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Triggers of wandering behaviors in elderly dementia patients monitored by the IC tag monitoring system

Research Project

Project/Area Number 23390516
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Community health/Gerontological nurisng
Research InstitutionOsaka University

Principal Investigator

MAKIMOTO Kiyoko  大阪大学, 医学(系)研究科(研究院), 教授 (80262559)

Co-Investigator(Kenkyū-buntansha) 周藤 俊冶 (周藤 俊治)  奈良県立医科大学 (30420748)
矢山 壮  千里金蘭大学 (30584552)
九津見 雅美  千里金蘭大学 (60549583)
山川 みやえ  大阪大学 (80403012)
Project Period (FY) 2011-04-01 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥17,550,000 (Direct Cost: ¥13,500,000、Indirect Cost: ¥4,050,000)
Fiscal Year 2013: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2012: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2011: ¥12,610,000 (Direct Cost: ¥9,700,000、Indirect Cost: ¥2,910,000)
Keywords認知症 / 徘徊 / トリガー / 高齢者 / 危険因子 / モニター / ICタグ / 認知症患者 / BPSD / ケア介入 / 客観的指標 / 行動パターン / モニタリング / スタッフ / 看護ケア / 介入
Research Abstract

The purpose of this study was to explore triggers of wandering behaviors in elderly patients with dementia. The IC tag monitoring system was used to identify triggers. Monitoring results were discussed with staff nurses and to implement care plans. In total, 25 patients were monitored. Of these, 17 were intervened for wandering. One example was a young onset Alzheimer patient who wandered more than 20 km per day. She was sensitive to odor, and environmental controls were implemented. After the intervention, her distance moved per day decreased significantly. One patients with front temporal dementia displayed clockwatching behavior, and his activity level rose sharply 40 minutes every hour. Our study suggests that dementia type affects wandering behavior. There is a need for monitoring system to evaluate wandering for patient safety. Nurses' observation was essential for identifying triggers of wandering.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Annual Research Report
  • 2011 Annual Research Report
  • Research Products

    (30 results)

All 2014 2013 2012

All Journal Article (7 results) (of which Peer Reviewed: 4 results) Presentation (23 results)

  • [Journal Article] Quantitative evaluation of changes in the clockwatching behavior of a semantic dementia patient2014

    • Author(s)
      Nonaka T, Suto S, Yamakawa M, Shigenobu K, Makimoto K
    • Journal Title

      American Journal of Alzheimer's Disease & Other Dementia

      Volume: (Accepted for publication on January)

    • Related Report
      2013 Final Research Report
  • [Journal Article] Quantitative evaluation of changes in the clockwatching behavior of a semantic dementia patient.2014

    • Author(s)
      Nonaka T, Suto S, Yamakawa M, Shigenobu K, Makimoto K
    • Journal Title

      American Journal of Alzheimer's Disease & Other Dementia,

      Volume: 未定 Issue: 6 Pages: 540-547

    • DOI

      10.1177/1533317514523486

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Degree of ambulation and factors associated with the median distance moved per day in Alzheimer's disease patients2013

    • Author(s)
      Nishikata S, Yamakawa M, Suto S, Shigenobu K, Makimoto K
    • Journal Title

      International Journal of Nursing Practice

      Volume: 13(S3) Pages: 56-63

    • Related Report
      2013 Final Research Report
  • [Journal Article] リスペリドン中止前後の頭部外傷後遺症患者の活動性の変化~IC タグモニタリングシステムによる客観的評価~(短報)2013

    • Author(s)
      樋上容子, 樋口明里, 山川みやえ, 松浦和江, 竹村有由, 繁信和恵, 周藤俊治, 牧本清子
    • Journal Title

      老年精神医学雑誌

      Volume: 24(4) Pages: 393-397

    • Related Report
      2013 Final Research Report
  • [Journal Article] Degree of ambulation and factors associated with the median distance moved per day in Alzheimer's disease patients.2013

    • Author(s)
      Nishikata S, Yamakawa M, Suto S, Shigenobu K, Makimoto K
    • Journal Title

      International Journal of Nursing Practice.

