Yokoi Teruo, Okamura Hitoshi, Yamamoto Tomoka, Watanabe Katsuya, Yokoi Shigeko, Atae Hitoshi, Ueda Masayuki, Kuwayama Takahiro, Sakamoto Shigekazu, Tomino Saaya, Fujii Hideo, Honda Takefumi, Morita Takayosi, Yukawa Takafumi, Harada Nobuko
Department of Physical Therapy, Faculty of Health Science, Osaka Yukioka College of Health Science, Osaka, Japan.
Graduate school of Health Science, Hiroshima University, Hiroshima, Japan.
SAGE Open Med. 2017 Aug 22;5:2050312117726196. doi: 10.1177/2050312117726196. eCollection 2017.
This study was conducted to examine the effects of an approach that wears finger rings on elderly females with behavioral and psychological symptoms of dementia.
The subjects were seven Japanese dementia patients living in elderly nursing homes. A single-case experimental design was adopted for the study. Each study subject was asked to put rings on her finger (from 9:00 to 19:00) for 7 days. The Neuropsychiatric Inventory, scenes of behavioral and psychological symptoms of dementia, interest in wearing rings, self-awareness, and overall profile were determined to assess the effect on the patients of wearing rings.
The majority of nursing care providers stated, based on their assessment, that the "irritability/lability" that was noted during the baseline period disappeared during the ring-wearing intervention period in the three patients who displayed an interest in rings. In the assessment of the self-awareness ability, these three women were aware themselves of their intellect collapsing and were capable of conjecturing their own and others' minds. It was commonly seen that the nursing staff, even though they had not been asked to do so by the researchers, told the patients, "Mrs. XX, you look so beautiful" when they found a patient wearing rings.
DISCUSSION/CONCLUSION: Individuals with low self-esteem are inclined to get angry and display aggression. In subjects with low self-esteem, anger and aggression readily arise when they are slighted by others. Self-esteem is low in those women who are aware of their own status of collapsing intellect. It is concluded that the words of conjuration, "you look so beautiful," which the wearing of the ring per se by the patient elicited from the caregivers heightened the self-esteem and alleviated "irritability/lability" in the study subjects.
本研究旨在探讨佩戴指环对患有痴呆行为和心理症状的老年女性的影响。
研究对象为7名居住在老年疗养院的日本痴呆患者。本研究采用单病例实验设计。要求每位研究对象在7天内（9:00至19:00）佩戴指环。通过测定神经精神科问卷、痴呆行为和心理症状场景、佩戴指环的兴趣、自我意识及整体概况，来评估佩戴指环对患者的影响。
大多数护理人员根据评估表示，在对指环表现出兴趣的3名患者中，基线期出现的“易激惹/情绪不稳定”在佩戴指环干预期消失。在自我意识能力评估中，这3名女性意识到自己智力衰退，并能够推测自己和他人的想法。常见的情况是，即使研究人员未要求，护理人员在发现患者佩戴指环时也会对患者说：“XX夫人，你看起来真美”。
讨论/结论：自尊心低的人容易发怒和表现出攻击性。在自尊心低的受试者中，当他们被他人轻视时，容易产生愤怒和攻击性。意识到自己智力衰退状态的女性自尊心较低。得出的结论是，患者佩戴指环本身引发护理人员说出的赞美之词“你看起来真美”，提高了研究对象的自尊心，减轻了“易激惹/情绪不稳定”。
