2023 Fiscal Year Final Research Report

Verification of the effective usage of developed the Advocacy Practice Guiding Principles in daily life care for elderly individuals with dementia in elderly care facilities

Research Project

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Project/Area Number	19K11252
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	Konan Women's University (2021-2023) Osaka Prefecture University (2019-2020)
Principal Investigator	Yamaji Kayo 甲南女子大学, 看護リハビリテーション学部, 准教授 (80285345)
Co-Investigator(Kenkyū-buntansha)	長畑多代大阪公立大学, 大学院看護学研究科, 教授 (60285327)
Project Period (FY)	2019-04-01 – 2024-03-31
Keywords	認知症 / アドボカシー / 高齢者施設 / 日常生活支援 / 尺度開発 / 非ランダム化比較試験
Outline of Final Research Achievements	Develop and test the reliability and validity of a measurement instrument to measure advocacy practices in daily life care for elderly individuals with dementia. The developed scale has high model fit and reliability coefficients, and its construct validity and reliability were confirmed. The scale was judged to be appropriate as a measure of advocacy practice. Verification of the effective usage of developed the Advocacy Practice Guiding Principles in daily life care for elderly individuals with dementia in elderly care facilities. Nonrandomized controlled trial. The frequency of advocacy practice was measured before and after the intervention using the "Daily Life Care Scale for Protecting the Rights of Elderly Individuals with Dementia," to evaluate the effect modification. It became clear that simply having the Advocacy Practice Guiding Principles explained and utilized would improve the frequency of advocacy practice.
Free Research Field	認知症ケア
Academic Significance and Societal Importance of the Research Achievements	アドボカシー実践指標は、認知症高齢者への日常生活支援をアドボカシーの概念に基づき捉えなおした新しい指標である。本研究では、アドボカシー実践指標の活用効果検証により、介入後にアドボカシー実践頻度が有意に向上することが明らかになったことから、ケア専門職が認知症の特徴をふまえて日常生活支援においてアドボカシー実践を具体的に意思決定できることが示された。また、高齢者施設における認知症高齢者の権利を守る日常生活支援尺度を開発したことにより、アドボカシー実践頻度を測定することが可能となった。本研究成果は、認知症高齢者のケアの質の向上に寄与することが示唆された。