Development of the stress management education technology for the elderly patients with severe disease to improve their OOL

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In this research project, we had run five subgroups for stress management education system, i.e., (1)Developing Evaluation Methods, (2)Cancer patients, (3)Dementia, (4)Heart Rehabilitation, (5)Incurable disease.(1)Developing Evaluation Methods : We established psychological scales of Stress Management Self-efficacy Scale(SMSE) and tried to assess the educational effect of stress management for patients with severe disease. Also psychophysiological and psychoneuroimmunological indices were established.(2)Cancer patients : We have established psycho-social intervention with stress management education for lung cancer patients.(3)Dementia : We tried to apply the relaxation and activation training for dementia patients and to assess the effect by using physiological index.(4)Heart Rehabilitation: With using SF-36, we recognized the good effects of stress management education on the quality of life of the patients with heart disease at least 6-months after heart attack.(5)Incurable disease : Basic research using over 600 patients indicated that patients group showed smaller scores of both SF-36 and SMSE-20, especially the group of nerve-muscle diseases showed more important severity. On this fundamental research, we made a 5-days/3-months program of stress management education seminar for patients groups. Results showed that the estimated self-efficacy of relaxation was increased by means of our program.