权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

End-of-life experiences among elderly nursing home residents with dementia and issues regarding nursing care

老年痴呆症疗养院居民的临终经历和护理问题

基本信息

批准号：
15592326
负责人：
KITAGAWA Kimiko
金额：
$ 0.9万
依托单位：
Niigata College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2005
项目状态：
已结题

项目摘要

1. ObjectiveThe objective of the present study was to obtain basic data for developing an end-of-life care program for elderly with dementia by elucidating the course of progression during the end-of-life stage. Two survey plans were implemented from 2003 to 2005.2. Summary of the results of Survey 1Data regarding physical and mental conditions from the time of admission to November 2005 were obtained from the medical charts of 5 elderly with severe dementia who were admitted to a nursing home in Niigata Prefecture. One elderly died in May 2003.(1) Bedridden elderly with severe dementia had frequent fever, followed by dysphagia, reduced dietary intake, stridor, and altered conscious level. In addition, elderly who were capable of walking at the time of admission progressed to a bedridden state following falls or fractures, and followed a similar course.(2) Comparison of the course of elderly capable of ingestion and those receiving tubal feeding showed that the latter had fewer days of … More fever than the former, but also had self-extubation of the feeding tube in addition to pneumonia.3. Summary of the results of Survey 2Data regarding body temperature, dietary intake, body weight, and outcome from the time of admission to August 2005 were obtained from the case records of 27 elderly with dementia who were admitted to a nursing home in Chiba Prefecture.(1) A total of 11 of 27 (40.7%) elderly died during a 3-year period.(2) Among the elderly who died, those who were capable of walking one year prior to death and those who were bedridden had different courses of progression during the end-of-life stage. Specifically, the former had behavioral and psychological symptoms of dementia such as wandering and excitement during the year preceding death, and exhibited no notable physical signs.4. SummaryThe above findings indicate that various types of end-of-life experiences exist among elderly with dementia, and that establishment of suitable nursing care for each of these types is necessary. Less

1.目的本研究的目的是通过阐明老年痴呆症的进展过程，为制定老年痴呆症临终关怀计划获得基础数据。 2003年至2005年2月实施了两次调查计划。调查1结果概要从入住新泻县疗养院的5名患有严重痴呆症的老人的病历中获得了从入院时到2005年11月期间的身体和精神状况的数据。 2003年5月，一名老人死亡。(1)患有严重痴呆的卧床老人，经常发烧，随后出现吞咽困难、饮食减少、喘鸣、意识水平改变。此外，入院时能行走的老年人，因跌倒或骨折而进展为卧床不起，病程也相似。(2)能进食的老年人与接受输卵管喂养的老年人病程比较，后者发热天数比前者少，但除肺炎外，还出现自行拔管的情况。3.调查2结果摘要从入住千叶县疗养院的27名痴呆老人的病例记录中获得了自入院时至2005年8月期间的体温、饮食摄入量、体重和结果的数据。(1) 27名老人中共有11人(40.7%)在3年期间死亡。(2) 死亡老人中，死亡前一年能够行走的老人和无法行走的老人卧床不起的人在临终阶段有不同的进展过程。具体而言，前者在死亡前一年曾出现走神、兴奋等痴呆行为和心理症状，但没有表现出明显的身体体征。4．总结上述研究结果表明，痴呆老年人存在多种类型的临终经历，因此有必要针对每种类型建立合适的护理服务。较少的