Good Death in people with dementia

• Project/Area Number: 16KT0001
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Multi-year Fund
• Section: 特設分野
• Research Field: Neo-Gerontology
• Research Institution: Tohoku University
• Principal Investigator: Miyashita Mitsunori 東北大学, 医学系研究科, 教授 (90301142)
• Co-Investigator(Kenkyū-buntansha): 長江 弘子 東京女子医科大学, 看護学部, 教授 (10265770) ; 深堀 浩樹 慶應義塾大学, 看護医療学部(藤沢), 教授 (30381916) ; 高橋 在也 千葉大学, 大学院医学研究院, 特任研究員 (30758131) ; 中西 三春 公益財団法人東京都医学総合研究所, 精神行動医学研究分野, 主席研究員 (40502315) ; 佐藤 一樹 名古屋大学, 医学系研究科(保健), 准教授 (60583789) ; 森田 達也 聖隷クリストファー大学, 看護学研究科, 臨床教授 (70513000) ; 山川 みやえ 大阪大学, 医学系研究科, 准教授 (80403012)
• Project Period (FY): 2016-07-19 – 2020-03-31
• Project Status: Completed (Fiscal Year 2019)
• Budget Amount: ¥18,330,000 (Direct Cost: ¥14,100,000、Indirect Cost: ¥4,230,000); Fiscal Year 2018: ¥9,100,000 (Direct Cost: ¥7,000,000、Indirect Cost: ¥2,100,000); Fiscal Year 2017: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000); Fiscal Year 2016: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
• Keywords: 認知症 / 緩和ケア / 終末期医療 / Good Death

Outline of Final Research Achievements

The aim of this study was to determine what the Good Death is in people with dementia and whether it is being achieved. As a result of the literature review, interview and questionnaire surveys, the components of Good Death in patients with dementia were categorized into four factors: “comfort, security and safety,” “relationships,” “independence,” and “the ability to maintain their individuality and lack of constraint.” A survey of bereaved families found that, overall, Good Death was more frequently achieved in people with dementia.

Academic Significance and Societal Importance of the Research Achievements

本研究によって認知症患者のGood Deathとは何かが明らかになった。これはわが国における認知症ケアの目標を定める際の１つの基準になりうるものである。またその達成度を広く、継続的に調査することによって、認知症ケアの質の維持・向上に資するものである。

Research Products

• [Journal Article] Caregiving Consequence for Dying Elderly Patients with and without Comorbid Dementia from the Perspective of Bereaved Family Members (2017)
  • Author(s): 佐藤一樹, 芹澤未有, 宮下光令, 木下寛也.
  • Journal Title: Palliative Care Research Volume: 12 Issue: 1 Pages: 159-168
  • DOI: 10.2512/jspm.12.159
  • NAID: 130005509298
  • ISSN: 1880-5302
  • Peer Reviewed / Open Access
• [Journal Article] Good Death of Dying Elderly Patients with and without Comorbid Dementia from the Perspective of Bereaved Family Members (2017)
  • Author(s): 佐藤一樹, 菊地亜里沙, 宮下光令, 木下寛也.
  • Journal Title: Palliative Care Research Volume: 12 Issue: 1 Pages: 149-158
  • DOI: 10.2512/jspm.12.149
  • NAID: 130005509300
  • ISSN: 1880-5302
  • Peer Reviewed / Open Access
• [Journal Article] Dementia Provision for Elderly Cancer Patients in Designated Regional Cancer Centers (2017)
  • Author(s): 39.菅野雄介, 野畑宏之, 岩田愛雄, 比嘉謙介, 佐山七生, 内村泰子, 大谷清子, 豊永香奈, 宮下光令, 小川朝生.
  • Journal Title: Palliative Care Research Volume: 12 Issue: 1 Pages: 116-124
  • DOI: 10.2512/jspm.12.116
  • NAID: 130005395322
  • ISSN: 1880-5302
  • Peer Reviewed / Open Access
• [Presentation] 認知症患者における望ましい人生の最終段階のあり方についてのインタビュー調査. (2018)
  • Author(s): 田村菜津子,青山真帆,五十嵐尚子,山川みやえ,坂井志麻,深堀浩樹,中西三春,佐藤一樹,長江弘子,高橋在也,宮下光令.
  • Organizer: 第23回日本緩和医療学会学術大会