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

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.

日本的痴呆症治疗始于 20 世纪 80 年代，主要从医疗领域解决，然而，老年痴呆症患者的治疗在 20 世纪 90 年代开始在护理提供领域进行。本研究重点关注老年人的问题行为痴呆症患者被认为是护理领域最棘手的问题。很多时候，我们倾向于认为痴呆症本身会引发老年患者的问题行为，在这项研究中，我们试图澄清这样一个事实：老年患者的日常环境和护理人员可能会让患者感到尴尬、困惑或不知所措。我们在本研究中研究了三个案例研究。 I) 通过检查一名痴呆症患者，研究问题行为的出现和应对方法，该患者在家里度过了余生，在此期间，据称尚未建立完善的患者结构化护理系统。 2）团体精神科治疗的案例研究以及精神科日托中对家庭的态度。 3）一项家庭护理案例研究，其中邻居自愿在白天家人外出工作时为患者提供舒适的环境。通过研究这些案例研究，我们发现痴呆症患者认识到自己的疾病，并因此感到深刻痛苦和不安，这是问题性疾病的直接原因。此外，如果我们为患者准备好日常环境，以弥补痴呆症特有的问题，同时提供对话式的沟通方式和充分的同情心，患者的五种感官和情绪都会受到刺激。结果，这些患者不仅在日常生活能力方面有所改善，而且在生活质量方面也取得了进步。因此，患者感到自我实现，并且与未患痴呆症的人一样长寿。这项研究的结果即将发表。