Detailed assessment of group-homeliving for elderly people suffering from senile dementia and the effect of care

1997年8月，在北海道的国后海水疗养院，为老年痴呆症患者设立了集体之家。连续观察和评价该家庭的1名男性和7名女性，获得以下结果：1）在所有居民到达家中时观察到高NK细胞活性，但一个月后，所有居民的NK活性都随之下降，NK活性的下降与许多不同问题的出现相吻合包括混乱和过度兴奋，可能是由于生活环境的变化所带来的压力。2）在集体之家生活5个月后，所有居民的NK活性都恢复到了刚到集体之家时的水平。尽管一些居民在到达集体之家时的睡眠模式不规则，GBS量表显示情绪功能明显改善 ...更多信息 在抵港后2个月至5个月内，病人的情绪及心理状况均有所改善，相信这是由于护理计划的设立，加上住客之间建立了良好的人际关系，病人所遇到的问题因而减少，令他们的情况得以全面改善。在集体家庭生活的前5个月，必须对过程的许多不同方面进行仔细观察和评估。3）在开放后的前5个蒙茨，制定了以下护理计划：重新表示居住环境的建设，包括改善室内设施，在每个房间内放置家具和佛教家庭祭坛，对活动范围的评估;活动包括在集体之家化妆、玩文字游戏和照料花园;重新安排家庭角色，包括做饭、打扫卫生和倒垃圾。4）根据第一个月内出现的一些不同问题所做的实际实验，得出的结论是，从在这样一个疗养院提供护理的积累经验中获得的实际知识本身并不能使护理人员充分准备好管理一个小组，好好回家教育计划是必要的，以提高能力的照顾ataff提供全面的评估，管理和控制一个组家庭。少

In the Kouhou-haithsu treatment facility in Hokkaido, a group home was established in August 1997 for elderly people suffering from senile dementia.The first 8 residents (1 man and 7 women) of this home were continuously observed and evaluated.The following results were obtained :1) High NK cell activity was observed in all residents upon arrival at the home, but this activity subsesequently decreased in all residents after one month.The decrease in NK activity coincided with the appearance of a number of different problems including confusion and over-excitement, likely as a result of the stresses involved in the change in living environments.2) After 5 months of living in a group-home, NK activity in all residents recovered to the level it had been upon arrival at the home.Although sleep patterns were irregular in a number of residents upon arrival, they normalized at the same time as the normalization of NK activity.GBS scale indicated a significant improvement in emotional function … More ing and psychological condition within 2 months to 5 montths of arrival.It is believed that the establishment of a care program, the subsequent establishment of personal relationships amongst the residents, and the resultant decline in the number of problems experienced by the patients all contributed to the overall improvment in their condition. It is essential that during the first 5 months of group-home living that careful observation and evaluation of the many different aspects of the process should be carried out.3) Over the course of the first 5 monts after opening, the following care programs were established : re-construction of the living environment including improving the interior facilities and placing furniture and aBudhist family altar into each room in line with an evaluation of activity ranges ; activities included applying make-up, word games and tending to the garden at the group-home ; re-arrangement of home roles including cookimg, cleaning and taking out trash.4) Based on practical experiments done within the first monthe when a number of different problems arose, it was concluded that the practical knowledge gained from the accumulated experience of providing care in such a nursing home dose not on its own adequately prepare care-givers to run a group-home properly. Educational programs are needed that enhance the ability of care ataff to provide comprehensive assessment, managemant and control of a roup-home. Less