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Verbal Encouragement of Demented Elderly and Environmental Noise ; Verification of the Effects of a Verbal Encouragement Plan and Development of a Policy for Adjusting Environmental Noise

对痴呆老人的口头鼓励和环境噪音；

基本信息

批准号：
18592442
负责人：
KOMATSU Mitsuyo
金额：
$ 1.12万
依托单位：
Kyoto Prefectural University of Medicine
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2006
资助国家：
日本
起止时间：
2006 至 2007
项目状态：
已结题

项目摘要

The objective of this study was to verify the effects of a "verbal encouragement promotion sheet" focusing on non-verbal communication skills of demented elderly patients and to determine the noise and music environments at elderly care facilities and develop an environmental noise adjustment policy for their improvement.The subjects of the study consisted of 6 demented elderly patients. The care of four subjects(agitation/excitation: 2 subjects, declined volition: 2 subjects)was intervened for 3 months based on a plan developed in consideration of personality, preferences and life history, and although communication was promoted and composure was increased in two of the subjects presenting with agitation/excitation(p<0.05), there were no other changes observed. With respect to facility noise levels, elderly welfare facilities providing nursing care are somewhat noisier than group homes, consisting mainly of noise generated during the course of daily life, loud voices, sounds made by the soles of tennis shoes sliding across the floor, wheelchair sounds and television, and elderly subjects became agitated when sudden sounds of 70 dB or more occurred frequently. With respect to noise levels in recuperative environments, subjects expressed a preference for listening to music regardless of the severity of dementia, and this sound served as an impetus for conversation. Although fluctuations in systolic blood pressure and heart rate when listening to music were within their physiological ranges, there were considerable individual differences. An environmental noise adjustment policy was developed on the basis of these findings.

本研究以6名老年痴呆症患者为研究对象，探讨针对老年痴呆症患者非语言沟通技巧的“语言鼓励宣传单”的效果，以及老年护理机构的噪声和音乐环境，并制定改善老年护理机构噪声环境的政策。根据考虑到个性、偏好和生活史而制定的计划，对4名受试者（激动/兴奋：2名受试者，意志力下降：2名受试者）的护理进行了3个月的干预，尽管在表现为激动/兴奋的2名受试者中促进了沟通，增加了镇静（p<0.05），但没有观察到其他变化。在设施噪声水平方面，提供护理的老年人福利设施比集体之家的噪声要大一些，主要包括日常生活中产生的噪声、大声说话、网球鞋鞋底滑过地板的声音、轮椅的声音和电视的声音，当70 dB或更高的突然声音频繁出现时，老年人受试者会变得焦躁不安。在疗养环境中的噪音水平方面，受试者表示更喜欢听音乐，而不管痴呆症的严重程度如何，这种声音是对话的动力。虽然听音乐时收缩压和心率的波动在他们的生理范围内，但有相当大的个体差异。在此基础上，制定了环境噪声调整政策。