The Effective Home Nursing Care And Case Managements fot the Demented Elderly in the Community

2001 Fiscal Year Final Research Report Summary

• Project/Area Number: 12672265
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: 基礎・地域看護学
• Research Institution: Fukui Medical University
• Principal Investigator: HOSOYA Takiko Fukui Medical University, School of Nursing, Associate Professor, 医学部・看護科, 助教授 (80313740)
• Co-Investigator(Kenkyū-buntansha): YOSHIDA Yukiyo Fukui Medical University, School of Nursing Research Aid, 医学部・看護科, 助手 (20313760) ; HASEGAWA Mika Fukui Medical University, School of Nursing Instructor, 医学部・看護科, 講師 (90266669) ; BESSHO Yuko Fukui Medical University, School of Nursing, Professor, 医学部・看護科, 教授 (20190176)
• Project Period (FY): 2000 – 2001
• Keywords: The Demented Elderly / Home Nursing Care / Achievement / Objectives / Social Services / Case Management / Family Support / 社会サービス

Research Abstract

The retrospective survey was conducted in 1998 and 1999 to investigate the effective home nursing care for 197 of the demented elderly in the community.. The results indicated that such nursing care as "encouraging activities for their ADL development, "and "stress management by facilitating their doing hobbies and favorite things" contributed to stabilizing their mental status and improving their behavior measured by the nursed using NM Scale.
In 2001 another study was conducted to determine the associated factors of the a case management objective achievements for the demented elderly, and the characteristics of their case managements. The subjects were 61 demented elderly whose management objectives were judged to be comparatively well achieved by the case managers from 9 home care agencies. The main objectives of their case managements were! "decreasing the family care burden (61 %)," "preventing from deterioration of the dementia (51 %)," "maintaining and improving their ADL and IADL, and prevention of the fall accidents (38 %)," "stabilizing their physical symptoms (31 %)," "increasing the social life of the clients (25 %)," and "maintaining their mental well-being (23 %), " and etc. The associated factors of the achievements of the objectives such as "decreasing the family care burden," "preventing from deterioration of the dementia," "increasing social life of the clients," and "maintaining mental well-being," were! "the acquired family care givers' skill," "improvement of the clients' physical symptoms," and "improvement of their mental status and abnormal behaviors." The daycare contributed to the achievements of the objectives most of all the social services.
The focus of the case management for the demented elderly were! "the family support," "not coercing the clients into doing when they reject the care," "referring the clients to the specialists of the dementia treatments," and "supplying medical care for the physically impaired."