| 英文摘要 |
When caregivers and patients have good communication and interaction with one another during dementia care process, conflict can be reduced and the quality of life for the elderly with dementia will be improved. Therefore, this literature review was to explore the effects of the communication skill training on dementia care among informal caregivers. The communication skill training has been shown to be effective among informal caregivers who provided care for patients with mild to moderate dementia. Implementation of training usually was once a week, 45-150 minutes (mean 98.3 minutes) per session for at least 2 weeks. Communication skill training included FOCUSED, TANDEM, RECAPS and MESSAGE, TRACED, communication skills training workshops, speech-language orientation program, and psycho-educational intervention. The most common interventional performer was professional speech language pathologist. The most common type of communication training was group model. Training methods were mainly through video recordings, role play of communication, and discussion. Communication skill training is an intervention that can improve knowledge about dementia and communication skills for informal caregivers, increasing the effectiveness of communication skills and the use of communication strategies, to reduce distress and feeling of communication difficulties, to decrease ADL and IADL care problems, to minimize negative emotions, to improve communication and memory problems, and to increased self-efficacy of communication with dementia. However, the improvement in behavioral problems were insignificant, including attitudes of caregivers communication difficulties, caregiver stress, caregiver burden, quality of life and happiness, or caregiver depression and caregiver health status. The results provided communication skill training for inform caregivers with the hope to increase interaction between caregivers and patients, and improve care quality and reduce the burden of informal caregivers. |
