AIMS AND OBJECTIVES:To determine the current status of dementia patient's quality of life and compare influencing factors in China and Japan to inform nursing care and potentially improve the patient's quality of life.BACKGROUND:The prevalence of dementia is increasing related to lack of a cure, thus prompting some researchers and clinicians to focus on patient's quality of life.DESIGN:A cross-sectional study.METHODS:A convenience sample of 200 mild-to-moderate dementia patients was obtained in Jinan city and 205 ones in Wakayama city. Then, we measured patient's quality of life and analysed the relation between general demographic information, cognitive function, activities of living, behavioural and psychological symptoms, and the patient's quality of life.RESULTS:The total score of Dementia Quality of Life in Jinan city was 89·82 ± 15·11; multiple linear regression showed that the influencing factors of quality of life were marital, economics, characteristics, activities of living, hypertension and irritability. And the total score in Wakayama city was 118·30 ± 14·56; the influencing factors were education, body mass index, activities of living and depression.CONCLUSIONS:The total score of Dementia Quality of Life in Jinan city was significantly lower than Wakayama city. The same influencing factor between these two cities was activities of living.RELEVANCE TO CLINICAL PRACTICE:Nurses could implement interventions to focus on many of the patient's influencing factors, so that to improve their mental and physical health, which may slow the disease process and further improve the patient's quality of life. In addition, Chinese government could learn some experience from Japanese government, such as perfect the system of nursing insurance for elderly and introduce professional geriatric nursing talents to provide better service for the elderly.

介绍了日本护理保险制度的理念、可利用的服务及费用负担;详细阐述了日本养老机构的特点,包括养老机构种类繁多,环境温馨、设施齐全,人力资源充足、服务态度周到温和,老人活动内容丰富,以及详尽的护理记录。由此总结出对我国养老护理机构发展的启示,如加强政策支持力度,加强机构中管理人员及工作人员队伍建设,以及注重老人身心健康发展等。

Objective To form the Chinese version of the Dementia Quality of Life(DQoL),to evaluate its reliability and validity and to provide a valid instrument for measuring the Chinese dementia patient′s quality of life.Methods We translated the DQoL into Chinese,and produced a 5-point scale which comprised of 3 questions,29 items and 1 overall QoL item.Then,through Mini-mental State Examination(MMSE) we screened out 40 patients with mild to moderate dementia from Jinan city to evaluate DQoL′s reliability and validity.And 22 of them were retested after a 4-week interval.Results The internal consistency reliability Cronbach′s α coefficient of the Chinese version DQoL was 0.856;the test-retest correlation coefficient was 0.726;the content validity index was 0.986;the correlation coefficient among the five dimensions ranged from-0.133 to 0.694.Conclusion The Chinese version of the DQoL has good reliability but validity is slightly low,and needs further research in a larger sample.

目的探讨学生对"学生讲课,教师指导"的互动式英语教学方法的赞同情况及其存在的问题。方法选取医学硕士研究生英语读写班122名学生为教学对象,对其进行"学生讲课,教师指导"的互动式英语教学方法,采用自行设计的问卷调查学生对该教学方法的评价。结果 79名(64.8%)学生赞同并接受"学生讲课,教师指导"的互动式教学方法,主要原因为该教学方法可以提高学生独立思考和解决问题的能力;31名(25.4%)学生不赞同这种教学方法,主要原因为学生讲课重点不突出,分不清主次;12名(9.8%)学生对这种教学方法表示无所谓。结论 "学生讲课,教师指导"的互动式英语教学方法存在一些亟待解决的问题,但比较适合医学研究生研究性学习。

目的 翻译爱丁堡痴呆进食评估量表(The Edinburgh Feeding Evaluation in Dementia scale,EdFED)并检验其信效度.方法 翻译形成中文版EdFED,对100例痴呆患者进行评估.结果:量表Cronbach's α系数为0.90,评定者间一致性系数为0.81,重测系数为0.89.量表表面效度较好,CVI为1.00,与欧洲营养风险筛查方法(Nutritional Risk Screening 2002,NRS-2002)和吞咽功能评估工具(Clinical Nursing Swallowing Assessment Tool,CNSAT)的相关系数分别为0.35、0.20.主成分分析共抽取3个因子,解释变异量的81.55%.结论:中文版EdFED信度和效度较好,可用于评估我国内地痴呆患者进食困难程度.