      Volume: 13(S3) Issue: S3 Pages: 56-63

    • DOI

      10.1111/ijn.12174

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] リスペリド ン中止前後の頭部外傷後遺症患者の活動性の変化~ICタグモニタリングシステムによる客観的評価2013

    • Author(s)
      樋上容子、樋口明里、山川みやえ、松浦和江、竹村有由、繁信和恵、周藤俊治、牧本清子.
    • Journal Title

      老年精神医学雑誌

      Volume: 24(4) Pages: 393-397

    • NAID

      40019646699

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] リスペリドン中止前後の頭部外傷後遺症患者の活動性の変化~ICタグモニタリングシステムによる客観的評価~(短報)2013

    • Author(s)
      樋上容子、樋口明里、山川みやえ、松浦和江、竹村有由、繁信和恵、周藤俊治、牧本清子
    • Journal Title

      老年精神医学雑誌

      Volume: 24(4)

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Presentation] Building evidence to improve wandering or sleep disturbances in patients with dementia by objective measurements2013

    • Author(s)
      Yamakawa M, Nonaka T, Higami Y, Shigenobu K, Makimoto K
    • Organizer
      JBI convention 2013
    • Place of Presentation
      Adelaide
    • Related Report
      2013 Final Research Report
  • [Presentation] Evaluating the Effects of Nursing Interventions by Objective Indicators in a Mixed Dementia Patient with Spatial Disorientation2013

    • Author(s)
      Yamada E, Yatokoro K, Yamakawa M, Shigenobu K, Makimoto K
    • Organizer
      The 3rd WANS (World Academy of Nursing Science)
    • Place of Presentation
      Seoul
    • Related Report
      2013 Final Research Report
  • [Presentation] Evaluation of Nursing Intervention for Alzheimer's Disease Patient with Sleep Impairment2013

    • Author(s)
      Yayama S, Imamura Y, Yamakawa M, Shigenobu K, Makimoto K
    • Organizer
      The 3rd WANS (World Academy of Nursing Science)
    • Place of Presentation
      Seoul
    • Related Report
      2013 Final Research Report
  • [Presentation] Quantitative evaluation of nursing intervention for a patient with frontotemporal dementia by the Integrated Circuit tag monitoring system2013

    • Author(s)
      Yayama S, Yamakawa M, Masui A, Suto S, Shigenobu K, Makimoto K
    • Organizer
      The 16th IPA (International psychogeriatric association)
    • Place of Presentation
      Seoul
    • Related Report
      2013 Final Research Report
  • [Presentation] Changes in clockwatching activity in a semantic dementia patient with quantitative evaluation2013

    • Author(s)
      Nonaka T, Suto S, Yamakawa M, Shigenobu K, Makimoto K
    • Organizer
      The 16th IPA (International psychogeriatric association)
    • Place of Presentation
      Seoul
    • Related Report
      2013 Final Research Report
  • [Presentation] Nursing care for excessive wandering in an early-onset Alzheimer's patient : Evaluation of care using objective indicators2013

    • Author(s)
      Yoshida Y, Yamakawa M, Suto S, Shigenobu K, Makimoto K
    • Organizer
      The 20th IAGG (international Association of Gerontology and Geriatrics)
    • Place of Presentation
      Seoul
    • Related Report
      2013 Final Research Report
  • [Presentation] Differences in activity patterns in three types of dementia measured by the IC tag monitoring system2013

    • Author(s)
      Nonaka T, Suto S, Yamakawa M, Shigenobu K, Makimoto K
    • Organizer
      The 20th IAGG (international Association of Gerontology and Geriatrics)
    • Place of Presentation
      Seoul
    • Related Report
      2013 Final Research Report
  • [Presentation] 若年性アルツハイマー病患者に対する看護介入による歩行距離と体重の変化 -IC タグモニタリングシステム(IC)による客観的評価-2013

    • Author(s)
      野中高浩, 山川みやえ, 門林知恵, 繁信和恵, 牧本清子
    • Organizer
      第18回日本老年看護学会
    • Place of Presentation
      大阪
    • Related Report
      2013 Final Research Report
  • [Presentation] 認知症症状のある頭部外傷後後遺症患者に対する薬物療法と看護介入の評価 -活動性と睡眠状態の客観的評価-2013

    • Author(s)
      樋上容子, 山川みやえ, 井上千晴, 岡 崇史, 繁信和恵, 周藤俊治, 牧本清子
    • Organizer
      第18回日本老年看護学会
    • Place of Presentation
      大阪
    • Related Report
      2013 Final Research Report
  • [Presentation] Building evidence to improve wandering or sleep disturbances in patients with dementia by objective measurements.2013

    • Author(s)
      Yamakawa M, Nonaka T, Higami Y, Shigenobu K, Makimoto K
    • Organizer
      JBI convention 2013 ,
    • Place of Presentation
      Adelaide, Australia
    • Related Report
      2013 Annual Research Report
  • [Presentation] Evaluating the Effects of Nursing Interventions by Objective Indicators in a Mixed Dementia Patient with Spatial Disorientation.2013

    • Author(s)
      Yamada E, Yatokoro K, Yamakawa M, Shigenobu K, Makimoto K
    • Organizer
      The 3rd WANS (World Academy of Nursing Science)
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2013 Annual Research Report
  • [Presentation] Evaluation of Nursing Intervention for Alzheimer’s Disease Patient with Sleep Impairment.2013

