Barrier free and quality of life for the dementia aged people.

在日本出云市，有一家日托所，患有痴呆症的老人通过参与心理剧，试图恢复生活的信心。根据我们对中重度痴呆老人的观察，这些老人虽然患有痴呆，但在无障碍的环境下，形成了自己独特的幽默感。在日托的过程中，由于最初不适当环境下的焦虑或困惑而产生的烦恼消失了，对自己和环境产生了一种人性化的自信。根据他们的家人的证词，患痴呆症应该是一个触发器，揭示了这些老人隐藏的人性。家庭和老人自身对老人记忆障碍的接受，进一步促使这些老人走出最初的困境，重现并激活他们原有的人文意识。对于照顾者来说，接受和利用老年人和支持他们的家庭之间的这种动态过程是非常重要的。对于老年痴呆症患者来说，虽然现在的幸福生活很重要，但更重要的是对痴呆症未来状况的信心，以提高人文生活质量。当我们讨论改善痴呆症患者的生活环境时，我们不能忽视声音对他们的影响。为了揭示声音对痴呆症患者的影响，作为研究的第一阶段，我们试图调查哪些类型的声音能被他们清晰地回忆起来。我们调查的大纲如下。在集体护理过程中，护理领导出示一张写有拟声词的大卡片。然后，由中重度痴呆老人和护理人员朗读拟声词数次，想象拟声词所代表的声音。在那之后，长辈们自由地说出他们的想象。调查结果表明：(1)一般来说，自然的声音，如鸟鸣声和雨声，在拟声词中容易被记忆，无论性别如何。妇女们回忆起厨房工作的声音。他们旧时风俗的声音清晰地浮现在眼前。(4)在拟声词中，与老年人生活史相关的声音也能强烈地唤起老年人的共鸣。这些结果表明，患有痴呆症的老年人可以很容易地回忆起曾经非常熟悉的声音。少

In Izumo City, Japan, there is a day care facility, where the elders with dementia are trying to recover their confidence for living by participating the psychodrama. According to our observation for the elders suffering from dementia of middle to severe degrees, these elders have developed their unique sense of humor in spite of their dementia under the barrier free circumstances. Li the course of day care, troubles which occurred from the anxiety or confusion under the initial inadequate circumstances disappear, and a humanistic confidence toward themselves and their environment appears. According to the testimonies of their families, suffering from dementia was supposed to be a trigger that revealed these elders' hidden humanity. The acceptance of the elder's memory disturbance by both their families and the elders themselves further encouraged these elders to get out of the initial trouble, recur and activate their original humanistic sense. As for the care providers, the acceptanc … More e and fecilitation of this dynamic process between elders and their supporting families is very important. Although living with happiness now is important for the elders with dementia, the more important is the confidence toward the future status of dementia to improve the humanistic quality of life.When we discuss about improvement of living environments for people affected by dementia, we must not ignore effect of sounds for them. To reveal effect of sounds for people affected by dementia, we attempt to investigate what kinds of sounds are recollected clearly by them, as a first stage of investigation. The outline of our investigation is shown as below. In the course of group care, a care leader shows a large card in which an onomatopoeia is written. Then, elders suffering from dementia of middle to severe degrees and care staffs read aloud the onomatopoeia several times to imagine what kind of sound the onomatopoeia indicates. After that, elders freely tell what they imagine. The following results are obtained from this investigation : (1) Generally speaking, nature sounds, like songs of birds and sound of rain are recollected easily from onomatopoeias regardless of sex. (2) Sounds of kitchen work are recollected by women. (3) Sounds of their old custom are recollected clearly. (4) Sounds that pull at elders' heartstring intensely on account of relation to their life history are also recollected intensely from onomatopoeias. These results show that elders suffering from dementia can easily recollect the sounds that had been once very familiar to them. Less