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

本研究旨在探讨护理干预对中重度痴呆老年人自我决定的影响。(1)自我决定情境的定性归纳分析从干预开始就显示出“在与护理人员和其他患者互动的同时做出选择”。从4^<th>天看到“选择时考虑与他人的关系”，从12^<th>天看到“选择时考虑周围环境”，这表明目前的干预提高了患者与周围人保持关系的能力。此外，从第8天开始观察到的“在行动之前明确说明意图”的发现表明，中度或重度痴呆的老年人有一种潜在的自决愿望，这种愿望可能由于目前的干预而表现出来。(2)意向声明方法随痴呆程度、病因和活动内容的不同而变化。有必要从多个角度对干预方法进行考察。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.