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Nursing care for dementia patients with sleep-wake rhythm disturbance and establishment of the evaluation method.

Research Project

Project/Area Number 25893129
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field Gerontological nursing
Research InstitutionOsaka University

Principal Investigator

Higami Yoko  大阪大学, 医学(系)研究科(研究院), 助教 (60706927)

Co-Investigator(Renkei-kenkyūsha) MAKIMOTO K  大阪大学, 大学院医学系研究科, 教授 (80262559)
YAMAKAWA M  大阪大学, 大学院医学系研究科, 准教授 (80403012)
Project Period (FY) 2013-08-30 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,831,770 (Direct Cost: ¥2,947,516、Indirect Cost: ¥884,254)
Fiscal Year 2015: ¥1,101,770 (Direct Cost: ¥847,516、Indirect Cost: ¥254,254)
Fiscal Year 2014: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords睡眠-覚醒リズム障害 / 認知症 / 看護ケア
Outline of Final Research Achievements

The purpose of this study was to explore the characteristics of the sleep-wake rhythm disturbances in patients with dementia and establish the effective interventions for them. Nemuri-SCAN was used to identify the sleep-wake rhythm disturbances. The result data by Nemuri-SCAN were discussed with staff nurses and other medical staff, and to implement interventional plans. In total, 114 patients were observed.
Of these, 64 were Alzheimer patients and 26 were improved after interventions. In 18 who were dementia with Lewy bodies, 8 were improved after interventions.Improved group both Alzheimer dementia and dementia with Lewy bodies, effects were seen by the intervention that matched drug adjustment with a non-pharmacologic therapy. It was necessary to consider incontinence when we assessed about the factors of the sleep-wake rhythm disturbances. In addition, we needed to observe the timing of the night excretions, and make the care plans for the incontinence timely.

Report

(3 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2013 Annual Research Report
  • Research Products

    (5 results)

All 2016 2015

All Presentation (5 results) (of which Int'l Joint Research: 2 results)

  • [Presentation] 夜間不眠・徘徊のあるアルツハイマー型認知症患者の睡眠障害が改善した看護介入の検討-非侵襲型アクチグラフィを用いた事例報告-2016

    • Author(s)
      山川みやえ、古林里果子、矢山壮、 樋上容子、繁信和恵、牧本清子
    • Organizer
      日本老年看護学会第21回学術集会
    • Place of Presentation
      大宮ソニックシティ (埼玉県さいたま市)
    • Year and Date
      2016-07-23
    • Related Report
      2015 Annual Research Report
  • [Presentation] 夜間徘徊や中途覚醒のあるアルツハイマー病患者に対する効果的な看護介入について-実践報告―2016

    • Author(s)
      牧本清子、堺本夏海、矢山壮 、山川みやえ、樋上容子、繁信和恵
    • Organizer
      日本老年看護学会第21回学術集会
    • Place of Presentation
      大宮ソニックシティ (埼玉県さいたま市)
    • Year and Date
      2016-07-23
    • Related Report
      2015 Annual Research Report
  • [Presentation] 睡眠障害のあるアルツハイマー型認知症患者に対する効果的な介入~事例報告~部屋移動による環境調整の効果2016

    • Author(s)
      樋上容子、長谷川裕菜、矢山壮、 山川みやえ、繁信和恵、牧本清子
    • Organizer
      日本老年看護学会第21回学術集会
    • Place of Presentation
      大宮ソニックシティ (埼玉県さいたま市)
    • Year and Date
      2016-07-23
    • Related Report
      2015 Annual Research Report
  • [Presentation] Inter - Disciplinary Team Interventions for Sleep Disturbances of Dementia with Lewy Body Patients: Case Series.2015

    • Author(s)
      M. Yamakawa, K. Shigenobu, S, Yayama, Y. Higami, T. Kuwaki, S. Izumiya
    • Organizer
      International Association of Gerontology and Geriatrics Congress 2015,
    • Place of Presentation
      Thailand
    • Year and Date
      2015-10-19
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Interventional research for sleep disturbances of Dementia with Lewy Body patients: a case study2015

    • Author(s)
      C. Fukuda, N. Tanaka, M. Yamakawa, Y. Higami, K. Shigenobu, K. Makimoto.
    • Organizer
      The 9 th International Congress of the Asian Society Against Dementia
    • Place of Presentation
      Kumamoto, Japan
    • Year and Date
      2015-09-14
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research

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Published: 2013-09-12   Modified: 2019-07-29  

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