University of Foreign Studies; School of English University of Foreign Languages ​​University; Key Laboratory of Artificial Intelligence and Human Language of Beijing University of Foreign Languages)

Editor in charge: Zhang Jing
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