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Kinuko Takasaki
Article type: Article
2000 Volume 5 Issue 1 Pages
4-6
Published: November 01, 2000
Released on J-STAGE: November 20, 2017
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Shigeyo Okuno
Article type: Article
2000 Volume 5 Issue 1 Pages
7-16
Published: November 01, 2000
Released on J-STAGE: November 20, 2017
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Takako Mitoh
Article type: Article
2000 Volume 5 Issue 1 Pages
17-19
Published: November 01, 2000
Released on J-STAGE: November 20, 2017
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Kiyomi Asahara
Article type: Article
2000 Volume 5 Issue 1 Pages
20-25
Published: November 01, 2000
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Anne J. Davis
Article type: Article
2000 Volume 5 Issue 1 Pages
26-28
Published: November 01, 2000
Released on J-STAGE: November 20, 2017
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Yoko Watanabe
Article type: Article
2000 Volume 5 Issue 1 Pages
29-33
Published: November 01, 2000
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Michiko Konishi
Article type: Article
2000 Volume 5 Issue 1 Pages
34-39
Published: November 01, 2000
Released on J-STAGE: November 20, 2017
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Ariko Noji, Hisako Minowa
Article type: Article
2000 Volume 5 Issue 1 Pages
40-50
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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The purpose of this study was to identify the psychological characteristics of elderly members of a health insurance society. The data was collected during a home visits. This study is a first step toward development of a counseling tool which is based on an understanding of individual differences in the elderly. The thirty-five-item questionnaire was developed by a focus group and the data of the 557 participants was analyzed by Quantification Theory 3rd Family and Cluster Analysis. Three factors (energy expenditure, self-expression and attitude to time) and five clusters (vigor, introversion, extraversion, harmony and independence) were identified. An understanding of these clusters will enable nurses to improve their counseling skills. Use of this data will provide nurses with increased ability to enable their elderly clients to express their feelings.
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Ayumi Kono, Katsuko Kanagawa
Article type: Article
2000 Volume 5 Issue 1 Pages
51-58
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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A Japanese word Tojikomori is the elderly who are housebound-inactive but have enough mobility level. Tojikomerare is the elderly who are housebound-inactive elderly because of their low mobility. The purpose of the present study is to describe physical and psychosocial changes in one year of Tojikomori and Tojikomerare among community-dwelling disabled elderly. The study design is a longitudinal study. Participants were 225 community-dwelling disabled elderly. Nurses conducted home interviews at Wajima City, Ishikawa Prefecture in Japan, in 1998 as baseline and 1999 as follow-up, and evaluated physical function and psychosocial characteristics of disabled elderly. Results obtained were as follows : 1. Among the elderly who were able to walk 5 yards, 25% of the Tojikomori had died. The mortality was significantly associated with Tojikomori. 2. During one year, the caregiving burden of Tojikomerare significantly had increased, and the autonomy of Tojikomori significantly had declined. In one year, the physical and psychosocial changes among Tojikomori and Tojikomerare were specified.
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Nami Kobayashi
Article type: Article
2000 Volume 5 Issue 1 Pages
59-70
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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As the home medical services develop, more old person themselves prefer to die and family caregivers prefer to have them die at home. Taking both the elderly and family's intention into consideration, purpose of the research is to examine factors related to location of death. The research was conducted at a public nursing office in the center of metropolitan Tokyo. Information was collected from all available nursing records of patients, among whom 59 died at home and 35 died wihtin 1 week of hospital admission between April 1993 and June 1997. The information collected comprises of demographic characteristics of elder patients and family, their expression to nurses about location of death and so on. Interview was carried out with the nurses in charge of all such person. Two major expressions to nurses used by elder person have sorted out by interview. One is "I never be hospitalized." another is "I want to be at home." Most frequent expression used by family caregiver is "I want to attend an old family at home until he dies." As for factors related to location of death of elder person, following five factors were found. 1. Malignant neoplasm or cardiac malfunction is the major sickness of the elderly. 2. The elder patients want to die at home and/or their family's desire to have them die at home. 3. Available home doctor. 4. A doctor in charge of the elderly is from a clinic or a private office, not from large scaled hospital. 5. Conversation held about the death of the elder patient among their home doctor, the elderly themselves and/or their family caregivers.
