Development of methods for preventive and palliative care of behavioral disturbances in elderly with dementia

开发老年痴呆症行为障碍的预防和姑息治疗方法

• 批准号: 14572303
• 负责人: OTA Kikuko
• 金额: $ 1.66万
• 依托单位: Keio University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14572303/
• 关键词: elderly with dementia; behavioral disturbances; caring method; group home; constant comparative methods; Gerontological nursing; 老年看護; 老人保健施設

In order to develop caring methods for behavioral disturbances in elderly with dementia, the reality of care provided by five experts at 2 small-scale and at-home-like care facilities was investigated and analyzed by constant comparative methods.1.Reality of care for behavioral disturbances in elderly with dementiaThe reality of preventive and palliative care provided by the experts for behavioral disturbances of the elderly with dementia was investigated though observing their interactions with elderly and interviewing them.As the result, following two main categories were found.A: Care of behavioral disturbancesB: Care in daily lifeCategory A was itemized as follows: Care providers "Change mood of elderly", "understand features of their behaviors that occurred frequently", "find causes of the failure of care", and "continue to observe elderly if tendency and pattern of their behaviors were not clarified." Category B was itemized as follows: "communication", "interaction", "body movem … More ent", and "environment."These two categories are related each other and united. A success of care in daily life of the elderly leads to prevention and relieve behavioral disturbances of the elderly. Validity of these categories was examined and revised by the researchers. A whole picture of these categories based on the reality of care for behavioral disturbances in elderly with dementia could be shown.2.Development of the care guideIn a process of data analysis and categorizing of caring methods, two features were found. One was the process of care composed by behavior and care provided by the care providers depends on situation of behavioral disturbances of the elderly. The other one was that care for the elderly were provided based on some judgment of care providers. Validity of this care guide was examined and revised by the care providers at various types of care facilities.3.Future PlanIn order to improve contents of these categories and the care guide, further investigation concerning the reality of preventive and palliative care provided by experts for behavioral disturbances of the elderly with dementia are required. It is also necessary to improve the care guide that the care providers can easy to see and use it in clinical setting. Less

为了开发老年痴呆行为障碍的护理方法，我们对5位专家在2家小型和家庭式护理机构提供的护理现实进行了调查和比较。老年痴呆行为障碍护理现状通过观察专家与老年人的互动和访谈，调查专家为老年痴呆行为障碍提供预防和姑息治疗的现状。结果，发现了以下两个主要类别。A：对行为障碍的护理b：日常生活中的护理A类分为：护理提供者“改变老年人的情绪”，“了解老年人频繁发生的行为特征”，“发现护理失败的原因”，“如果老年人的行为倾向和模式不明确，继续观察老年人”。B类分列如下：“沟通”、“互动”、“肢体动作……更多”和“环境”。这两个范畴是相互联系和统一的。老年人日常生活护理的成功，可以预防和缓解老年人的行为障碍。研究人员对这些类别的有效性进行了检验和修订。基于对老年痴呆症患者行为障碍护理的现实，这些类别的整体图景可以被展示出来。在对护理方法进行数据分析和分类的过程中，发现了两个特点。一是由行为构成的照顾过程和照顾者提供的照顾取决于老年人行为障碍的情况。另一种是对老年人的照顾是基于照顾者的一些判断。2 .不同类型护理机构的护理人员对该护理指南的有效性进行了检查和修订。未来规划为了完善这些分类的内容和护理指南，需要进一步调查专家对老年痴呆患者行为障碍的预防和姑息治疗的现实情况。还需要改进护理指南，使护理人员在临床环境中易于看到和使用。少

项目成果

Kikuko OTA, Yukiko LAU: "Development of methods for preventive and palliative care of behavioral disturbances in elderly with dementia"The Gerontological Society of America 56^<th> Annual Scientific Meeting, Nov.21-25,2003.

Kikuko OTA、Yukiko LAU：“开发痴呆症老年人行为障碍的预防和姑息治疗方法”美国老年学学会第 56 届年度科学会议，2003 年 11 月 21 日至 25 日。

Kikuko, Ota, Yukiko, Lau: "Development of methods for preventive and palliative care of behavioral disturbances in elderly with dementia"Gerontological Society of America 56^<th> Annual Scientific meeting November 21-25, 2003 San Diego, CA, USA. (口頭発表).

Kikuko, Ota, Yukiko, Lau：“开发痴呆症老年人行为障碍的预防和姑息治疗方法”美国老年学会第 56 届年度科学会议，2003 年 11 月 21-25 日，美国加利福尼亚州圣地亚哥。 （口头表达）。

Kikuko, Ota, Yukiko Lau: "Development of methods for preventive and palliative care of behavioral disturbances in elderly with dementia"Gerontological Society of America 56^<th> Annual Scienctific Meeting November 21-25,2003,San Diego, Ca, USA.

Kikuko、Ota、Yukiko Lau：“开发痴呆症老年人行为障碍的预防和姑息治疗方法”美国老年学会第 56 届年度科学会议，2003 年 11 月 21-25 日，美国加利福尼亚州圣地亚哥。