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

提高痴呆老年人生活质量护理技能监测方法的规范与检验

基本信息

批准号：
10672251
负责人：
MIZUTANI Nobuko
金额：
$ 1.34万
依托单位：
COLLEGE OF NURSING ART & SCIENCE, HYOGO
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 2000
项目状态：
已结题

项目摘要

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.

本研究旨在探讨老年痴呆患者的护理技能对其生活质量和护理效果的改善，并探讨在日常护理环境中监测这些护理技能使用的方法和护理效果。首先，揭示了接受高质量护理的老年痴呆患者的10项护理结果；“对其他病人表现出兴趣”、“与其他病人交流”、“说出一个声音或一个单词”、“感觉更安全”等等。其次，采用观察法，揭示某老年痴呆专科养老院6项“优质护理技能”和10项“护理效果”的日常使用情况。这6个项目摘自我们之前1996年的研究。选取4名患者作为样本，每人进行两次调查。观察特别集中在他们接受的所有护理、面部表情和对其他老年人的行为反应上。在这个观察过程中，这16个项目的出现次数被标记出来。每天上午9时至下午5时进行8小时。结果发现，观察法对6项“优质护理技能”监测有效，对10项“护理效果”监测无效。在本研究中，观察法在准确评估患者10项反应方面存在一定的局限性。未来的研究需要建立一种准确评估患者反应的方法。