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Naomi Kidani, Yoshimi Taniguchi, Yuchi Naruse
Article type: Article
2000 Volume 5 Issue 1 Pages
71-77
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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The purpose of this study was to clarify the relationship between the condition of oral cavity and the sociality in self-supporting elderly aged 65 years old and over in a local community. A total of 518 subjects were examined. As an index of cavity, a number of remaining teeth, and as indices of sociality, contact frequency with friends, social participation and social role were examined. Subjects were divided into four groups according to the number of remaining teeth ; Group I, no tooth, Group II, 1-9 teeth, Group III, 10-19 teeth, Group IV, 20 teeth and over. The results were as follows ; 1) The mean number of remaining teeth was 13.9(SD : 11.0) , and it was higher than that of the national average (9.7 teeth). About a half of subjects aged 65-69 years old had 20 teeth and over. And a number of remaining teeth was correlated with age. 2) From an analysis of relationships between the number of remaining teeth and sociality using multiple logistic regression model with co-variables of age, gender and subjective feeling on health, three items of the sociality, "keeping contact with friends", "having a social role" and "enjoying contact with other persons" were significantly associated. These results suggest that retention of teeth in self-supporting elderly can keep their sociality.
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Ayumi Kobayashi, Kinuko Takasaki, Yumi Chiba, Akiko Sasaki, Mitsu Ono
Article type: Article
2000 Volume 5 Issue 1 Pages
78-87
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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The purpose of this study is 1) to identify the influences quality of support process gives to outcome and 2) to clarify the other factors influencing to outcome. We performed follow-up study by mailing the questionnaire on cases which were part of 171 cases grasped by the research toward community health nurses working in Saitama, Fukuoka, and Yamagata in 1995 and being supported continuously in 1995. Twenty-eight valid cases were gained(respondent rate were 67.0%). We chose Quality of Care Management-Process Measurement (QCM-P) asked with five steps measurement and 45 questions to a specific user as assessment tool of support process, and degree of accomplishment to the goal and mutation of abused state as assessment tool of outcome. From the analyses of those results, following four types of cases were identified ; 1) the cases improved by institutionalize, 2) the cases improved by supports of good quality, 3) the cases not to improved by supports of good quality, and 4) the cases not to improved because supports of good quality were not performed. Following things became to make clear through the analyses of each courses of supports; 1) In support of elder-abuse-case , the improve of outcome is induced and further serious situation is able to avoided if support process of good quality is kept. 2) The quality of support process is improved and good outcome is able to come by improvement of conditions connecting to care structure such as shortage of services resources or lack of cooperation system. However, effectiveness of supports is low under the conditions there is financial problem or main abuser is isolated in.
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Shigeko Takayama, Nobuko Mizutani
Article type: Article
2000 Volume 5 Issue 1 Pages
88-95
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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The purpose of this study was to clarify the experiences of elderly with moderate to severe dementia. Voice recordings of conversations that the author had with 5 patients with Alzheimer's dementia aged 65 years over in hospital and above during their care were analyzed by a qualitative and inductive approach. The subjects expressed their experience by few words. Their experience could be classified into 4 categories : "awareness of a forgetfulness with wonderings", "having nothing to do and feeling lonely", "making efforts to compromise for living with other people", and "temporary confusion". Nurses should to support their experience of "awareness of a forgetfulness with wonderings", "making efforts to compromise for living with other people". Nurses should focus on those elderly with dementia who seems stable but feeling of loneliness".
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Etsuko Tadaka, Katsuko Kanagawa, Kiyoko Tachiura, Masami Wada
Article type: Article
2000 Volume 5 Issue 1 Pages
96-106
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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The purpose of this study was to examine the effects of an intervention of group care program consisting of reminiscence to prevent the decline of cognitive function and daily living activities in the community elderly with dementia (Dementia of the Alzheimer type or Vascular Dementia according to DSM-TV). Subjects were randomly assigned to either intervention group or control one. For the intervention group, a group care program was provided, on the other hand, for the control one, the usual day care program was provided. As a result, 1) There was a significant difference in cognitive function between the intervention group and the control one, the total MMSE scores and orientation score in the intervention group increased, while that of the control one decreased. 2) There were significant differences in disorientation and withdrawal between the two groups, the intervention group showed improved these function, while the control one showed a loss of function. 3) The group process review suggested that the improvement of inter-personal relationship and vitality were seen in the intervention group. Judging from the results, We conclude that the group care program consisting of reminiscence can be effective for improving cognitive function and daily living activities on community elderly with dementia.
