The nurses' process of recognizing the demented elderly patients' patterns of verbal and non-verbal expressions

护士识别痴呆老年患者言语和非言语表达模式的过程

• 批准号: 09672427
• 负责人: SAKAGUCHI Chizuru
• 金额: $ 0.38万
• 依托单位: The Japanese Red Cross College of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1997
• 资助国家: 日本
• 起止时间: 1997 至 1998
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09672427/
• 关键词: demented; elderly patient; the pattern of non-verbal expresion; the pattern of verbal expression; nurse; tIle process of recognition; 看護婦

The subjects were seven elderly patients, who were thought of being demented, and eighteen nurses in an neurological unit in an urban hospital. The patients, who were four wamen and three men, were from sixty-eight to eighty-five years old. The mean of nurses' age was about twenty-nine years old.The nurses' processes of recognizimg the demented elderly patients' patterns of verbal and non-verbal expressions was composed of two processes ; <a shift from uncertainty to certainty> and <a inquire of the patinets' will>.The process of <a shift from uncertainty to certainty> was composed of four comporments. The nurses forcused on the cues which were the changes of the patients' verbal and non-verbal expressions <recognizing cue>, made inference by asking the patients their qeustions about the meaning of cues <clarifying question>, and then confirmed the inference by taking other informations <confirming inference>. Through this proccess, the nurses' certainty of the patients' will influence … More d on their making the decisions for the patients' care. Many nurses tried to lake care of the demented elderly patients in the face of uncertainty.The process of <a inquire of the patient's will> was composed of four dimensions ; 1) <ascertaining response to instruction> was the dimension of the nurses' making sure of the patinets' responses to their instructions of body movements, 2) <appraising discomfort> was the dimension of the nurses' assessing the presence of the patients' discomfort as pain, 3) <grasping decision-making> was the dimension of the nurses giving the chances of and getting hold of the patients' decision-making, 4) <interpretating inner experience> was the dimension of the nurses' interpretating the stories of the patients' inner experiences which might be not reality.By observing the interaction between the demented elderly patients and the nurses in daily care, what the nurses tried to recognize was the patients' will. For the nurses, the inquire of the patinets' will was main theme in interacting with the patients, and the nurses tried to make certainty of the patients' will for their care. Less

受试者是七名老年患者，他们被认为是痴呆症，以及一家城市医院神经科的十八名护士。病人中有四名妇女和三名男子，年龄从六十八岁到八十五岁。护士的平均年龄在29岁左右，护士对老年痴呆症患者言语和非言语表达模式的识别过程由两个过程组成：询问<a shift from uncertainty to certainty>患者的意愿，认知过程<a shift from uncertainty to certainty>由四个部分组成。护理人员将注意力集中在病人语言和非语言表达的变化这一线索上<recognizing cue>，通过询问病人对线索意义的疑问来进行推断<clarifying question>，然后再通过其他信息来证实推断<confirming inference>。通过这一过程，护士对病人的信心将影响到 ...更多信息 他们为病人的治疗做决定。许多护士试图在不确定的情况下对老年痴呆症患者进行护理。询问患者意愿的过程由四个维度组成：1）<ascertaining response to instruction>确定患者对其身体动作指令的反应的维度; 2）评估<appraising discomfort>患者不适的疼痛的维度; 3）<grasping decision-making>给予患者决策机会并掌握患者决策的维度; 4）<interpretating inner experience>解释患者可能不真实的内心经历的故事的维度。通过观察老年痴呆症患者与护理人员在日常护理中的互动，护士们试图辨认的是病人的意愿。对护士而言，询问病人意愿是其与病人互动的主题，并试图确定病人的意愿以进行护理。少