Quality of life of people with dementia in long-term care settings

2018 Fiscal Year Final Research Report

• Project/Area Number: 15K20796
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Gerontological nursing
• Research Institution: Tokyo Metropolitan Institute of Medical Science
• Principal Investigator: NAKANISHI Miharu 公益財団法人東京都医学総合研究所, 精神行動医学研究分野, 主席研究員 (40502315)
• Project Period (FY): 2015-04-01 – 2019-03-31
• Keywords: 認知症 / 心理社会的介入 / 高齢者看護 / 地域包括ケア

Outline of Final Research Achievements

The present study evaluated QOL of people with dementia across in-home and nursing home care settings, identified professional factors relating to level of QOL, and suggested a dementia care model for improvement of QOL among people with dementia. Results of the study showed that users of in-home care services had lower QOL compared to those of multiple services or group homes. The lower QOL was related to poor understanding of psychosocial interventions to challenging behaviour among care managers. Therefore, we developed a psychosocial dementia care programme to enhance a team-based plan-do-check-act cycle, and a training course for nursing and personal care staff. The results of RCT indicated the effectiveness of the programme.

Free Research Field

認知症ケア

Academic Significance and Societal Importance of the Research Achievements

本研究はケア環境に関わらず、長期療養を行う認知症の人のＱＯＬを維持・向上する認知症ケアの提供に資するケアモデルを提示した。提案された認知症ケアモデルは職種や事業所・施設の種類を限定しない、また認知症に必ずしも特化していない様々な介護現場で適用可能性がある。ケアプログラムの開発と普及を通じて、認知症ケアを普遍的なケアとして展開することに貢献しうる。