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Study of proof about oral life story approach for geriatric health service facility residents

老年保健服务机构居民口述生活故事法的实证研究

基本信息

批准号：
15592336
负责人：
HARA Sachiko
金额：
$ 2.24万
依托单位：
Shimane University (2005)Kobe City College of Nursing (2003-2004)
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

The objective of this study was to investigate the process by which the elderly who visited aged care facilities reconstructed themselves and valued their remaining life by telling their life story to others, and to examine the possibility and issues of the oral life story as a nursing program supporting the life-span development of the elderly.1. Eight pairs of care staff and persons in aged care facilities performed a face-to-face interview three to five times. As a result, (1) changes in care staff thought and attitude regarding the elderly and their care were observed: "I fully understood the patient." "I got interested in the patients." And through the experience of this talking and listening relationship, "I built up my confidence," "I cared for them more carefully," "I changed my opinion about other elderly people," and through interviews, "I realized pleasure and satisfaction in my relationship with patients." Next, (2) changes in developmental task fulfillment were assessed before and after interviews of elderly in aged care facilities, using the Japanese version of the "E.H. Erikson Developmental Task Fulfillment Scales." Of scales in the 8 stages specified by Erikson, "Generativity" and "Identification" after interview were significantly increased. (3) Changes in interaction by life story interview were also investigated : detailed analysis of interview contents of one pair showed that repeating what the other said and listening to him/her with a nod encouraged wider and deeper life story content, and suggested the importance of the interviewer seriously listening to episodes that were repeated many times.2. Nine pairs of researchers and persons in aged care facilities performed face-to-face interviews five to nine times. Five pairs were assessed before and after the interview, using the above mentioned Scales. No significant differences were found between before and after interview in scores of 8 stages.

本研究目的在探讨老年人在照护机构中，借由向他人讲述自己的生活故事，重建自我与珍惜馀生的过程，并探讨口述生活故事作为照护计画支援老年人终身发展的可能性与议题.八对护理人员和老年护理机构的人员进行了三到五次面对面的访谈。结果，（1）观察到护理人员对老年人及其护理的想法和态度发生了变化：“我完全理解患者。”“我对病人很感兴趣。“通过这种交谈和倾听的关系，“我建立了信心，”“我更仔细地照顾他们，”“我改变了对其他老年人的看法，”通过采访，“我在与病人的关系中体会到快乐和满足。其次，（2）使用日本版的“E.H.量表”，对老年护理机构中的老年人在访谈前后的发展任务完成情况的变化进行了评估。埃里克森发展任务完成量表。在Erikson提出的8个阶段中，访谈后的“生成性”和“认同性”显著增加。(3)研究结果显示，重复对方的谈话内容及点头聆听对方的谈话内容，能促进谈话内容的广度与深度，并提示谈话者认真聆听重复多次的谈话内容的重要性.九对研究人员和老年护理机构的人员进行了五到九次面对面的访谈。在访谈前后，使用上述量表对五对学生进行了评估。访谈前后8个阶段的得分差异无统计学意义。