CARER ADDRESS TO FRAIL ELDERLY IN GERIATRIC CARE FACILITES AND ITS RELATED FACTORS

本研究的目的是为了厘清在老年护理机构中，体弱长者与护理人员（如护士、护理人员等）之间的沟通状况。调查了对老年人的照顾者地址的数量和种类以及他们的反应。老年属性与上述的关系也进行了检验。研究对象为35名年龄在71岁到99岁之间的老年人。在一天的基础上逐字记录护理人员和老人之间的每一次谈话，并进行分类。还计算了所有会话时间的总量。对所有结果进行统计分析。实验结果如下：1.实验结果表明：“为日常生活的满足而说话”和“为生活的激活而说话”，占比分别为75.9%和24.1%。2. 老年人的回答不是自愿的，几乎只是对照顾者话语的回答，而且很短。3. 与患有痴呆症和卧床的老年人交谈的次数明显高于与没有痴呆症和坐轮椅的老年人交谈的次数，这表明护理人员似乎故意针对前者。4. 可以理解的是，有语言障碍的老年人的回答频率明显低于没有语言障碍的老年人。当谈到激活生命时，患有痴呆症的老年人和那些坐轮椅的人的反应频率更高。

The pourpose of this study is to clarify the status of communication between frail elderly and such carers as nurses, caregivers it al in geriatric facilities. Investigated were the amount and variety of carer address to the elderly and their responses. The relationships of elderly attributes to the above were also examined.The subjects were 35 elderly who ranged from 71 to 99 years of age. Verbatim records were made on a one-day basis of every conversation between the carer and elderly and categolized. The amounts of all conversation time were also caliculated. Statistical analysis was applied to all of the results.The resuls were as follows : 1. The variety of address was categolized into "talking for the fulfillment of everyday life", and "talking for the activation of life" The amounts were 75.9% and 24.1% respectively. 2. The responses from elderly were not voluntary, and almost were only replies to the utterances of the carer and were short. 3. The amount of talking to dementia-afflicted and bed-ridden elderly was significantly higher than that directed to non-dementia and wheelchair elderly suggestiong that the carer seemed to deliberately address the former. 4. Understandably, the frequency of the responses by the elderly who had speech impediments was significantly lower than that of those who did not. The frequency of responses when talking for the activation of life was higher for the elderly afficted with dementia and for those confined to wheel-chairs.