Development of the stress management education technology for the elderly patients with severe disease to improve their OOL

在本研究项目中，我们对压力管理教育系统进行了五个亚组，即(1)发展评估方法，(2)癌症患者，(3)痴呆，(4)心脏康复，(5)不治之症。(1)制定评估方法：编制压力管理自我效能感量表（SMSE）心理量表，尝试评估压力管理对重症患者的教育效果。建立了心理生理指标和心理神经免疫学指标。(2)癌症患者：我们建立了肺癌患者压力管理教育的心理社会干预。(3)痴呆：尝试将放松激活训练应用于痴呆患者，并采用生理指标评价效果。(4)心脏康复：使用SF-36，我们认识到压力管理教育对心脏病患者心脏病发作后至少6个月的生活质量有良好的影响。(5)不治之症：600多例患者的基础研究表明，患者组SF-36和SMSE-20得分均较低，尤其是神经肌肉疾病组更为严重。在此基础研究上，我们针对患者群体制定了为期5天/3个月的压力管理教育研讨会计划。结果表明，通过我们的程序，放松自我效能的估计有所增加。

In this research project, we had run five subgroups for stress management education system, i.e., (1)Developing Evaluation Methods, (2)Cancer patients, (3)Dementia, (4)Heart Rehabilitation, (5)Incurable disease.(1)Developing Evaluation Methods : We established psychological scales of Stress Management Self-efficacy Scale(SMSE) and tried to assess the educational effect of stress management for patients with severe disease. Also psychophysiological and psychoneuroimmunological indices were established.(2)Cancer patients : We have established psycho-social intervention with stress management education for lung cancer patients.(3)Dementia : We tried to apply the relaxation and activation training for dementia patients and to assess the effect by using physiological index.(4)Heart Rehabilitation: With using SF-36, we recognized the good effects of stress management education on the quality of life of the patients with heart disease at least 6-months after heart attack.(5)Incurable disease : Basic research using over 600 patients indicated that patients group showed smaller scores of both SF-36 and SMSE-20, especially the group of nerve-muscle diseases showed more important severity. On this fundamental research, we made a 5-days/3-months program of stress management education seminar for patients groups. Results showed that the estimated self-efficacy of relaxation was increased by means of our program.