Sinobu Sato and Yasuko Fukaya
Dokkyo Medical University, Japan
Kanto-Gakuin University, Japan
Posters & Accepted Abstracts: J Nurs Care
Aim: The purpose of this study is to clarify the difference between the life-worldly communication time and its
construct structure in at the facility facilities and at in home care.
Method: The subjects were 65 individuals, aged 65 or older, requiring nursing care. The place where people lives were
41 people lived in at the facilities and 24 people lived at home. The life-worldly communication time was calculated
from the verbatim records of daily conversations between the older people and the caregivers. The difference in the
construct structure of life-worldly communication, by considering the place of residence of the older people, was
extracted by factor analysis.
Result: The average time of life-worldly communication in medical sanatoriums wasare is 161.35 seconds for
medical sanatorium (SD = 196.75), 378.92 seconds for in nursing homes (SD = 559.13), 2744.11 seconds at in home
care (SD = 2891.19), and there was a significant statistical difference among the places of residence. The factor
structure of life-worldly communication time are was consisted of three common factors at the facilities: factor1
Factor 1 (Prompt of conversation Conversation encouragement by care providers), factor2 Factor 2 (Spontaneity
of older people), and factor 3 (Topics of daily life) in the facilities, but shows the two-factor structure proved to be
more suitable at in home care : factor1 Factor 1 (Topics of daily life) and factor2 Factor 2 (Prompt of the conversation
Conversation encouragement by the care providers), and there was a significant difference in structure among the
places of residence.
Conclusions: The older people in the facilities have significantly less speech time than the elderly at home, and their
speech time is influenced by the care provider's attitude to communication.
Sinobu Sato has been qualified in RN and PHN and have completed her Master of Science in Nursing at Tokai University. Currently, she is working as Junior Associate Professor of Gerontological Nursing.
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