Relationship between speaking English as a second language and agitation in people with dementia living in care homes: Results from the MARQUE (Managing Agitation and Raising Quality of life) English national care home survey

被引:16
作者
Cooper, C. [1 ]
Rapaport, P. [1 ]
Robertson, S. [2 ]
Marston, L. [3 ]
Barber, J. [4 ,5 ]
Manela, M. [1 ]
Livingston, G. [1 ]
机构
[1] UCL Dept Old Age Psychiat, Div Psychiat, Wing A,Floor 6 Maple House,149 Tottenham Court Rd, London, England
[2] North Thames CLAHRC, London, England
[3] UCL Dept Stat Sci, Gower St, London, England
[4] UCL Dept Primary Care & Populat Hlth, London, England
[5] Priment Clin Trials Unit, London, England
基金
英国经济与社会研究理事会;
关键词
agitation; care home; dementia; PREVALENCE; IMPACT; NEEDS;
D O I
10.1002/gps.4786
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
ObjectiveAs not speaking English as a first language may lead to increased difficulties in communication with staff and other residents, we (1) tested our primary hypotheses that care home residents with dementia speaking English as a second language experience more agitation and overall neuropsychiatric symptoms, and (2) explored qualitatively how staff consider that residents' language, ethnicity, and culture might impact on how they manage agitation. MethodsWe interviewed staff, residents with dementia, and their family carers from 86 care homes (2014-2015) about resident's neuropsychiatric symptoms, agitation, life quality, and dementia severity. We qualitatively interviewed 25 staff. ResultsSeventy-one out of 1420 (5%) of care home residents with dementia interviewed spoke English as a second language. After controlling for dementia severity, age, and sex, and accounting for care home and staff proxy clustering, speaking English as a second language compared with as a first language was associated with significantly higher Cohen-Mansfield Agitation Inventory (adjusted difference in means 8.3, 95% confidence interval 4.1 to 12.5) and Neuropsychiatric inventory scores (4.1, 0.65 to 7.5). Staff narratives described how linguistic and culturally isolating being in a care home where no residents or staff share your culture or language could be for people with dementia, and how this sometimes caused or worsened agitation. ConclusionsConsidering a person with dementia's need to be understood when selecting a care home and developing technology resources to enable dementia-friendly translation services could be important strategies for reducing distress of people with dementia from minority ethnic groups who live in care homes.
引用
收藏
页码:504 / 509
页数:6
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