CARER ADDRESS TO FRAIL ELDERLY IN GERIATRIC CARE FACILITES AND ITS RELATED FACTORS

本研究旨在厘清体弱老人与老人护理人员、照顾者之间的沟通状况。调查了老年人照顾者地址的数量和种类以及他们的反应。被试为年龄在71岁到99岁之间的35名老年人。逐字记录照顾者和老年人之间的每一次谈话，并进行分类。所有谈话时间的长短也被计算出来。结果表明：1.称呼语的种类分为“为实现日常生活而说话”和“为激活生活而说话”，分别占75.9%和24.1%。2.老年人的回答不是自愿的，几乎只是对照顾者的发言的回复，而且很短。3.与患有痴呆症和卧床不起的老年人交谈的次数显著高于与非痴呆症和轮椅老年人交谈的次数，这表明照顾者似乎故意与前者交谈。4.可以理解的是，有言语障碍的老年人的反应频率明显低于没有障碍的老年人。患有痴呆症的老年人和坐轮椅的老年人在谈论激活生命时的反应频率更高。

The pourpose of this study is to clarify the status of communication between frail elderly and such carers as nurses, caregivers it al in geriatric facilities. Investigated were the amount and variety of carer address to the elderly and their responses. The relationships of elderly attributes to the above were also examined.The subjects were 35 elderly who ranged from 71 to 99 years of age. Verbatim records were made on a one-day basis of every conversation between the carer and elderly and categolized. The amounts of all conversation time were also caliculated. Statistical analysis was applied to all of the results.The resuls were as follows : 1. The variety of address was categolized into "talking for the fulfillment of everyday life", and "talking for the activation of life" The amounts were 75.9% and 24.1% respectively. 2. The responses from elderly were not voluntary, and almost were only replies to the utterances of the carer and were short. 3. The amount of talking to dementia-afflicted and bed-ridden elderly was significantly higher than that directed to non-dementia and wheelchair elderly suggestiong that the carer seemed to deliberately address the former. 4. Understandably, the frequency of the responses by the elderly who had speech impediments was significantly lower than that of those who did not. The frequency of responses when talking for the activation of life was higher for the elderly afficted with dementia and for those confined to wheel-chairs.