Development of a Home-facility Liaison Care Model to Resolve Undernutrition as a Countermeasure against the Progression of Care Dependency

• Project/Area Number: 25510012
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: ケア学
• Research Institution: Juntendo University
• Principal Investigator: FUJIO Yuko 順天堂大学, 保健看護学部, 准教授 (60637106)
• Co-Investigator(Kenkyū-buntansha): OGAWA Noriko 順天堂大学, 保健看護学部, 准教授 (30621726) ; YOKOJIMA Keiko 順天堂大学, 保健看護学部, 准教授 (50369469) ; INOUE Yoshiyuki 国際医療福祉大学, 大学院医療福祉学研究科, 准教授 (50611696) ; KODAIRA Megumi 国際医療福祉大学, 大学院医療福祉学研究科, 講師 (00611691)
• Co-Investigator(Renkei-kenkyūsha): TAKEUCHI Takahito 国際医療福祉大学, 大学院医療福祉学研究科, 教授 (80014249) ; SAKASHITA Reiko 兵庫県立大学, 看護学部, 教授 (40221999) ; AOTA Yasushi 常葉大学, 健康科学部, 准教授 (90551424)
• Research Collaborator: YONEYAMA Takeyoshi ; HAMADA Misao ; HAYASHI Shuji
• Project Period (FY): 2013-04-01 – 2016-03-31
• Project Status: Completed (Fiscal Year 2015)
• Budget Amount: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000); Fiscal Year 2015: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000); Fiscal Year 2013: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
• Keywords: 介護重度化予防 / 低栄養改善 / 連携ケアモデル / 新たなる指標 / 介護重度化防 / アセスメントツール / ケアレベル / 連携 / サービス従事者 / 意識調査

Outline of Final Research Achievements

In this study ,4 factors, the BMI, mode of feeding, dietary intake, and ability to walk, were correlated with the Alb level as an index of the nutritional status. These results may be useful to address the poor awareness of the nutritional status of the care-dependent elderly among those providing Long-term Care Insurance services5), and support the feasibility of predicting decreases in the Alb level by clarifying altered modes of feeding and a reduced ability to walk among those with marked care dependency and by detecting decreases in the dietary intake among those with mild care dependency even when the Alb level is unclear. The factors identified in the study may be new indices for the identification of undernutrition in the care-dependent elderly.

Research Products

• [Journal Article] Indices of Undernutrition in the Care-dependent Elderly (2016)
  • Author(s): Yuko FUJIO.Noriko OGAWA.Megumi KODAIRA.Yoshiyuki INOUE
  • Journal Title: Asian Journal of Human Services Volume: VOL.10 Pages: 16-24
  • NAID: 130005150172
  • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
• [Journal Article] 介護重度化予防を目的に「低栄養改善」のための「在宅・施設連携ケアモデル」の構築 (2015)
  • Author(s): 藤尾祐子
  • Journal Title: 地域ケアリング Volume: Vol.8 No.9 Pages: 96-99
  • Open Access / Acknowledgement Compliant
• [Journal Article] Care Service Staff’s Awareness of the Management of Undernutrition in Japan (2014)
  • Author(s): Yuko FUJIO. Megumi KODAIRA
  • Journal Title: Asian Journal of Human Services Volume: VOL.7 Pages: 51-59
  • NAID: 130004701876
  • Peer Reviewed / Open Access
• [Journal Article] わが国の要介護高齢者問題と介護の実態 (2014)
  • Author(s): 藤尾祐子
  • Journal Title: 最新医療情報誌アニムス Volume: 78 Pages: 18-21
• [Presentation] Nutritional Status of the Care-dependent Elderly Living in Facilities and at Home. (2015)
  • Author(s): Yuko FUJIO.Noriko OGAWA.Yoshiyuki IOUE.Megumi KODAIRA
  • Organizer: sian Society of Human Services Congress in Seoul.
  • Place of Presentation: ソウル
  • Year and Date: 2015-09-10
  • Int'l Joint Research
• [Presentation] Establishment of a collaborative care model involving in-home and residential services to promote the undernutrition management of elderly individuals needing long-term care to prevent the deterioration of health-Awareness of undernutrition management among care service staff- (2014)
  • Author(s): Yuko FUJIO. Noriko OGAWA. Keiko YOKOJIMA
  • Organizer: Asian Society of Human Services Congress in Sapporo
  • Place of Presentation: 北海道札幌市北海学園大学
  • Year and Date: 2014-07-25 – 2014-07-27