A study on the efficacy of nursing intervention for supporting self-determination with dementia

本研究旨在探讨为中重度痴呆患者提供自主选择机会的护理干预的效果。(1)自我决定情境的定性归纳分析表明，从干预开始就“在与照顾者和其他患者互动时做出选择”，从第4天开始“在考虑与他人的关系中做出选择”，从第12天开始“在考虑周围环境的情况下做出选择”，这表明本干预提高了患者与周围人保持关系的能力。此外，从第8天开始观察到“在行动前明确陈述意图”的发现表明，患有中、重度痴呆症的老年人具有潜在的自我决定欲望，这可能是由于目前的干预而表现出来的。(2)意图声明方法随着痴呆程度、病因疾病和活动内容的不同而变化。有必要从多个角度审视干预方法。根据研究结果，我们计划制定护理干预方案，以解决他们的收集行为。

The present study aimed to investigate the effects of nursing intervention that provides opportunities for self-determination to elderly individuals with moderate or severe dementia.(1) Qualitative inductive analysis of self-determination situation showed "making choices while interacting with care providers and other patients" from the start of intervention."making choices in consideration of relationships with other" was seen from the 4^<th> day and "making choices while being mindful of the surroundings" from the 12^<th> day suggests that the present intervention brings out the ability of patients to maintain relationships with the people around them. In addition, the finding that "clearly stating intent before acting" was observed from the 8th day suggests that elderly individuals with moderate or severe dementia have a latent desire for self-determination, which may manifest due to the present intervention.(2) The declaration-of-intention method changes with a dementia level, a cause disease, and the contents of activity. It is necessary to examine the intervention method from various viewpoints.Based on the results of the study, we plan to develop protocols for nursing care interventions to address their collecting behavior.