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Kayo Yamaji, Kumiko Takezaki, Yuko Shiozuka, Yukari Ito, Yumi Tada, No ...
Article type: Article
2000 Volume 5 Issue 1 Pages
107-114
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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The purpose of this investigation was to clarify the structure of care outcomes for the patients with dementia. The questionnaire was utilized for this study. The questionnaire was developed by the interview to expert nurses. They were asked about the patient's major changes when they received high quality of care. Seven hundred sixteen nurses participated this study. Characteristics of the subjects were that 57.5%of them was LPN, and 42.2% of them was RN. The average of their experiences was 6.2 years (SD 4.1) and their working places were at Geriatric Health Services Facility(62.2 %) and Hospital for Patient with Dementia(37.8%). As the result of cluster analysis, six structures were emerged as outcome of effective nursing care : "Recovery of self-care", "Stability of emotion", "Stability of behavior", "Acceptance to nursing care", "jihatsusei", and "Development of personal and social relations".
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Kazuko Ishigaki, Kiyomi Hasegawa, Kouko Matsumura, Hirome Saitou, Keik ...
Article type: Article
2000 Volume 5 Issue 1 Pages
115-123
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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We interviewed 28 caregivers whose frail elderly care recipients are waiting to enter a nursing home. We conducted this study in order to examine how caregivers felt about the care recipient, when they applied for services to assist residential care, and how they felt when they decided that their care recipient should be institutionalized. We noticed that daughter-in-law caregivers tend to wait the longest to apply for institutionalization of their care recipients and that spousal caregivers wait the next longest. We also observed that adult children caregivers are the least common users of residential care services. Caregivers expressed that they want to die with their care recipient, to kill their care recipient or to divorce their husbands. In addition, they expressed that the experience of such high stress was reduced by feeling close to their recipient, by resting during residential care services, by sharing experiences with other caregivers, and by understanding the ways in which to deal with her care recipient.
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Kmuyo Inagaki
Article type: Article
2000 Volume 5 Issue 1 Pages
124-130
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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Yoko Mizuguchi, Kimiko Tanaka
Article type: Article
2000 Volume 5 Issue 1 Pages
131-139
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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To clarify the learning content in geriatric nursing practice in the special homes for the aged, learning concerning help was classified from the practice records into the categories and subcategories according to the content analysis method. The relation between the completed practice subjects, practice time, facilities where the practice was carried out, condition of care recipients, cohabitation experience with grandparents, and learning content was analyzed. Results : 1. There was a lot of overall understanding of helping, there was the elderly in cases where adult nursing study practice had already been completed, and where it was not yet completed, there was a lot of learning about daily life help. 2. There was a lot of learning about consideration of feelings when the geriatric nursing practice took place in the latter half of the nursing practice period. 3. Adjustment of the method of care according to the characteristics of each recipient was learned. 4. There were a lot of learning of movement help and day service in those who did not have experience of cohabitation with grandparents. It was suggested that direction should be given to students, while taking the above features into consideration, and noting the extension and deepening of their concern.
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Misako Koizumi, Mayumi Ito, Misa Miyamoto
Article type: Article
2000 Volume 5 Issue 1 Pages
140-146
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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Masumi Nishida, Midori Matsuoka, Yoko Takami
Article type: Article
2000 Volume 5 Issue 1 Pages
147-155
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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Hatsumi Kanzaki(Tanaka), Kyoko Numoto
Article type: Article
2000 Volume 5 Issue 1 Pages
156-164
Published: November 01, 2000
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Kiyomi Yamada, Mizue Suzuki, Wakako Sato
Article type: Article
2000 Volume 5 Issue 1 Pages
165-172
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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Hirotaka Takushima, Tatsuo Kutsuna, Mitsu Ono, Idumi Suisyu, Hiromi Ki ...
Article type: Article
2000 Volume 5 Issue 1 Pages
173-180
Published: November 01, 2000
Released on J-STAGE: August 01, 2017
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