Effect of light and thermal environment in long-term care facilities on behavioral and psychological symptoms of older adults with dementia

长期护理机构光热环境对痴呆老年人行为和心理症状的影响

• 批准号: 22KJ3222
• 负责人: 奈良 玲伊
• 金额: $ 1.09万
• 依托单位: Ochanomizu University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for JSPS Fellows
• 财政年份: 2023
• 资助国家: 日本
• 起止时间: 2023-03-08 至 2024-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22KJ3222/
• 关键词: 介護施設; 温熱環境; 光環境; 季節変動

令和４年度は、主に介護施設での計測機器を用いた入所高齢者の生理量計測・施設内温熱、光環境の指標計測を行ない、得られたデータを随時分析した。調査対象協力施設では、新型コロナウイルスのクラスター発生や、外部関係者の入構禁止など、新型コロナウイルス感染症流行に伴ういくつかの制限によって一部データの取得ができない期間があったが、年間を通した被験者・環境データを取得することができた。得られたデータの内、今年度は夏期・冬期・中間期、３つの期間についてそれぞれ、入所高齢者の居室環境の変動、さらに、環境と入所高齢者の生理指標の関連について着目し分析を行なった。その結果、夏期の対象施設では、比較的適切な冷房による空調管理がなされており、期間のほとんどが高齢者の睡眠に適切な温湿度を保っていることが明らかとなった。入所高齢者の睡眠の質については、居室環境との統計的有意な相関関係は確認されなかった。対して、冬期には居室内の時間による温度幅が暖房の使用有無に応じて大きく、湿度は適正とされる基準値を大幅に下回っており、睡眠の質も温湿度との相関関係が確認されたことから、特に冬期の環境整備について周知を徹底する必要性が示された。また、気候が暖かくなり始める中間期である3月の居室内室温に着目し、１月・2月の居室内室温と比較すると、外気温度は高いにも関わらず3月の居室室温が1月・2月よりも低いことが明らかとなった。これは、空調管理を担う介護職員の暖房の使用方法の変化に起因すると考えられ、冬を超えた時期の空調使用を積極的に行なうよう、周知を行なう必要性が示された。今後は、年間の季節変動を考慮した、通年データを用いたより詳細な分析を実施し、介護施設内の環境が認知症を患う入所高齢者の健康に与える影響について定量化を試みる。

In the fourth year of the year, the main engineers and engineers are responsible for the construction of the physiological quantity of the equipment and the construction of the internal temperature meter, and the light environment indicator is used to carry out the program, and the equipment can be analyzed at any time. It is like the coordinated construction of the hospital, the new type of equipment, the health care of the health care workers, the prohibition of the participation of external workers, and the control of the epidemic of infectious diseases in the new type of health care enterprise. the health care unit of the hospital has obtained a license during the hospital period, and the environment of those who have been killed in the year of the year have been granted health care in the environment. Those who are admitted to the summer, summer and winter in this year, during the summer and winter periods, and during the summer, summer and winter periods of this year, and those who enter the residential environment during the summer, summer and winter periods, and those who enter the residential environment during the summer, summer and winter periods of this year, during the summer and winter periods of this year and during the summer and winter periods of this year, and those who enter the residential environment during the summer, summer and winter periods of this year, and those who enter the residential environment during the summer and winter periods of this year, during the summer and winter periods of this year, during the summer and winter periods of this year and during the summer and winter periods of this year, and those who enter the high places of residence, the physiological indicators of those who enter the high places of study are concerned. The results of the test, the summer weather, the cold room, the air management, the sleep, the temperature, the humidity, the temperature, humidity, temperature and humidity. Those who are enrolled in the high school are interested in the statistics of the sleeping environment and the living environment. In the winter and winter weather, the indoor temperature range heating room is equipped with non-heating room temperature, humidity temperature and humidity temperature, the temperature and humidity of the air conditioner, the temperature and humidity of the air conditioner, the temperature and humidity of the room, the temperature and humidity of the room, and the temperature and humidity of the room during the winter season. it is necessary to make sure that it is necessary to make sure that it is necessary to do so. The temperature of the room is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature in the room is in the middle of the month, the room temperature in the room is Air conditioning and air conditioning management shall be responsible for the promotion of staff members' methods for the use of greenhouses, the cause test, and the use of active air conditioners during the winter season, and to inform the staff that it is necessary to inform them that it is necessary to do so. In the future and in the coming year, the examination of seasonal activities will be conducted, the annual training will be conducted, and the environmental awareness disease in the construction will be analyzed, and the health of those who suffer from environmental awareness disease in the construction will be introduced, and the quantitative test will be conducted.

项目成果

認知症高齢者のBPSD軽減に向けた室内環境整備手法に関する研究：介護施設における被験者実測に基づく冬季室内環境と認知症高齢者の睡眠の質の関連

改善室内环境降低痴呆老人BPSD的方法研究——基于护理机构被测者的冬季室内环境与痴呆老人睡眠质量的关系

• 发表时间: 2022
• 期刊: 日本建築学会大会学術講演梗概集（北海道）
• 作者: James Goltz;Katsuya Yamori;Hideyuki Shiroshita;Kazuya Nakayachi;Takashi Sugiyama;Yu Matsubara;Naho Akiyama;Naho Akiyama;奈良玲伊・長澤夏子・後藤真由美
• 通讯作者: 奈良玲伊・長澤夏子・後藤真由美