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Research on construction of a defecation care model for elderly people with dementia in special nursing homes for the elderly

Research Project

Project/Area Number 15K20786
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Gerontological nursing
Research InstitutionHamamatsu University School of Medicine (2017-2018)
Seirei Christopher University (2015-2016)

Principal Investigator

Naito Tomoyoshi  浜松医科大学, 医学部, 助教 (90632422)

Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2017: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords認知症高齢者 / 排便ケア / 特別養護老人ホーム / 専門職連携
Outline of Final Research Achievements

To build a model for defecation care to elderly people with dementia in a special nursing home for the elderly, this study clarified the care content of each occupation in defecation disorders of the elderly with dementia that nurses and care workers practice, and the care contents by cooperation between the occupation types.
Eleven nurses and 12 care workers in special nursing homes for the elderly were interviewed. The results of the qualitative descriptive analysis concerning care workers’ defecation care are six categories, such as “support according to the defecation disorder behavior accompanying dementia”; five categories were derived from nurses defecation care, such as “a comprehensive assessment of the risk of defecation disorders,” and three categories were extracted from team defecation care including “establishing an organizational system that enables care workers to detect abnormalities at an early stage and report them to nurses.”

Academic Significance and Societal Importance of the Research Achievements

本研究では、特別養護老人ホームにおける看護職・介護職が実践している認知症高齢者の排便障害への取り組みから、各専門職のケア、専門職種間の連携・協働がつくりだすケアを明らかにした。この研究成果は、スタッフごとに取り組み内容や質に大きな格差がある現状において、看護職―介護職間でどのように連携・協働しているのかなどケア内容を可視化することで、特別養護老人ホームにおける施設ケアの質の向上と排便ケア・認知症ケアの改善、さらに看護職・介護職の相互理解の促進に結びつくことが期待される。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (4 results)

All 2018 2017

All Journal Article (1 results) Presentation (2 results) Book (1 results)

  • [Journal Article] 施設入所認知症高齢者の排便ケア2018

    • Author(s)
      内藤智義
    • Journal Title

      臨床老年看護

      Volume: 25 Pages: 30-36

    • Related Report
      2018 Annual Research Report
  • [Presentation] 特別養護老人ホームにおける看護職が実践している認知症高齢者への排便ケアの構造2018

    • Author(s)
      内藤智義、清水隆裕、鈴木みずえ、古田良江
    • Organizer
      第19回日本認知症ケア学会大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 介護施設における排泄障害を伴う認知症高齢者への転倒予防ケアの構造ー看護職・介護職のチームアプローチに焦点を当ててー2018

    • Author(s)
      内藤智義、鈴木みずえ、古田良江
    • Organizer
      日本転倒予防学会第5回学術集会
    • Related Report
      2018 Annual Research Report
  • [Book] 認知症者の転倒予防とリスクマネジメント2017

    • Author(s)
      原田 敦、日本転倒予防学会、武藤 芳照、鈴木 みずえ
    • Total Pages
      408
    • Publisher
      日本医事新報社
    • ISBN
      9784784961795
    • Related Report
      2017 Research-status Report

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Published: 2015-04-16   Modified: 2020-03-30  

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