@article{oai:saku.repo.nii.ac.jp:00000201,
 author = {山本, 順子 and 堀内, ふき and Horiuchi, Fuki and 征矢野, あや子 and Soyano, Ayako},
 issue = {1},
 journal = {佐久大学看護研究雑誌, Saku University journal of nursing},
 month = {Mar},
 note = {本研究では、介護老人保健施設入所高齢者を対象に、苦痛に関する抽象的な質問と具体的な質問に対して高齢者が話す内容は何か、及び質問に対して苦痛を話さない高齢者の特性を明らかにすることを目的とした。方法として2 施設において、認知症の有無に関わらず、はい・いいえの意思表示が可能で退所予定のない高齢者を対象に最初に「辛い、苦しい、困っていることは何か」と抽象的な質問をし、その後身体・精神・社会・スピリチュアルな側面の苦痛について具体的に質問をした。結果、対象者96 名のうち71 名に調査を行い、1 つ以上苦痛のあった高齢者は67 名94.4％であった。最初の抽象的な質問で苦痛を話した高齢者は46.5％で、苦痛を話さなかった高齢者に比べ認知症の割合が有意に少なかった。抽象的な質問に対して苦痛を話さない人も具体的な質問によって苦痛を話すことから、具体的な質問の重要性が示唆された。
The purpose of this study was to clarify the pain experienced by nursing home residents.Furthermore, the study intended to elucidate the contents of responses given by individuals to abstract, as well as specifi c, questions on pain.
Participants were elderly individuals residing in two nursing homes in Japan. All were capable of providing responses of at least“ yes/no,” regardless of the presence of dementia. Data were collected through interviews. Initially, participants were asked to describe their suff ering expressed in relation to abstract questions.
A total of 71 individuals out of 96 surveyed were analyzed. The number of elderly that reported one or more type of pain was 67（94.4%）. Less than half of the participants（46.5%）discussed pain following the fi rst abstract question, although the rate of dementia was signifi cantly less in this group than those who did not discuss pain following the fi rst abstract question. Individuals that discussed pain in response to specifi c questions did not discuss pain in response to abstract questions. Therefore, the current results suggest the importance of specifi c questions when assessing pain in the elderly.},
 pages = {1--13},
 title = {介護老人保健施設で生活している高齢者の苦痛の実際と抽象的な質問と具体的な質問による回答の違い},
 volume = {9},
 year = {2017},
 yomi = {ホリウチ, フキ and ソヤノ, アヤコ}
}