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Development and Evaluation of a Training Program for High-Quality Care for Elderly People with Severe Cognitive Disorders

Research Project

Project/Area Number 15390684
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Community health/Gerontological nurisng
Research InstitutionOSAKA PREFECTURE UNIVERSITY (2005)
Osaka Prefectual College of Nursing (2003-2004)

Principal Investigator

USUI Kimika  OSAKA PREFECTURE UNIVERSITY, SCHOOL OF NURSING, PROFESSOR, 看護学部, 教授 (10281271)

Co-Investigator(Kenkyū-buntansha) SASAKI Yachiyo  OSAKA PREFECTURE UNIVERSITY, SCHOOL OF NURSING, RESEARCH ASSISTANT, 看護学部, 助手 (10382243)
YAMAMOTO Miwa  OSAKA PREFECTURE UNIVERSITY, SCHOOL OF NURSING, RESEARCH ASSISTANT, 看護学部, 助手 (70353034)
TUMURA Chieko  OSAKA CITY UNIVERSITY, SCHOOL OF NURSING, PROFESSOR, 医学部, 教授 (40264824)
SHIRAI Midori  NAGOYA CITY UNIVERSITY, SCHOOL OF NURSING, ASSOCIATE PROFESSOR, 看護学部, 助教授 (30275151)
IMAKAWA Shinji  HIROSIMA UNIVERSITY, GRADUATE SCHOOL OF EDUCATION, ASSOCIATE PROFESSOR, 教育学研究科, 助教授 (00211756)
松田 千登勢  大阪府立看護大学, 看護学部, 助手 (70285328)
長畑 多代  大阪府立看護大学, 看護学部, 講師 (60285327)
佐瀬 美恵子  大阪府立看護大学, 看護学部, 講師 (10305667)
中田 智子  大阪府立看護大学, 医療技術短期大学部, 教授 (70271476)
Project Period (FY) 2003 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥8,200,000 (Direct Cost: ¥8,200,000)
Fiscal Year 2005: ¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 2004: ¥1,800,000 (Direct Cost: ¥1,800,000)
Fiscal Year 2003: ¥4,300,000 (Direct Cost: ¥4,300,000)
KeywordsElderly People with Dementia / Quality of Care / Behavior Analysis / Group Home / Care Program / Severe Cognitive Disorders / ケアプログラム / 痴呆性高齢者 / スウェーデン
Research Abstract

【Purpose】 Watch the expression and behavior of the demented elderly by use of Video record, and clarify the care method to encourage positive expressions and reduce negative expressions.
【Method】 Expressions and behavior of 27 demented elderly residents in the group home were recorded by audiovisual camera. Recording was made for 12 hours a day, divided into 6 sessions (one session 2 hours), 10 minutes for one person, having one hour in one day. It was done three days a month for the period of six months. Data analysis was done by using one zero sampling method and QOL scales, etc.
【Result】 Total 342 hours of collected data included 252 hours of social mutual reaction scenes with others and 90 hours of expression data, showing remarkable changes in response to the types of care.
【Conclusion】 The elderly with dementia are 'giving us various signs even though they have cognitive disorders, and care givers should be able to judge if the care is appropriate or not and improve the quality of care through careful observation of the behavior and expression of the elderly.
1 Notice the sign of emotional response that is peculiar to the person and try to take action at -1 level.
2 To notice the peculiar sign, key point is to watch the finger movement even for the slight move.
3 Peculiar sign can be seen in daily living behavior and can be noticed in everyday care.
4 Share the sign and record it to improve the quality of care in the future.
5 Even in the case of serious dementia, there is the ability of +3 level. Trust it in giving care.
6 To take appropriate action is difficult for -2 level and extremely difficult for -3 level.
7 Accumulation of practical care is the key to upgrade the quality of care for the demented elderly people.

Report

(4 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • 2003 Annual Research Report
  • Research Products

    (8 results)

All 2006 2005 2004 Other

All Journal Article (5 results) Book (2 results) Publications (1 results)

  • [Journal Article] 認知症高齢者の人生歴に関する施設別看護師の認識の比較2006

    • Author(s)
      山本裕子, 臼井キミカ
    • Journal Title

      大阪府立大学看護学部紀要 第12巻・第1号

      Pages: 23-35

    • Related Report
      2005 Annual Research Report
  • [Journal Article] To Improve the Quality of Demented Elderly Care with Cognitive Disorder2004

    • Author(s)
      Kimika Usui, Mieko Sase, Midori Shirai, et al.
    • Journal Title

      20th International Conference of Alzheimer's Disease International Kyoto 2004.

      Pages: 188-188

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] スウェーデンの高齢者施設におけるケア2004

    • Author(s)
      山本美輪, 中田知子
    • Journal Title

      大阪府立看護大学医療技術短期大学部紀要 第9巻

      Pages: 77-82

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] To Improve the Quality of Demented Elderly Care with Cognitive Disorder2004

    • Author(s)
      Kimika Usui, Mieko Sase, Midori Shirai, et al.
    • Journal Title

      20th International Conference of Alzheimer's Disease International Kyoto 2004

      Pages: 188-188

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] To Improve the Quality of Demented Elderly Care with Cognitive Disorder2004

    • Author(s)
      Kimika Usui, Midori Shirai, et al.
    • Journal Title

      20th International Conference of Alzheimre's Disease Internatinal Kyoto 2004

    • Related Report
      2004 Annual Research Report
  • [Book] たおやかに生きる2005

    • Author(s)
      山本裕子, 本郷美由紀, 石田京子, 臼井キミカ
    • Total Pages
      65
    • Publisher
      くすのき印刷
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Book] たおやかに生きる2005

    • Author(s)
      山本裕子, 本郷美由紀, 石田京子, 臼井キミカ
    • Total Pages
      63
    • Publisher
      大阪府立看護大学看護学部老年看護学研究室
    • Related Report
      2005 Annual Research Report
  • [Publications] 山本美輪, 中田智子: "スウェーデンの高齢者施設におけるケア"大阪府立看護大学医療技術短期大学部紀要. 第9巻. 77-82 (2004)

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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