    • Author(s)
      Yayama S, Imamura Y, Yamakawa M, Shigenobu K, Makimoto K
    • Organizer
      The 3rd WANS (World Academy of Nursing Science)
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2013 Annual Research Report
  • [Presentation] Quantitative evaluation of nursing intervention for a patient with frontotemporal dementia by the Integrated Circuit tag monitoring system2013

    • Author(s)
      Yayama S, Yamakawa M, Masui A, Suto S, Shigenobu K, Makimoto K.
    • Organizer
      The 16th IPA (International psychogeriatric association),
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2013 Annual Research Report
  • [Presentation] Changes in clockwatching activity in a semantic dementia patient with quantitative evaluation.2013

    • Author(s)
      Nonaka T, Suto S, Yamakawa M, Shigenobu K, Makimoto K
    • Organizer
      The 16th IPA (International psychogeriatric association),
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2013 Annual Research Report
  • [Presentation] Nursing care for excessive wandering in an early-onset Alzheimer's patient: Evaluation of care using objective indicators.2013

    • Author(s)
      Yoshida Y, Yamakawa M, Suto S, Shigenobu K, Makimoto K.
    • Organizer
      The 20th IAGG (international Association of Gerontology and Geriatrics)
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2013 Annual Research Report
  • [Presentation] Differences in activity patterns in three types of dementia measured by the IC tag monitoring system.2013

    • Author(s)
      Nonaka T, Suto S, Yamakawa M, Shigenobu K, Makimoto K.
    • Organizer
      The 20th IAGG (international Association of Gerontology and Geriatrics),
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2013 Annual Research Report
  • [Presentation] 若年性アルツハイマー病患者に対する看護介 入による歩行距離と体重の変化 ― IC タグモニタリングシステム(IC)による客観的評価2013

    • Author(s)
      野中高浩、山川みやえ、門林知恵、繁信和恵、牧本清子.
    • Organizer
      .第18 回日本老年看護学会
    • Place of Presentation
      大阪
    • Related Report
      2013 Annual Research Report
  • [Presentation] 認知症症状のある頭部 外傷後後遺症患者に対する薬物療法と看護介入の評価 ― 活動性と睡眠状態の客観的評価―.2013

    • Author(s)
      樋上容子、山川みやえ、井上千晴、岡 崇史、繁信和恵、周藤俊治、牧本清子
    • Organizer
      第 18 回日本老年看護学会
    • Place of Presentation
      大阪
    • Related Report
      2013 Annual Research Report
  • [Presentation] Differences in the type of behavioral and psychological symptoms of dementia between Frontotemporal Dementia and Semantic Dementia.2013

    • Author(s)
      Nonaka T, Yamakawa M, Makimoto K.
    • Organizer
      The 16th EAFONS(East Asian Forum of Nursing Scholars)
    • Place of Presentation
      バンコク (タイ)
    • Related Report
      2012 Annual Research Report
  • [Presentation] Characteristics of excessive wanders in Alzheimer's Disease patients.2013

    • Author(s)
      Ryuno H, Yamakawa M, Suto S, Shigenobu K, Makimoto K.
    • Organizer
      The 16th EAFONS(East Asian Forum of Nursing Scholars)
    • Place of Presentation
      バンコク (タイ)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 常同的な迷惑行為のある前頭側頭型認知症患者への看護介入の評価:ICタグモニタリングシステム(IC)による客観的評価2012

    • Author(s)
      矢山 壮、山川みやえ、舛井亜紀奈、繁信和恵、周藤俊治、牧本清子.
    • Organizer
      第17回日本老年看護学会
    • Place of Presentation
      金沢歌劇座 (金沢)
    • Related Report
      2012 Annual Research Report
  • [Presentation] リスペリドン終了前後の頭部外傷後後遺症患者の活動性の変化:ICタグモニタリングシステムによる客観的評価.2012

    • Author(s)
      樋上容子、樋口明里、山川みやえ、松浦和江、繁信和恵、周藤俊治、牧本清子.
    • Organizer
      第17回日本老年看護学会
    • Place of Presentation
      金沢歌劇座 (金沢)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 若年性アルツハイマー病患者にみられる不穏・大声に対する看護介入の効果と歩行距離との関係:ICタグモニタリングシステム(IC)を用いた歩行距離測定による徘徊トリガー要因の探索.2012

    • Author(s)
      九津見雅美、山川みやえ、藤本慎之介、繁信和恵、周藤俊治、牧本清子
    • Organizer
      第17回日本老年看護学会
    • Place of Presentation
      金沢歌劇座 (金沢)
    • Related Report
      2012 Annual Research Report

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Published: 2011-04-06   Modified: 2019-07-29  

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