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Nursing intervention program for facilitating the activity of daily living and communication ability of the elderly with dementia

促进痴呆老人日常生活能力及沟通能力的护理干预方案

基本信息

批准号：
15592311
负责人：
BESSHO Yuko
金额：
$ 1.86万
依托单位：
Kanagawa University of Human Services
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2005
项目状态：
已结题

项目摘要

1.ObjectiveTo develop a nursing intervention program for facilitating the activity of daily living and communication ability of the elderly with dementia (EWD)2.MethodsSubjects were the EWD who were institutionalized in 7 care homes. Data was gathered by the questionnaire, interview of the caregivers in the care homes, and direct observation by the researchers. Data was analyzed statistically, or by content analysis method.3.Result and Discussion・The first year ; Among the basic ADLs, bathing, grooming and clothing, which need the combination of the complex movement or elaboration, were deteriorated seriously. Remained abilities were suggested to be maintained, if the nursing care was offered timely.・The second year ; As independent eating behavior deeply contributes to QOL of EWD, we investigated the effective nursing care to facilitate their remained ability to take meal independently. As results, four cues were found, which were "environmental arrangement", "verbal cue", visual cue" and "tactile cue". Environmental arrangement was basic and common through the whole process. Three cues of perception were used to make up stopping or keeping off the mind from the eating behavior. These cues were suggested to be used to facilitate other ADLs.・The third year ; Based on the previous study, we made a preliminary table for assessment and facilitation of the eating behavior of EWD, according to the process of a meal. Then we studied the validity of it in 7 care homes and made the final table, with referring the comment of the caregiver staff. The table was suggested to be applied to other ADLs.To facilitate effective communication ability of EWD, observation and assessment on what can be done by the EWD were suggested important.

1.目的探讨提高老年痴呆（EWD）患者日常生活活动能力和沟通能力的护理干预方案。研究者以问卷调查、访谈照护者及直接观察等方式搜集资料。结果与讨论·第一年：在基本的日常生活活动能力中，洗澡、梳洗和穿衣这三项需要复杂动作或精细动作组合的能力下降严重。建议及时给予护理，以维持患者的剩余能力。第二年;由于独立进食行为对EWD患者的生活质量有重要影响，因此，我们探讨了有效的护理措施，以促进EWD患者保持独立进食能力。结果发现四种线索：“环境安排”、“言语线索”、“视觉线索”和“触觉线索”。环境安排是贯穿整个过程的基本的、普遍的。三个知觉线索被用来弥补停止或保持头脑从进食行为。这些线索被建议用于促进其他ADL。·第三年;本研究在前人研究的基础上，根据EWD的进食过程，初步编制了EWD进食行为评估和促进表。然后在7所护理机构进行问卷调查，并参考护理人员的意见，编制出最终的量表。建议将此表应用于其他日常生活活动，并建议观察和评估EWD能做些什么，以促进EWD有效的沟通能力。