Verbal Encouragement of Demented Elderly and Environmental Noise ; Verification of the Effects of a Verbal Encouragement Plan and Development of a Policy for Adjusting Environmental Noise

本研究的目的是验证《言语鼓励促进单》对老年痴呆患者非语言沟通技能的影响，确定老年护理机构的噪声和音乐环境，并制定改善环境噪声的政策。研究对象为6名老年痴呆患者。根据考虑到个性、偏好和生活史而制定的计划，对4名受试者(激动/兴奋：2名，意志力下降：2名)进行了为期3个月的干预，尽管其中两名出现激动/兴奋的受试者促进了沟通，增加了镇静(p&lt；0.05)，但没有观察到其他变化。就设施噪音水平而言，提供护理服务的长者福利设施的噪音较儿童之家稍高，主要包括日常生活中产生的噪音、大声的声音、网球鞋鞋底滑过地面的声音、轮椅和电视的声音，以及长者在经常听到70分贝或以上的突然声音时变得焦躁不安。关于恢复期环境中的噪音水平，受试者表示，无论痴呆症的严重程度如何，他们都更喜欢听音乐，而这种声音是谈话的动力。虽然听音乐时血压和心率的波动在生理范围内，但个体差异很大。根据这些发现，制定了环境噪声调节政策。

The objective of this study was to verify the effects of a "verbal encouragement promotion sheet" focusing on non-verbal communication skills of demented elderly patients and to determine the noise and music environments at elderly care facilities and develop an environmental noise adjustment policy for their improvement.The subjects of the study consisted of 6 demented elderly patients. The care of four subjects(agitation/excitation: 2 subjects, declined volition: 2 subjects)was intervened for 3 months based on a plan developed in consideration of personality, preferences and life history, and although communication was promoted and composure was increased in two of the subjects presenting with agitation/excitation(p<0.05), there were no other changes observed. With respect to facility noise levels, elderly welfare facilities providing nursing care are somewhat noisier than group homes, consisting mainly of noise generated during the course of daily life, loud voices, sounds made by the soles of tennis shoes sliding across the floor, wheelchair sounds and television, and elderly subjects became agitated when sudden sounds of 70 dB or more occurred frequently. With respect to noise levels in recuperative environments, subjects expressed a preference for listening to music regardless of the severity of dementia, and this sound served as an impetus for conversation. Although fluctuations in systolic blood pressure and heart rate when listening to music were within their physiological ranges, there were considerable individual differences. An environmental noise adjustment policy was developed on the basis of these findings.