Interventions for empowering the elderly with early dementia and family caregivers living in a rural community : participatory action research study

为患有早期痴呆症的老年人和生活在农村社区的家庭照顾者提供干预措施：参与性行动研究

• 批准号: 17592316
• 负责人: NOMURA Michie
• 金额: $ 2.39万
• 依托单位: Ehime Prefectural University of Health Science
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 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/grant/KAKENHI-PROJECT-17592316/
• 关键词: Background The increase in the number of people su; Early Dementia; Family Caregiver; Participatory Action Research; Cognitive Rehabilitation; Empowerment; 家族支援; グループアクティビティ

Background: The increase in the number of people suffering from dementia is of increasing global concern. A survey on the living conditions of the elderly in a Japanese rural community revealed a high prevalence of early dementia and the necessity for interventions not only for the elderly with early dementia but also for their families.Objective: To describe the implementation and process evaluation of a programme based on cognitive rehabilitation aimed at empowering the elderly with early dementia and education and counseling programmes aimed at likewise empowering their family caregivers.Design: This study used a community health action research model. Participatory action research (PAR)was conducted through a cycle of planning, action, and reflection to identify effective interventions to empower participants with dementia (PsWD)and their caregivers.Setting: A rural town in Japan.Participants: This project involved 37 community-dwelling elderly with early or mild dementia and 31 fa … More mily caregivers.Methods: A focus group interview was used for assessment. A monthly activity-based programme based on cognitive rehabilitation was developed to improve cognitive function. Three types of data were collected: observational data collected during the activities, written comments from the caregivers, the record of phone interviews and counselings with caregivers. These data were compiled in chronological order into a portfolio for analysis. To empower family caregivers, educational and counseling programmes were offered.Results: The PAR lasted for five years and evolved over three cycles: individual, group and community. In the first cycle, the major focus of the intervention was to regain procedural skills for each PWD through a cooking programme. In the second cycle, to increase interactions with family members and with other PsWD, group activities that promoted communication among family members as well as among PsWD were implemented. The collective values and the beliefs of the PsWD's generation were validated by a series of trips to temples and shrines. In the third cycle, community participation was planned and implemented through culturally relevant sequential activities. PsWD demonstrated their expert skills and regained confidence. For family caregivers, the educational programme provided knowledge about dementia and utilization of social resources. Face-to-face and phone counselings were offered as needed to coach problem-focused coping. These programmes helped to interpret the symptoms of dementia and to reduce the behavioural problems.Conclusions Cognitive rehabilitation theory was useful to restore lost procedural skills and regain confidence for PsWD. This PAR illustrated the importance of interventions for both community dwelling elderly with early dementia and their family caregivers. Less

背景：痴呆症患者数量的增加越来越受到全球的关注。一项对日本农村社区老年人生活状况的调查显示，早期痴呆症的患病率很高，不仅对患有早期痴呆症的老年人，而且对他们的家人都有必要进行干预。目的：描述基于认知康复的方案的实施和过程评估，该方案旨在为患有早期痴呆症的老年人赋权，以及旨在同样赋予其家庭照顾者权力的教育和咨询方案。设计：本研究采用社区健康行动研究模型。参与性行动研究(PAR)通过规划、行动和反思的循环进行，以确定有效的干预措施，以增强痴呆症参与者(PsWD)及其照顾者的能力。背景：日本的一个乡村小镇。参与者：该项目涉及37名患有早期或轻度痴呆症的社区老年人和31名FA…方法：采用焦点小组访谈法进行评估。制定了以认知康复为基础的每月活动方案，以改善认知功能。收集了三种类型的数据：活动期间收集的观察数据，照顾者的书面评论，电话采访和与照顾者的咨询记录。这些数据按时间顺序汇编到一个文件夹中进行分析。为了增强家庭照顾者的能力，提供了教育和咨询计划。结果：PAR持续了五年，经历了三个周期：个人、群体和社区。在第一个周期中，干预的主要重点是通过烹饪计划重新获得每个残疾人士的程序技能。在第二个周期中，为了加强与家庭成员和其他残疾妇女之间的互动，开展了促进家庭成员之间以及残疾妇女之间交流的小组活动。Pswd这一代人的集体价值观和信仰通过一系列去寺庙和神社的旅行得到了验证。在第三个周期中，社区参与是通过与文化相关的连续活动来规划和实施的。PsWD展示了他们的专业技能，并恢复了信心。对于家庭照料者，教育方案提供了关于痴呆症和社会资源利用的知识。根据需要提供面对面和电话咨询，以指导专注于问题的应对。这些程序有助于解释痴呆的症状，减少行为问题。结论认知康复理论有助于恢复丧失的程序技能，恢复对PsWD的信心。这一标准杆说明了对社区居住的早期痴呆症老年人及其家庭照顾者进行干预的重要性。较少

项目成果

地域における初期認知症高齢者と家族介護者への支援方法:文献検討

社区早期痴呆老人及其家庭照顾者的支持方法：文献综述

• 发表时间: 2007
• 期刊: 愛媛県立医療技術大学紀要 4(1)
• 作者: Yuko;Ueda;Hiroko;Makino;Miyuki;Onoi;Yumiko;Nakamura;野村 美千江
• 通讯作者: 野村 美千江

Interventions for Elderly with Early Dementia and Family Caregivers : Review of the Literature

对患有早期痴呆症的老年人和家庭照顾者的干预措施：文献综述

• 发表时间: 2007
• 期刊: Bulletin of Ehime Prefectural University of Health Sciences 4(1)
• 作者: Nomura;M
• 通讯作者: M

Empowering the elderly with early dementia and family caregivers:A participatory action research study

赋予早期痴呆症老年人和家庭照顾者权力：一项参与性行动研究

• 期刊: International Journal of Nursing Studies (in press)
• 作者: Nomura M;Makimoto K;Kato M;Shiba T;Matsuura C;Shigenobu K;Ishikawa T;Matsumoto N;Ikeda M.
• 通讯作者: Ikeda M.

認知症高齢者の自動車運転と権利擁護に関する研究(特集認知症-予防とケアの最前線)

痴呆老人驾驶与维权研究（专题：痴呆——预防护理最前沿）

• 发表时间: 2006
• 期刊: 公衆衛生 70(9)
• 作者: 池田学;上村直人;荒井由美子;野村美千江;博野信次
• 通讯作者: 博野信次

痴呆高齢者が自動車運転を断念する過程-家族対処とジレンマ

痴呆老人放弃驾驶的过程——家庭应对与困境

• 发表时间: 2005
• 期刊: 精神神経学雑誌 107(12)
• 作者: 野村美千江;柴珠実;豊田ゆかり;宮内清子
• 通讯作者: 宮内清子