Development of a Nursing Intervention Model to Prevent Aggressive Behavior in Hospitalized Elderly Patients with Dementia

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K23236
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Kitasato University
• Principal Investigator: Okamoto Satomi 北里大学, 看護学部, 助教 (80880335)
• Project Period (FY): 2020-09-11 – 2023-03-31
• Keywords: 認知症 / 高齢者 / 行動・心理症状 / 攻撃的行動

Outline of Final Research Achievements

The aim of this study was to develop a nursing intervention model to prevent aggressive behavior by organizing the factors that cause aggressive behavior in patients with dementia admitted to a general ward and the process and relationships of nursing intervention.
Using an existing model of aggressive behavior, the nursing intervention model was created from the results of the researchers' previous studies and newly conducted interviews. The results of this study suggest that the background of aggressive behavior may be influenced by nurses' stigma toward dementia patients. In addition, it was suggested that awareness of nurses' own stigma toward dementia patients is important in preventing aggressive behavior, not only in implementing nursing interventions.

Free Research Field

看護学

Academic Significance and Societal Importance of the Research Achievements

本研究で作成した看護介入モデルを活用することで、これまで看護師による対応が困難とされてきた認知症高齢者の攻撃的行動が生じる以前の段階で、攻撃的行動につながりうる状況をアセスメントすることができる。また、具体的な看護介入を検討する際の一助になると考えられる。さらに、認知症患者に対して看護師が無意識に抱いているスティグマに気づく契機として、看護介入モデルを活用することも期待できる。以上より、今後ますます増加が予測される一般病棟に入院する認知症高齢者へのケアの質向上に貢献できるものと考えられる。