Detailed assessment of group-homeliving for elderly people suffering from senile dementia and the effect of care

1997年8月，在北海道的Kouhou-haithsu治疗中心，为患有老年痴呆症的老年人设立了一个集体之家。该家庭的前8位居民（1男7女）被连续观察和评估。得到以下结果：1)所有居民在抵达家中时观察到高NK细胞活性，但一个月后，所有居民的NK细胞活性随后下降。NK活性的下降与许多不同问题的出现相吻合，包括混乱和过度兴奋，可能是生活环境变化所带来的压力的结果。2)在集体之家生活了5个月后，所有居民的NK活性都恢复到到达家时的水平。虽然许多居民在抵达时睡眠模式不规律，但他们与NK活动的正常化同时正常化。GBS量表显示，患者的情绪功能和心理状况在出生后2 ~ 5个月内有明显改善。据信，护理计划的建立，随后在居民之间建立的个人关系，以及由此导致的患者所经历的问题数量的下降，都有助于他们的病情的整体改善。在集体之家生活的头5个月里，对这一过程的许多不同方面进行仔细的观察和评估是至关重要的。3)开业后的前5个月，建立了以下护理方案：生活环境的重建，包括改善室内设施，根据活动范围的评估，在每个房间放置家具和佛教家庭祭坛；活动包括化妆、文字游戏和照料集体之家的花园；重新安排家庭角色，包括做饭，打扫和倒垃圾。4)根据在第一个月内所做的实际实验（当时出现了许多不同的问题），得出的结论是，从在这种养老院提供护理的积累经验中获得的实践知识本身并不能使护理人员充分准备好正确地管理一个集体之家。需要教育计划来提高护理人员对集体之家进行全面评估、管理和控制的能力。少

In the Kouhou-haithsu treatment facility in Hokkaido, a group home was established in August 1997 for elderly people suffering from senile dementia.The first 8 residents (1 man and 7 women) of this home were continuously observed and evaluated.The following results were obtained :1) High NK cell activity was observed in all residents upon arrival at the home, but this activity subsesequently decreased in all residents after one month.The decrease in NK activity coincided with the appearance of a number of different problems including confusion and over-excitement, likely as a result of the stresses involved in the change in living environments.2) After 5 months of living in a group-home, NK activity in all residents recovered to the level it had been upon arrival at the home.Although sleep patterns were irregular in a number of residents upon arrival, they normalized at the same time as the normalization of NK activity.GBS scale indicated a significant improvement in emotional function … More ing and psychological condition within 2 months to 5 montths of arrival.It is believed that the establishment of a care program, the subsequent establishment of personal relationships amongst the residents, and the resultant decline in the number of problems experienced by the patients all contributed to the overall improvment in their condition. It is essential that during the first 5 months of group-home living that careful observation and evaluation of the many different aspects of the process should be carried out.3) Over the course of the first 5 monts after opening, the following care programs were established : re-construction of the living environment including improving the interior facilities and placing furniture and aBudhist family altar into each room in line with an evaluation of activity ranges ; activities included applying make-up, word games and tending to the garden at the group-home ; re-arrangement of home roles including cookimg, cleaning and taking out trash.4) Based on practical experiments done within the first monthe when a number of different problems arose, it was concluded that the practical knowledge gained from the accumulated experience of providing care in such a nursing home dose not on its own adequately prepare care-givers to run a group-home properly. Educational programs are needed that enhance the ability of care ataff to provide comprehensive assessment, managemant and control of a roup-home. Less