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

服务使用变化对痴呆老人行为及家庭照顾者照顾的影响

基本信息

批准号：
13672517
负责人：
OTSUKA Mariko
金额：
$ 2.11万
依托单位：
Saitama Prefectural University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2002
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13672517/
关键词：
elderly with dementia family caregiver long-term care insurance problem behavior caring ケアリング

项目摘要

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

对23名照顾痴呆症老人的家庭照顾者的服务使用及生活情况进行访谈，结果如下： 1、许多痴呆症老人需要大量照顾，一年后又有4人被安置在照顾机构。该人已将一名家庭成员安置在护理机构，并且有 2 人被送入医院。做出这些决定的原因是流浪和暴力等问题行为。家庭护理人员的护理限度。认为需要“入院服务利用的确认”和“伴随痴呆症症状加重的临时避难所的保障”。 2. 家属看护者以不可避免的心情使用了机构服务。因此，需要“由家庭护理人员提供护理机构的护理服务并提高护理质量”。 3. 没有为轻度痴呆症和老年痴呆症患者提供的服务。非正式的支持由此，利用阿尔茨海默病协会等“寻找、培养非正式护理人员的社区建设”，进行了“从痴呆症早期开始的支援活动”，促进了“痴呆症高龄者的自我实现”。预防中要求执行的“支持问题行为并未实现。”4.虽然通过日托服务或暂托护理减轻了卧床不起的老年人的负担，但它已成为老年人的身体负担。哪个条件要求“在家中患有严重痴呆症的老人会患上这种疾病”，并要求“减轻日托服务负担的上门服务，促进看护者的自我实现”。5. 在访谈时，家庭照顾者回顾了他们的照顾，他们讲述了照顾的意义，“通过叙述支持家庭照顾者”的重要性被认为较少。