Verification of the effectiveness of a HAD prevention care protocol for older adults with dementia through Interprofessional work

2024 Fiscal Year Final Research Report

• Project/Area Number: 19K11128
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: Bukkyo University
• Principal Investigator: Abe Megumi 佛教大学, 保健医療技術学部, 講師 (10823297)
• Co-Investigator(Kenkyū-buntansha): 松岡 千代 甲南女子大学, 看護リハビリテーション学部, 教授 (80321256) ; 濱吉 美穂 佛教大学, 保健医療技術学部, 准教授 (80514520) ; 安本 厚子 佛教大学, 保健医療技術学部, 助教 (60910239) ; 白井 はる奈 佛教大学, 保健医療技術学部, 准教授 (90346479)
• Project Period (FY): 2019-04-01 – 2025-03-31
• Keywords: 認知症高齢者 / HAD / 多職種協働

Outline of Final Research Achievements

In this study, we developed and evaluated the effectiveness of a HAD prevention protocol for elderly patients with dementia through Inter-professional collaboration. First, we surveyed the current status of HAD prevention for elderly patients with dementia among dementia care teams in acute care hospitals. We then developed an educational program for multidisciplinary staff and a HAD prevention protocol for elderly patients with dementia. A bedside board was utilized as a mechanism for information sharing. Subsequently, the effectiveness of HAD prevention was evaluated using the ABC Dementia Scale. The number of participants was 34 cases before intervention and 25 cases after intervention. Data analysis revealed that while the incidence rate of BPSD was slightly reduced, there were no improvements in ADL or cognitive function items, and no significant differences were observed.

Free Research Field

認知症ケア

Academic Significance and Societal Importance of the Research Achievements

本研究の成果として，認知症ケアチームのHAD予防の実態調査から多職種対象の教育プログラムと多職種協働による認知症高齢者のためのHAD予防プロトコルを作成した．IPWの実践能力評価では，患者へのプロトコル介入開始から6か月後まで点数が維持・向上した．HAD予防評価結果を毎月フィードバックしたことが影響したと考えられ，教育効果としての意義はあった．認知症高齢者へのHAD予防のプロトコル介入による効果検証では，入院時と退院時にABC認知症スケールで評価したが，症例数不足もあり介入前後での有意な差は見られなかった．実態調査を元にしたプロトコル作成の意義はあったが，効果検証に至らず課題が残る．