Specification and examination of the monitoring method of Nursing Care Skills for improving the Quality of Life among elderly people with dementia.

本研究的目的是明确老年痴呆患者改善其生活质量和护理效果的护理技能，并探讨在日常护理环境中监测这些护理技能的使用情况和护理效果的方法。其次，采用观察法对某老年痴呆专科养老院的6项“优质护理技能”和10项“护理效果”的日常使用情况进行了调查。这6个项目是从我们1996年的上一次研究中提取的。选择了四名患者作为样本，每人进行两次调查。观察的重点是他们所接受的所有护理、面部表情以及对其他老年人的行为反应。在这次观察中，标记了这16项的出现次数。每天上午9点至下午5点进行8小时的观察，结果发现，观察法对6项“高质量护理技能”有效，而对10项“护理结果”无效。在本研究中，观察法在准确评估患者的10项反应方面存在一定的局限性。未来的研究将需要建立一种方法来评估准确的患者反应。

The purpose of this study is to specify the nursing care skills to improve their Quality of Life (QOL) and nursing outcomes among elder people with dementia, and to examine the method of monitoring the usage of these nursing care skills in a daily nursing care setting and the nursing outcomes as well.First of all, 10 nursing outcomes are revealed for the elderly with dementia receiving a high quality nursing care ; "shows interest to other patients", "communicates with other patients", "utters a sound or a word ", "feels more secure" and so on.Secondly, the method of observation is used to reveal the daily usage of 6 items of "the high quality nursing care skills" and of 10 items of "the nursing outcomes" at a nursing home specialized for the elderly with dementia. These 6 items are extracted from our previous study in 1996. Four patients are chosen for this sample and conducted this survey twice per person. The observation is made especially focused on all of the nursing care they receive, the facial expression, and the behavioral response to others of the elderly. During this observation, the number of occurrence of these 16 items is marked. This is conducted for 8 hours a day from 9am to 5pm.As a result, it is found that the method of observation is valid to monitor 6 items of "the high quality nursing care skills" but not for 10 items of "the nursing outcomes". In this research, the observational method has a certain limitation to assess accurately 10 items of patients' response. The future research would be needed to establish a method to assess accurate patients' response.