Problematic Behaviors in Elderly Dementia Patients Caused by the patients' Daily Surroundings and Relationship with Care-Providers

老年痴呆症患者因日常环境及与护理人员的关系而导致的问题行为

• 批准号: 07610180
• 负责人: ISHIKURA Yasuji
• 金额: $ 1.28万
• 依托单位: HIROSHIMA UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1995
• 资助国家: 日本
• 起止时间: 1995 至 1996
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07610180/
• 关键词: Dementia; Alzheimer's Disease; Problematic Behavior; Self-Fulfilllment; Sympathy; Conversational Communication; Psychiatric Day Care; Home Care; 託老所; 痴呆老人; Dementia; Alzheimer's Disease; Problematic Behavior; Self-Fulfilllment; Sympathy; Conversational Communication; Psychiatric Day Care; Home Care; 託老所; 痴呆老人

Treatment if dementia in japan was started in the 1980s and was tackled chiefly from the medical field, however, treatment of elderly patients with dementia has been approached in the field of care-providing in the 1990S.This research focuses on the problematic behaviors of elderly dementia patients, which is considered to be the most difficult problem in the field of nursing care. Quite frequently, we tend to think dementia itself triggers problematic behavior in elderly patients, in this study we tried to muke clear the fact that the elderly patients' daily surroundings and care- providers can cause patients to feel embarrassed, confused or at a loss.We have examined three case studies in this study. I)A case study of the appearance of problematic behaviors and coping methods by examining a patient with dementia who spent his remaining years in his home during which time a structured care system for patients was purported not be well-established. 2)A case study in group psychiatric treatment and the approach toward family in psychiatric day care. 3)A case study in home care, in which neighbors volunteered to provide the patients with comfortable circumstances in daytime while family members were away at work.By examining these case studies, we disclose that patients with dementia recognize their own disorders and accordingly feel deep distress and uneasiness, which is a direct cause of problematic disorders. furthermore, if we prepare the patients' daily surroundings so as to compensate for the problems specific to dementia and, at the same time, provide a conversational communication style and ample sympathy, both the five senses and the emotions in the patient are stimulated. As a result, these patients show not only animprovement in ADL,but also progress in QOL.Consequently, the patients feels self-fulfilllment and live as long as those not afficted with dementia.Published results of this study are forthcoming.

治疗如果日本的痴呆症是在1980年代开始的，主要是从医学领域解决的，但是，在1990年提供护理领域的老年痴呆症患者的治疗中，这项研究侧重于老年人痴呆症患者的问题行为，这被认为是护理护理领域中最困难的问题。我们经常认为痴呆症本身会触发老年患者的问题行为，在这项研究中，我们试图穆克清楚地表明，老年患者的每日周围环境和护理人员可能会使患者感到尴尬，困惑或损失。我们在这项研究中检查了三个案例研究。 i）案例研究有问题的行为和应对方法的出现，通过检查痴呆症患者在家里度过了剩余的几年患者，在此期间，据称对患者的结构化护理系统没有得到充分的建立。 2）在小组精神病治疗中进行的案例研究和精神日托中的家庭方法。 3）在家庭护理中进行的案例研究，在该案例研究中，邻居自愿为患者提供舒适的情况，而家庭成员在工作中不在工作中。通过检查这些案例研究，我们透露，患有痴呆症患者认识到自己的疾病，因此会感到深深的困扰和不安，这是有问题障碍的直接原因。此外，如果我们为患者的每日环境做好准备，以补偿特定的痴呆症问题，同时提供对话交流方式和充分的同情，则刺激了患者的五种感觉和情绪。结果，这些患者不仅在ADL中表现出动画表现，而且在QOL中的进展。结果，患者会感到自我实现，只要不受痴呆症的影响。