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

研究结果如下：1.对23位照顾失智老人的家庭照顾者进行服务使用与生活的访谈.许多老年痴呆症患者需要大量护理，4人已被安置在护理机构。一年后，另一人将一名家庭成员安置在护理机构，两人住院。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有限。从这些情况来看，认为需要"确定入口服务的使用"和"暂时伴随痴呆症加重症状的避难所的安全性"的支持。家庭照顾者在使用机构服务时有不可避免的感受。从医院回到家中的病例已卧床不起。因此，“一个照顾老人的人，在素质上有了提高， ...更多信息 机构服务对家庭照顾者照顾的依赖程度.没有为患有轻微痴呆症的老年人提供的服务，而是利用了阿尔茨海默氏症协会等非正式支助。由此可见，“发现和培养非正式照顾者的社区改善”从痴呆早期就开展了“支持活动”，促进了“痴呆老年人的自我实现”，并认为需要在预防“支持问题行为不实现”方面进行。"4.虽然日间照顾服务或暂托照顾可减轻长期卧床老人的照顾者负担，但照顾者负担已成为老人的身体负担。因此，需要"健康管理与服务，从那里获得疾病的条件，通过回家严重痴呆症的老人"，并要求"访问服务，减轻日托服务的负担，并促进照顾者的自我实现"。5.在采访时，家庭照顾者回顾了他们的照顾，他们告诉照顾的意义。会议审议了"以叙述方式支持家庭照顾者"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