BPSD 関連項目に該当する要支援高齢者の介護度悪化 に関わる要因の検討  [in Japanese] Factors related to aggravation of the level of care for elderly individuals with behavioral and psychological symptoms of dementia requiring support  [in Japanese]

Access this Article

Search this Article

Author(s)

    • 丸田 道雄 Maruta Michio
    • 医療法人三州会大勝病院(前所属;鹿児島大学医学部保健学科作業療法学専攻) Medical Corporation, Sansyukai, Okatsu Hospital (Former affiliation; Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University)
    • 田中 隆行 Tanaka Takayuki
    • 鹿児島大学医学部保健学科作業療法学専攻 Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University
    • 佐賀里 昭 Sagari Akira
    • 信州大学医学部保健学科作業療法学専攻 Division of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Shinsyu University
    • 宮田 浩紀 Miyata Hironori
    • 九州栄養福祉大学リハビリテーション学部作業療法学科 Department of Occupational Therapy, Faculty of Rehabilitation, Kyushu Nutrition Welfare University
    • 堀田 牧 Hotta Maki
    • 大阪大学大学院医学系研究科精神医学教室 Department of psychiatry, Course of Integrated Medicine, Osaka University, Graduate School of Medicine
    • 吉満 考二 Yoshimitsu Koji
    • 鹿児島大学医学部保健学科作業療法学専攻 Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University
    • 韓 侊熙 Han Gwanghee
    • 熊本大学医学部附属病院神経精神科(前所属;社会医療法人雪の聖母会聖マリア病院リハビリテーション室) Department of Neuropsychiatry, Kumamoto University Hospital (Former affiliation; Department of Rehabilitation center, St.Mary's Hospital)
    • 高橋 弘樹 Takahashi Hiroki
    • 社会医療法人雪の聖母会聖マリア病院リハビリテーション室 Department of Rehabilitation center, St.Mary's Hospital
    • 川越 雅弘 Kawagoe Masahiro
    • 社会医療法人雪の聖母会聖マリア病院リハビリテーション室埼玉県立大学大学院保健医療福祉学研究科 Graduate School of Health, Medicine, and Welfare, Saitama Prefectural University

Abstract

<p><tt>本研究の目的は,認知症の行動・心理症状(</tt>BPSD<tt>)を有する要支援者の要介護状態への移行予防についての示唆を得ることである.</tt>A <tt>市の</tt>2014 <tt>年度と</tt>2016 <tt>年度の介護保険認定調査データより,心身機能や日常生活動作(</tt>ADL<tt>),手段的日常生活動作(</tt>IADL<tt>)の観点から</tt>BPSD <tt>関連項目に該当する要支援高齢者が要介護状態へ悪化する要因についてロジスティック回帰分析を用いて検討した.その結果,介護度の悪化には,「薬の内服」,「日常の意思決定」,「金銭の管理」が,維持・改善には,「歩行」が有意に関連していた.つまり,</tt>BPSD <tt>関連項目に該当する要支援高齢者に対しては,介護度の悪化を予防するために,早期より</tt>IADL <tt>の低下予防に介入し自立を支援することや日常生活場面での意思決定を支援することが重要であり,また,歩行能力の向上を図ることは,介護度の維持・改善へつながることが示唆された.</tt></p>

<p>In this study, we investigated factors related to aggravation of the level of care for elderly individuals with behavioral and psychological symptoms of dementia (BPSD) requiring support, based on the A City's certification of long-term care needs survey in 2014 and 2016. We investigated the survey contents related to mental and physical function, activities of daily living (ADLs), and instrumental activities of daily living (IADLs) using a multiple logistic regression model. As a result, "own medications," "daily decision-making," and "handling finances" were significantly related to aggravation of the levels of care; "walking" was significantly related to maintenance of and improvements in the levels of care. Our findings suggested that to prevent aggravation of the level of care for elderly individuals with BPSD requiring support, we should prevent degradation in their IADLs, and we must support their decision-making in daily living. It was also suggested that improving walking ability leads to maintenance of and improvements in the levels of care.</p>

Journal

  • Journal of allied health sciences

    Journal of allied health sciences 10(1), 19-26, 2019

    Society of Allied Health Sciences

Codes

Page Top