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Title 認知症高齢者と家族介護者の行う共作業に焦点をあてた訪問作業療法プログラムで効果が見られた2事例
Subtitle 実践報告
Authors 小野健一*1, 藤原大輔*2, 川上孝行*3, 金山祐里*1
Authors (kana)
Organization *1川崎医療福祉大学リハビリテーション学部作業療法学科, *2特定非営利活動法人あおぞら会就労継続支援A型事業所なごみ, *3河口医院
Journal 作業療法
Volume 39
Number 2
Page 210-216
Year/Month 2020 / 4
Article 報告
Publisher 日本作業療法士協会
Abstract 「要旨:」認知症の人とその家族介護者への支援は, 両者の在宅生活を維持するために重要である. 今回, 訪問作業療法場面で, 認知症高齢者と家族介護者2組に対し, 共作業支援尺度を用いた共作業支援プログラムを実施した. 共作業支援尺度から提案された改善したい共作業への作業療法介入を行った結果, 認知症高齢者のBehavioral and Psychological Symptoms of Dementia(以下, BPSD)の重症度と, 家族介護者のBPSDから生じる介護負担感, 共作業継続意志得点の改善が, 2組共に見られた. 両者の行う共作業への介入により, 家族介護者の共作業の遂行能力が改善し, 結果として両者にとって, より満足のいく在宅生活につなげられる可能性が示唆された.
Practice 医療技術
Keywords 認知症高齢者, 介護者, 家族支援, 訪問作業療法, (共作業), Elderly with dementia, Caregiver, Family support, Visiting occupational therapy, Co-occupation

English

Title Improvement of two dementia cases through home-visit occupational therapy focusing on co-occupation between the elderly with dementia and their family caregivers
Subtitle PRACTICAL REPORTS
Authors Kenichi Ono*1, Daisuke Fujiwara*2, Takayuki Kawakami*3, Yuri Kanayama*1
Authors (kana)
Organization *1Department of Occupational Therapist, Faculty of Rehabilitation, Kawasaki University of Medical Welfare, *2Non-Profit Organization Aozorakai Working Support Institutions of Type A Nagomi, *3Kawaguchi Clinic
Journal JAPANESE OCCUPATIONAL THERAPY RESEARCH
Volume 39
Number 2
Page 210-216
Year/Month 2020 / 4
Article Report
Publisher JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS
Abstract It is important to support family caregivers of individuals with dementia to maintain an appropriate home life. We implemented a co-occupation support program using the Measure of Supporting Co-occupation with two elderly individuals with dementia and their family caregivers during home-visiting occupational therapy. During the occupational therapy intervention for co-occupation, the Measure of Supporting Co-occupation revealed co-occupations that the participants intended to improve. Additionally, the severity of behavioral and psychological symptoms of dementia of the elderly individuals decreased. Among family caregivers, the care burden decreased, and the intention to continue co-occupation increased. These results suggest that the intervention for co-occupation among elderly individuals with dementia and their family caregivers improved their occupational performance, which could lead to a more satisfying home life.
Practice Medical technology
Keywords Elderly with dementia, Caregiver, Family support, Visiting occupational therapy, Co-occupation
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