The development of nursing care model for transition to the community from psychiatric hospital for patients with behavioral and psychological signs and symptoms of dementia

痴呆症行为心理体征和症状患者从精神病院向社区过渡的护理模式发展

• 批准号: 24660059
• 负责人: KAYAMA Mami
• 金额: $ 2.41万
• 依托单位: St. Luke's College of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Challenging Exploratory Research
• 财政年份: 2012
• 资助国家: 日本
• 起止时间: 2012-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-24660059/
• 关键词: 認知症; 早期退院; 家族ケア; チーム医療; 周辺症状（BPSD); 地域移行; 多職種

The aim of this study is to find supports for families caring for patients with dementia from before admission to after discharge from a psychiatric hospital including admission and discharge process. Eight patients discharged within three months, care-giving families, doctors, psychiatric social workers and nurses were interviewed about their experiences from admissions and discharge. The constant comparative analysis based on grounded theory was used to analyze the data.The benefit for families by this study supports caregiver satisfaction and satisfaction for them because of a high value on caring for patients and getting positive evaluations. And benefit supports patients' ability to keep their smooth daily life resulted in both physically and psychiatrically. Though home care for patients with dementia had focused on family burden, medical stuffs could raise discharges by understanding families' benefit and preparing for environment by promoting families' benefit maximally.

摘要本研究旨在探讨精神病院痴呆患者入院前至出院后，家庭对痴呆患者的支持，包括入院和出院过程。对8名在3个月内出院的患者、护理家属、医生、精神科社工和护士进行了采访，了解他们从入院到出院的经历。采用基于扎根理论的恒常对比分析法对数据进行分析。本研究对家庭的好处是支持照顾者满意度和他们的满意度，因为照顾病人的价值很高，并得到积极的评价。福利支持患者在身体和精神上保持平稳日常生活的能力。虽然老年痴呆症患者的居家护理侧重于家庭负担，但医疗人员可以通过了解家庭利益，最大限度地促进家庭利益，为环境做好准备，从而提高出院率。