Development of a Visiting Nursing Assessment Index for Elderly Demented Patients Undergoing Drug Therapy for BPSD Using Psychotropic Drugs

Research Project

Project/Area Number	16H07071
Research Category	Grant-in-Aid for Research Activity Start-up
Allocation Type	Single-year Grants
Research Field	Community health nursing
Research Institution	Saga University
Principal Investigator	Furuno Takaomi 佐賀大学, 医学部, 助教 (90775363)
Project Period (FY)	2016-08-26 – 2018-03-31
Project Status	Completed (Fiscal Year 2017)
Budget Amount *help	¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000) Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000) Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords	認知症高齢者 / BPSD / 向精神薬 / 訪問看護師 / アセスメント / 判断 / 訪問看護 / 認知症 / 在宅看護 / 看護学 / 周辺症状
Outline of Final Research Achievements	A semi-structured interview survey was conducted with the purpose of elucidating the visiting nurses’ judgment regarding continuation of home-based care for elderly demented patients undergoing drug therapy for BPSD using psychotropic drugs． The interview was conducted with 12 visiting nurses and analysis of the results generated the four categories of “predicting worsening of BPSD considering effects of psychotropic drugs and BPSD,” “ascertaining functional decline associated with psychotropic drugs and BPSD,” “assessing the family’s capability to respond to BPSD considering reduction of long-term care burden,” and “assessing medication support and non-drug therapies in stabilizing and ameliorating BPSD.” The results confirmed the importance of considering the effects of psychotropic drugs in elderly patients with BPSD．