短期入所サービス利用の痴呆性高齢者の家族介護者に対する問題行動対応方法教育の効果

教育对使用短期住宿照顾服务的痴呆老人家庭照顾者如何处理行为问题的影响

• 批准号: 17659713
• 负责人: 小平 廣子
• 金额: $ 1.09万
• 依托单位: Fukushima Medical University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Exploratory Research
• 财政年份: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2007
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17659713/
• 关键词: 認知症; 介護負担感; 教育的介入; 介護保険施設; 高齢者; 家族看護; 老年看護; 短期入所サービス; 老人看護; ショートステイ; 概念分析

介護老人保健施設の短期人所サービスを利用している認知症高齢者の家族介護者に、BPSDへの対応方法に関する職員研修と教育的支援を実施し、BPSDの発生頻度および介護負担感への軽減効果の検証を行った。対象者は対照群が7名、職員研修と教育的支援を行った介入群が7名であった。対照群7名の介護者の平均年齢は65.0才、うち5名が女性、平均介護期間は9年5カ月、利用者から見た続柄は、娘3名、夫1名、嫁1名、息子1名、姪1名であった。家族の中に介護代替者ありが3名、1日の平均介護時間数は8.4時間であった。対照群の利用者の平均年齢は、91才、性別は7名全員が女性であった。平均要介護度は3.7、認知症と診断されてから調査までの期間は平均9年1カ月であった。介入群の介護者7名の平均年齢は64.7才、女性が5名、介護期間は平均6年2カ月、利用者からみた続柄は娘4名、息子2名、妻1名であった。介護代替者ありが2名、1日の平均介護時間数は8.4時間であった。介入群の利用者の平均年齢は86.3才、男性2名、要介護度は3.4、認知症と診断されてからの年数は平均4年10カ月であった。対照群と介入群の入所前と退所2週間後のBPSD発生頻度および介護負担感得点を分析した結果、BPSDの発生頻度は、対照群は相関係数0.995、t値1.012、介入群は相関係数0.991、t値1.482、両群の事前、事後の差による相関係数0.569、t値0.275であり、有意水準0.05%で両群に有意差はみられなかった。介護負担感得点では、対照群の相関係数0.992、t値-0.145、介入群の相関係数0.972、t値2.842、両群の事前、事後の差による相関係数-0.528、t値2.188であった。介入群において有意水準0.05%で介護負担感に有意差がみられた。上記の結果より、認知症高齢者の家族介護者にBPSDに関する職員研修およびBPSD対応方法の教育的支援を行うことは、家族介護者の介護負担感の軽減に有用であると言える。なお、介護老人保健設施の短期入所サービス利用の認知症高齢者は、同じ人が繰り返し利用しているため、入所者が限定されてしまい、1つの施設では十分な対象者数を確保することができなかった。職員研修内容の妥当性の検証も含め、今後、複数の施設で再度、同じ研究を行う予定である。

Short-term residential care facilities for the elderly are utilized for family caregivers of individuals with high levels of cognitive impairment, support for staff training and education related to BPSD methodology, frequency of occurrence of BPSD, and evidence of results in reducing the burden of care. The number of participants is 7. The number of participants is 7. The average age of 7 caregivers in the group was 65.0 years, 5 females, 9 years and 5 months, 3 females, 1 husband, 1 wife, 1 child, 1 nephew. The average nursing time of family members is 8.4 hours. The average age of the users of the group is 91 years, and the gender is 7 years. The average degree of intervention was 3.7. The average period of investigation for cognitive disorders was 9 years and 1 month. The average age of the interveners was 64.7 years, the average duration of the interveners was 6 years and 2 months, the average age of the interveners was 6 years and 2 months, the average age of the interveners was 6 years and 2 months, the average age of the interveners was 6 years and 2 months, the average age of the interveners was 6 years and 2 years, the average age of the interveners was 6 years and 2 years, the average age of the interveners was 6 years and 2 years, the average age of the interveners was 6 years and 2 months, the average age of the interveners was 6 years and 2 years, the average age of the interveners was 6 years and 2 months, the average age of the interveners was 6 years and 2 years, the average age of the interveners was 6 years and 2 years, the average age of the interveners was 6 years and 2 months, the average age of the interveners was 6 years and 2 years, the average age of the average age of the interveners was 6 years and 2 months, the average age of the average age of the interveners was 6 years and 2 years and 2 years, the The average nursing time is 8.4 hours per day. The average age of users of intervention group was 86.3 years, male 2, degree of care 3.4, average age of diagnosis 4 years, 10 months. BPSD occurrence frequency and media-burden sensing point before and after the entrance and exit of radiation group were analyzed. BPSD occurrence frequency was opposite. Correlation coefficient of radiation group was 0.995 and t value was 1.012. Correlation coefficient of intervention group was 0.991 and t value was 1.482. Correlation coefficient of before-and-after difference of radiation group was 0.569 and t value was 0.275. Intentional level was 0.05% and intentional difference of radiation group was opposite. The correlation coefficient of the intervention group is 0.972, t value is 2.842, and the correlation coefficient of the difference between the pre and post intervention groups is-0.528, t value is 2.188. Intervention group intentional level 0.05%, mediation burden intentional difference The above results indicate that family caregivers with cognitive disorders are useful in reducing the burden of care for family caregivers by providing support for staff training and education on BPSD methods. The number of people with high cognitive disorders who use short-term residential care facilities for the elderly is limited and the number of people who use short-term residential care facilities is guaranteed. The adequacy of staff training content is verified, including future, multiple implementation, and the same research.