Influence Change of Service Use Affects Behavior of Elderly with Dementia and Care by Family Caregivers

对23名照顾老年痴呆患者的家庭照顾者的服务使用和生活情况进行了访谈。许多老年痴呆症患者需要照顾，有4人被安置在一家护理机构。一年后，另一个人把一名家庭成员送进了一家护理机构，有两人住进了医院。这些决定的原因是问题行为，如流浪和暴力。为了选择服务使用，有一个专业的支持，这表明家庭照顾者的照顾是有限的。由此，认为需要支持“确定入口服务的使用”和“暂时作为避难所的安全并伴有痴呆症加重的症状”。家庭照顾者在不可避免的感受中使用了机构服务。从收容所回到家里的那个病人已经卧床不起了。因此，“老年人的护理质量有了提高……更多的机构服务需要由家庭照顾者来照顾”。没有为患有轻微痴呆症的老年人提供的服务，并使用了诸如阿尔茨海默氏症协会之类的非正式支持。由此，“发现并抚养非正式照顾者的社区改善”实施了“早期失智长者的支持活动”，促进了“失智长者的自我实现”，并认为需要在预防中执行“支持问题行为不实现”。虽然使用日间护理服务或临时护理减轻了老年人卧床不起的照顾者负担，但它已成为老年人的身体负担。因此，需要“对患有严重痴呆症的老年人进行健康管理，并提供通过在家获得疾病状况的服务”，并且需要“减轻日托服务负担并促进照顾者自我实现的探访服务”。在访谈时，家庭照顾者回顾了他们的照顾，并讲述了照顾的意义。考虑到“通过叙述支持家庭照顾者”的重要性。少

The result interviewed about service use and the life with 23 family caregivers who were caring for elderly with dementia was as follows.1. Many elderly with dementia needed much care, and 4 people had been placed in a care institution. One year after, another person had placed a family member in a care institution and 2 people had been admitted to hospital. The reasons of these decisions were problem behavior such as wandering and violence. In order to have opted for service use, there was a professional support which suggests the limit of care by family caregivers. From these things, it was thought that support of "ascertaining of entrance service use" and "being security of refuge temporarily accompanying a symptom of dementia aggravation" was required.2. Family caregivers used the institution service in unavoidable feelings. The case which returned from the institution to being home had become bedridden. Therefore "a care of the elderly who have placed and improvement in the qualit … More y of institution service to care by family caregiver" were required.3. There is no available service for elderly with slight dementia and an informal support such as Alzheimer's Association was used. From this, "the community improvement which finds and brings up an informal caregivers" performed "support activities from the early stage of dementia", "demented elderly person's self-actualization" was promoted, and it was thought required to perform in prevention "support problem behavior does not actualize."4. Although caregiver burden was mitigated using day-care-service or respite care in elderly bedridden, it had become physical burden for elderly. Therefore "health management with the service from which condition of disease is obtained by being home to elderly with serious dementia" is required, and "visiting service which mitigates the burden of day-care-service, and promotes a caregiver's self-actualization" was required.5. At the time of the interview, the family caregivers looked back upon their care, and they told the meaning of care. The importance of "support family caregivers by narrative" was considered. Less