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Identifying clinically distinct subgroups of toileting disability among elderly people with dementia: An exploratory latent class analysis.

Research Project

Project/Area Number 17K01599
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionKibi International University

Principal Investigator

SAITOH KEISUKE  吉備国際大学, 保健医療福祉学部, 教授 (20325913)

Co-Investigator(Kenkyū-buntansha) 平上 二九三  吉備国際大学, 保健医療福祉学部, 教授 (60278976)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords認知症高齢者 / 排泄動作プロセス / パフォーマンス能力 / 行動・心理症状(BPSD) / 知的機能 / パフォーマンス / 臨床症状
Outline of Final Research Achievements

This study aimed to identify toileting disability subgroups among elderly adults with dementia using latent class analysis and examine the relationships between the latent classes and clinical symptoms, including physical performances. Results revealed that the pattern of toileting disability among the elderly with dementia was classified into several groups. In the toileting disability subgroup, there were groups with disabilities in the process of bowel and bladder management, and groups with disabilities in the process requiring situational awareness. Investigation of related factors suggested that intellectual dysfunction, behavioral and psychological symptoms of dementia, physical performances, and functional ambulation were closely related to the differences in the toileting disability subgroups. Considering the characteristics of the pattern of toileting disability among the elderly people with dementia, these findings contribute to the provision of rehabilitation care.

Academic Significance and Societal Importance of the Research Achievements

本研究は,極めて個別性が高いとされてきた認知症高齢者における排泄動作障害の実態と,その障害が類型化出来ることを明らかにした。排泄動作障害のパターンは5つのグループに分けられ,知的機能が要求される尿便禁制や状況対応に関わるプロセスで障害を呈する集団が存在する事。また臨床症状とともにパフォーマンス能力が密接に関わる事が明らかにされ,認知症高齢者の排泄動作に関する自立支援を行う上で,身体面をも含めた機能的介入の重要性が示唆された。本研究の知見は,認知症高齢者の機能的状態を生かした排泄動作における介護と自立支援の質向上に,大きく寄与するものと考える。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (7 results)

All 2020 2019 2018 2017

All Journal Article (3 results) (of which Open Access: 2 results,  Peer Reviewed: 2 results) Presentation (4 results)

  • [Journal Article] 理学療法の臨床実習教育における自己評価チェックリストの有用性2020

    • Author(s)
      平上二九三,原田和宏,井上優 ,井上茂樹,齋藤圭介,伊勢眞樹
    • Journal Title

      吉備国際大学研究紀要

      Volume: 30 Pages: 33-44

    • NAID

      120006811793

    • Related Report
      2019 Annual Research Report
    • Open Access
  • [Journal Article] Relationship between Pulmonary Function and Posture in Patients with Knee Osteoarthritis2018

    • Author(s)
      藤田玲美, 松井康素, 太田進, 河村顕治, 元田弘敏, 齋藤圭介, 原田敦
    • Journal Title

      Physical Therapy Japan

      Volume: 45 Issue: 3 Pages: 166-174

    • DOI

      10.15063/rigaku.11348

    • NAID

      130007398281

    • ISSN
      0289-3770, 2189-602X
    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Relationships of Recovery Prognoses of Instrumental ADL and Life-Space with Functional Status at the Time of the Discharge in the Early Stage after Home Discharge of Elderly Orthopedics Patients2017

    • Author(s)
      木庭 孝行,齋藤 圭介,井上 茂樹,森下 元賀,宮本 宣義,川山 健
    • Journal Title

      Rigakuryoho Kagaku

      Volume: 32 Issue: 2 Pages: 317-322

    • DOI

      10.1589/rika.32.317

    • NAID

      130005633907

    • ISSN
      1341-1667, 2434-2807
    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] 慢性疼痛患者の集学的治療における活動能力の経時的変動と特徴に関する基礎的検討2019

    • Author(s)
      太田晴之, 齋藤圭介, 鉄永倫子, 堅山佳美, 西田圭一郎, 千田益生, 尾崎敏文
    • Organizer
      日本運動器科学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 慢性疼痛患者の集学的治療における理学療法適応集団の特徴に関する基礎的検討2018

    • Author(s)
      太田晴之, 齋藤圭介, 河村顕治, 堅山佳美, 千田益生
    • Organizer
      第30回日本運動器科学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 外来心臓リハビリテーション実施前後における活動能力と社会参加の実態2017

    • Author(s)
      小林万里子,水田泰博,森本隆也,田島亜由美,齋藤圭介
    • Organizer
      第23回日本心臓リハビリテーション学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 高齢心不全患者のリハビリテーションにおける認知機能低下者の移動能力回復過程に関する検討2017

    • Author(s)
      水田泰博,小林万里子,森本隆也,田島亜由美,吉田潤史,齋藤圭介
    • Organizer
      第23回日本心臓リハビリテーション学会学術集会
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2021-02-19  

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