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Nursing intervention program for facilitating the activity of daily living and communication ability of the elderly with dementia

Research Project

Project/Area Number 15592311
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Community health/Gerontological nurisng
Research InstitutionKanagawa University of Human Services

Principal Investigator

BESSHO Yuko  Kanagawa University of Human Services, Faculty of Human Services, Professor, 保健福祉学部, 教授 (20190176)

Co-Investigator(Kenkyū-buntansha) KOBAYASHI Ryuji  Kanagawa University of Human Services, Faculty of Human Services, Assitant Professor, 保健福祉学部, 助教授 (70337989)
WATANABE Tsukiko  Kanagawa University of Human Services, Faculty of Human Services, Lecturer, 保健福祉学部, 講師 (20249064)
KATAHIRA Nobuko  Kanagawa University of Human Services, Faculty of Human Services, Assistant, 保健福祉学部, 助手 (10381675)
HONDA Akiko  Kanagawa University of Human Services, Faculty of Human Services, Assistant, 保健福祉学部, 助手 (90420695)
KAWASAKI Maki  Kanagawa University of Human Services, Faculty of Human Services, Assistant (20381676)
長谷川 美香  福井大学, 医学部, 講師 (90266669)
細谷 たき子  福井大学, 医学部, 助教授 (80313740)
Project Period (FY) 2003 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 2005: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2004: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2003: ¥700,000 (Direct Cost: ¥700,000)
Keywordselderly with dementia / Activity on Daily Livin / eating behavior / remained abilit / environmental arrangement / verbal cue / visual cue / tactile cue / 看護 / セルフケア / 言語誘導 / 視覚誘導 / 触覚誘導 / 単純化 / 痴呆症高齢者 / 認知レベル / 介入 / FIM / HDS-R / NMスケール
Research Abstract

1.Objective
To develop a nursing intervention program for facilitating the activity of daily living and communication ability of the elderly with dementia (EWD)
2.Methods
Subjects were the EWD who were institutionalized in 7 care homes. Data was gathered by the questionnaire, interview of the caregivers in the care homes, and direct observation by the researchers. Data was analyzed statistically, or by content analysis method.
3.Result and Discussion
・The first year ; Among the basic ADLs, bathing, grooming and clothing, which need the combination of the complex movement or elaboration, were deteriorated seriously. Remained abilities were suggested to be maintained, if the nursing care was offered timely.
・The second year ; As independent eating behavior deeply contributes to QOL of EWD, we investigated the effective nursing care to facilitate their remained ability to take meal independently. As results, four cues were found, which were "environmental arrangement", "verbal cue", visual cue" and "tactile cue". Environmental arrangement was basic and common through the whole process. Three cues of perception were used to make up stopping or keeping off the mind from the eating behavior. These cues were suggested to be used to facilitate other ADLs.
・The third year ; Based on the previous study, we made a preliminary table for assessment and facilitation of the eating behavior of EWD, according to the process of a meal. Then we studied the validity of it in 7 care homes and made the final table, with referring the comment of the caregiver staff. The table was suggested to be applied to other ADLs.
To facilitate effective communication ability of EWD, observation and assessment on what can be done by the EWD were suggested important.

Report

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

    (3 results)

All 2006

All Journal Article (3 results)

  • [Journal Article] 認知症高齢者の食事行動の援助に関する研究 -介謹老人保健施設における調査から-2006

    • Author(s)
      渡部月子, 小林隆司, 片平伸子, 別所遊子
    • Journal Title

      日本地域看護学会誌 8・2

      Pages: 58-64

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Cues to facilitate with eating behavior in elderly with dementia -A study in care homes for elderly-2006

    • Author(s)
      Tsukiko Watanabe, Ryuji Kobayashi, Nobuko Katahira, Yuko Bessho
    • Journal Title

      Journal of Japanese Academy of Community Health Nursing, vol.8, No.2

      Pages: 58-64

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 認知症高齢者の食事行動の援助に関する研究-介護老人保健施設における調査から-2006

    • Author(s)
      渡部月子, 小林隆司, 片平伸子, 別所遊子
    • Journal Title

      日本地域看護学会誌 8・2

      Pages: 58-64

    • Related Report
      2005 Annual Research Report

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

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