| Project/Area Number |
17406032
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 海外学術 |
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| Research Field |
Community health/Gerontological nurisng
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| Research Institution | Osaka University |
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Principal Investigator |
MAKIMOTO Kiyoko Osaka University, Graduate school of Medicine, Professor (80262559)
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| Co-Investigator(Kenkyū-buntansha) |
SUZUKI Mizue Mie Prefecture Nursing University, Nursing, Professor (40283361)
IZUMI Kiyoko Kanazawa University, Medical school, Professor (20115207)
ASHIDA Nobuyuki Koshien University, Contemporary business administration, Professor (50184164)
YAMAKAWA Miyae Osaka University, Graduate school of Medicine, Assistant Professor (80403012)
許田 志津子 大阪大学, 医学系研究科, 助手 (30362693)
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| Project Period (FY) |
2005 – 2007
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| Project Status |
Completed (Fiscal Year 2007)
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| Budget Amount *help |
¥9,740,000 (Direct Cost: ¥8,900,000、Indirect Cost: ¥840,000)
Fiscal Year 2007: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2006: ¥2,500,000 (Direct Cost: ¥2,500,000)
Fiscal Year 2005: ¥3,600,000 (Direct Cost: ¥3,600,000)
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| Keywords | elderly / movement pattern / dementia / auality of clinical care / IC tag / monitorin / 認知機能 / 俳徊 / モニター / 安全 / 徘徊 |
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| Research Abstract |
In the first phage of the research in Korea, 13 patients in a dementia care unit, Soule, Korea were monitored for 14 days to develop objective measures of movement patterns. Then, the IC tag monitoring system was upgraded and became able to handle greater number of antennas to capture movements. Then, the validity of the new monitoring system was tested in a semi-acute dementia care unit, Osaka, Japan for 4 months. In total, 36 patients were monitored. In addition to the indicators developed in the first phase, clinical data and were collected to examine the pattern of movement in relation to these clinical indicators behavioral and psychological symptoms of dementia. The series of studies were conducted to explore patterns of movement by type of dementia, the relationship between the distance moved per day and body weight changes per month. Further, alteration in the movement patterns following admission was explored in several cases, which demonstrated the improvement in reversed sleep-awake cycles and other disorders. An environmental control intervention, closing door policy, prevented the patient from entering the room other than his and sleeping other patient's bed during the day. The success of the intervention was measured by the percentage of the hours with movement and the distance moved per time period. This study demonstrated the usefulness of objective measurement to evaluate the intervention for dementia patients as well as the importance of dementia type specific intervention. In the third phase, cross-cultural comparison of pattern of movement in dementia patients between Korea and Japan. Eleven patients were monitored for a month. Although the number of subjects was small, the indicators of movements showed the association between the age at which dementia symptom manifested was associated with the distance moved per day. Further analysis is underway.
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