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Japanese

Title 睡眠障害を呈する認知症患者の生活リズム改善のための多職種連携による包括的アプローチ - 生活リズムの可視化による介入の効果検証 -
Subtitle 実践報告
Authors 木田麻衣*1, 中川友紀*2,*3
Authors (kana)
Organization *1医療法人協和会千里中央病院リハビリテーション科, *2大阪人間科学大学保健医療学部作業療法学科, *3神戸大学大学院保健学研究科研究員
Journal 作業療法
Volume 43
Number 6
Page 812-820
Year/Month 2024 / 12
Article 報告
Publisher 日本作業療法士協会
Abstract 「要旨」 : 【目的】生活リズムの可視化によって認知症患者の生活リズムを改善する包括的アプローチの効果を検証すること. 【症例】80歳代女性. 日中睡眠や夜間覚醒を認めたアルツハイマー型認知症を呈する整形外科疾患患者. 【方法】合成周期回帰分析による活動リズムの評価を行い, 生活リズムを改善する3つのアプローチを実施した. 【結果】生活リズムの日内変動と日間変動が整い, 最大値時刻は日中の間 (12〜18時頃) となった. 覚醒向上により尿意を訴えトイレで排泄できた. 【結論】多職種連携による包括的な3つのアプローチにより認知症患者の生活リズムが改善した.
Practice 医療技術
Keywords 認知症, 生活リズム, 多職種連携, (睡眠障害), (活動リズム), Dementia, Daily rhythm, Multi-professional Collaboration, Sleep disorder, Activity rhythm

English

Title Comprehensive daily rhythm-based approach through multidisciplinary collaboration for cognitively impaired patients presenting sleep disorders : Assessing the intervention effects of rhythm visualization in daily life
Subtitle PRACTICAL REPORTS
Authors Mai Kida*1, Yuki Nakagawa*2,*3
Authors (kana)
Organization *1Department of Rehabilitation, Senri-chuo Hospital, *2Department of Occupational Therapy, Faculty of Health Sciences, Osaka University of Human Sciences, *3Researcher, Graduate School of Health Sciences, Kobe University
Journal JAPANESE OCCUPATIONAL THERAPY RESEARCH
Volume 43
Number 6
Page 812-820
Year/Month 2024 / 12
Article Report
Publisher JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS
Abstract [Objective] To implement a comprehensive approach through multidisciplinary collaboration for dementia patients with sleep disorders and verify the intervention effects through the visualization of daily rhythms. [Case] An elderly female in her 80s with Alzheimer's-type dementia presenting daytime sleep and nighttime awakenings, also diagnosed with orthopedic conditions. [Methods] We evaluated activity rhythms using synthetic period regression analysis and implemented three approaches to improve life rhythms. [Results] Both the diurnal and interday variability of the rhythm of life improved, with the subject's maximum value time during the day around 12:00 p.m. to 6:00 p.m. With improved arousal, the subject was able to urinate and defecate in the toilet during the day. [Conclusion] The life rhythms of dementia patients improved through three comprehensive approaches through multidisciplinary collaboration.
Practice Medical technology
Keywords Dementia, Daily rhythm, Multi-professional Collaboration, Sleep disorder, Activity rhythm
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