A Basic Study abut Communication Promotion Program of senile elderly

本研究的目的是为每一位高龄老人制定以语音特征为重点的促进沟通方案（音高、音量、语调），并阐明福利设施环境噪声的影响。我们告知受试者/对象，征得同意，他们是两名老年人，十名护理人员。在第一年，本研究建议潜在沟通程式可应用于护理计画之制定。我们在福利设施中测量了24小时的噪音。对引起老年人喊叫、起身、电视音量、护理人员脚步声的噪声进行了分析，并比较了古典、摇滚、歌曲三种音乐对老年人生理反应的影响。对5例老年人进行了血压监测，结果显示，每次听音乐，收缩压变化不大。几乎所有的人都喜欢唱歌。第二年，我们制作了老年人方便沟通单，并使用了三个月。干预前后分别评定MENFIS（精神障碍功能量表）、NM量表（NM-shiki量表）、日常生活活动能力量表，与老年人交谈时使用该量表，交流得分显著，其他得分无变化。2例老年患者中有1例因住院中途停止评分，未发现使用床单的证据，将继续本研究。

The purpose of this study was to make facilitating communication programs for each senile elderly that focuses on voice characteristics of speech (pitch, volume, intonation) and clarified effects of environmental noises in welfare facilities.We informed subjects objects, got consent, they were two senile elderly, ten care staff members.At first year, we suggested that the potential communication program being able to be used in the formulation of care plan. We measured noises for 24 hours in welfare facilities. Noises that cause old people's shout, rising from their chair, TV volume, care staff member's footsteps would be able to solve at once.Further we compared the differences of three kinds of music (classic, rock, song) and physiological reaction as a basic study. It was showed that systolic blood pressures changed slightly every music sounds in cases of 5 senile elderly who live grope homes. Almost of them preferred song to others. At second year, we made facilitating communication sheets for senile elderly and used them for three months. We assessed MENFIS (Mental Impairment Functional Scale), NM Scale (NM-shiki scale) activity of daily living scale before and after intervention.We used this sheet when conversing with senile elderly, she got a significant score on communicating, other point did not change. one of two senile stopped scoring on the way, because she was in the hospital.As a result, evidences of using sheet were not identified, we will continue this study.