| Project/Area Number |
24249100
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| Research Category |
Grant-in-Aid for Scientific Research (A)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Community health/Gerontological nurisng
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| Research Institution | Health Sciences University of Hokkaido |
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Principal Investigator |
YAMADA Ritsuko 北海道医療大学, 看護福祉学部, 教授 (70285542)
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| Co-Investigator(Kenkyū-buntansha) |
千葉 由美 横浜市立大学, 医学(系)研究科(研究院), 教授 (10313256)
池田 学 熊本大学, その他の研究科, 教授 (60284395)
平野 浩彦 地方独立行政法人東京都健康長寿医療センター(東京都健康長寿医療センター研究所), その他部局等, その他 (10271561)
池田 和博 北海道医療大学, 歯学部, 准教授 (10193195)
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| Co-Investigator(Renkei-kenkyūsha) |
HIRAI Toshihiro 北海道医療大学, 名誉教授 (80014273)
NAKAGAWA Yoshitsugu 北海道医療大学, 心理科学部, 教授 (40273718)
EDAHIRO Ayako 東京都健康長寿医療センター研究所, 研究員 (90433945)
KINOSHITA Kenji 北海道医療大学, 心理科学部, 教授 (50211199)
HAGINO Etsuko 北海道医療大学, 看護福祉学部, 准教授 (10292070)
UCHIGASHIMA Shinya 北海道医療大学, 看護福祉学部, 講師 (80364264)
NANBA Kaori 北海道医療大学, 看護福祉学部, 助教 (40616786)
NAGASE Aki 北海道医療大学, 看護福祉学部, 助教 (90381780)
YOSHIOKA Mayu 北海道医療大学, 看護福祉学部, 助教 (90575466)
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| Research Collaborator |
TAKEDA Junko
NOMURA Mayumi
OOKUBO Saori
TANAKA Yuko
KIKUCHI Nanako
NAYA Chisato
NAKAGAWA Manami
SHICHINOHE Shougo
TSUZI Yukimi
OONISHI Akira
MIYAMOTO Reiko
MIYAMOTO Kenji
KOMATSU Yuko
ITAHASHI Kaoru
TANAKA Hibiki
UEKI Takumi
OKAHASHI Chie
KUMAGAI Akio
TAKAHASHI Shiori
ARASE Takamitsu
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| Project Period (FY) |
2012-04-01 – 2017-03-31
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| Project Status |
Completed (Fiscal Year 2016)
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| Budget Amount *help |
¥43,420,000 (Direct Cost: ¥33,400,000、Indirect Cost: ¥10,020,000)
Fiscal Year 2016: ¥7,930,000 (Direct Cost: ¥6,100,000、Indirect Cost: ¥1,830,000)
Fiscal Year 2015: ¥8,060,000 (Direct Cost: ¥6,200,000、Indirect Cost: ¥1,860,000)
Fiscal Year 2014: ¥10,010,000 (Direct Cost: ¥7,700,000、Indirect Cost: ¥2,310,000)
Fiscal Year 2013: ¥8,060,000 (Direct Cost: ¥6,200,000、Indirect Cost: ¥1,860,000)
Fiscal Year 2012: ¥9,360,000 (Direct Cost: ¥7,200,000、Indirect Cost: ¥2,160,000)
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| Keywords | 認知症の原因疾患 / 認知症の重症度 / 摂食・咀嚼・嚥下障害 / 食事ケアスキル / 環境 / 終末期 / 栄養 / サルコペニア / ケアスキル / 誤嚥性肺炎 / 味覚 / 咳テスト / 食事ケア / 味覚障害 / 高齢者 / 食事支援 / 摂食･咀嚼・嚥下障害 |
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| Outline of Final Research Achievements |
This study has explored characteristics of feeding, mastication and swallowing according to causes and severity of dementia, especially Alzheimer disease (AD), vascular dementia (VaD), dementia with Lewy bodies (DLB) and frontotemporal labor degeneration (FTLD) and have developed the care skills. The eating difficulties were characterized by various ingestion difficulties at the anticipatory stage from the mid stage in AD and from the early stages in FTLD, and care skills focused primarily on adjusting the environment have been found to be effective for dealing with this problem. Care that includes adjustments to the body’s internal environment due to changes in food consumption from the early stages in DLB and preventative care for disorders from the preparatory to the pharyngeal stage in DLB and VaD have both been found to be indispensable. Families'satisfaction rate was 95-98% for care that supported the joy of eating until the final stage.
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