アブストラクト
Japanese
Title | 認知症専門病院を受診・入院している認知症高齢者の家族介護者が行う行動・心理症状への対応 : 質的内容分析 |
---|---|
Subtitle | 原著 |
Authors | 寺岡貴子1),2), 深堀浩樹3) |
Authors (kana) | |
Organization | 1)慶應義塾大学大学院健康マネジメント研究科, 2)聖徳大学看護学部, 3)慶應義塾大学看護医療学部 |
Journal | 日本看護科学会誌 |
Volume | 42 |
Number | |
Page | 1-10 |
Year/Month | 2022 / |
Article | 原著 |
Publisher | 日本看護科学学会 |
Abstract | 「要旨」目的: 認知症専門病院を受診・入院している認知症高齢者の家族介護者が行う行動・心理症状への対応を明らかにする. 方法: 認知症高齢者を介護する家族介護者16名に半構造化面接を実施し, Elo & Kyngas の質的内容分析を行った. 結果: 【被介護者への抑えられない叱責】【被介護者に対する行動制限】などの16カテゴリーから構成される《BPSDへの対応の模索》《発展的対応》《抑圧的対応》《孤立をもたらす対応》の4つのテーマが得られた. 家族介護者は周囲の人と効果的な対応を共有し, 介護のコツを獲得するといった《発展的対応》と, 叱責, 制限といった《抑圧的対応》の両方を行っていた. 【周囲に被介護者のことを隠秘】し, 自己犠牲を払って《孤立をもたらす対応》に至る場合もあった. 結論: 被介護者の尊厳を傷つける可能性のある《抑圧的対応》に関して, 適切なサポートを行うことで, 虐待や孤立を予防できる可能性がある. |
Practice | 看護学 |
Keywords | 認知症, 高齢者, 行動・心理症状, 家族介護者, 質的研究, Dementia, Older people, Behavioral and Psychological Symptoms, Family caregivers, Qualitative Research |
English
Title | Family Caregivers' Responses to Behavioral and Psychological Symptoms of Older People with Dementia Who are Outpatients or Hospitalized at Hospitals Specializing in Dementia : A Qualitative Content Analysis |
---|---|
Subtitle | |
Authors | Takako Teraoka1),2), Hiroki Fukahori3) |
Authors (kana) | |
Organization | 1)Graduate School of Health Management, Keio University, 2)Department of Nursing, Seitoku University, 3)Faculty of Nursing and Medical Care, Keio University |
Journal | Journal of Japan Academy of Nursing Science |
Volume | 42 |
Number | |
Page | 1-10 |
Year/Month | 2022 / |
Article | Original article |
Publisher | Japan Academy of Nursing Science |
Abstract | [Abstract] Purpose: To clarify family caregivers' responses to behavioral and psychological symptoms of older people with dementia who are outpatients or hospitalized at hospitals specializing in dementia. Methods: We conducted semi-structured interviews with 16 family caregivers of older people with dementia. The method described by Elo and Kyngas was used for qualitative content analysis of the data obtained via the interview. Results: The analysis identified four themes: <<exploration for responses to BPSD>>, <<developmental responses>>, <<oppressive responses>>, and <<responses leading to isolation>>. These themes were composed of 16 categories, including [uncontrollable reprimands to the caregiver] and [restraint on care recipient' activities]. Family caregivers' responses included both <<developmental responses>>, such as [acquisition of tips on caregiving for the care recipient] by sharing effective responses with people around them, and <<oppressive responses>>, such as rebuke, restraint. <<responses leading to isolation>> were observed in some cases in which [the care recipient was kept secret from people around the family] and caregiving involved self-sacrifice. Conclusion: Appropriate support for family caregivers with regard to <<oppressive responses>>, which can violate care recipients' dignity, should prevent abuse and isolation. |
Practice | Nursing |
Keywords | Dementia, Older people, Behavioral and Psychological Symptoms, Family caregivers, Qualitative Research |
- 全文ダウンロード: 従量制、基本料金制の方共に770円(税込) です。
参考文献
- Abojabel, H., Werner, P. (2019): Exploring family stigma among caregivers of persons with Alzheimer's disease: The experiences of Israeli-Arab caregivers, Dementia, 18(1), 391-408.
- Alzheimer's Disease International: World Alzheimer Report 2012 Overcoming the stigma of dementia, https://www.alz.co.uk/research/WorldAlzheimerReport2012.pdf.
- Alzheimer's Disease International: World Alzheimer Report 2019 Attitudes to dementia, https://www.alz.co.uk/research/WorldAlzheimerReport2019.pdf.
- Anand, A., Khurana, P., Chawla, J., et al. (2018): Emerging treatments for the behavioral and psychological symptoms of dementia, CNS Spectr., 23(6), 361-369.
- Barnard-Brak, L., Richman, D. M., Owen, D. C. (2018): Assessing wandering risk among individuals with Alzheimer's disease and dementia: A pilot study, Psychogeriatrics, 18(5), 388-392.
残りの36件を表示する
- Cerejeira, J., Lagarto, L., Mukaetova-Ladinska, E. B. (2012): Behavioral and psychological symptoms of dementia, Front. Neurol., 3(73), doi: 10.3389/fneur.2012.00073.
- Chunga, R. E., Kim, K., Liu, Y., et al. (2020): Family caregivers' distress responses to daily behavioral and psychological symptoms of dementia: The moderating role of relationship quality, Int. J. Geriatr. Psychiatry, 36(6), 822-830.
- e-Gov : 高齢者虐待の防止, 高齢者の養護者に対する支援等に関する法律, https://elaws.e-gov.go.jp/document?lawid=417AC1000000124.
- Elo, S., Kyngas, H. (2008): The qualitative content analysis process, J. Adv. Nurs, 62(1), 107-115.
- Feast, A., Orrell, M., Charlesworth, G., et al. (2016): Behavioural and psychological symptoms in dementia and the challenges for family carers: Systematic review, Br. J. Psychiatry, 208(5), 429-434.
- Gilhooly, K. J., Gilhooly, M. L., Sullivan, M. P., et al. (2016): A meta-review of stress, coping and interventions in dementia and dementia caregiving, BMC Geriatr, 16(106), doi: 10.1186/s12877-016-0280-8.
- Haikio, K., Sagbakken, M., Rugkasa(2019): Dementia and patient safety in the community: A qualitative study of family carers' protective practices and implications for services, BMC Health Serv Res, 19(635), doi: 10.1186/s12913-019-4478-2.
- Hopwood, J., Walker, N., McDonagh, L., et al. (2018): Internet-based interventions aimed at supporting family caregivers of people with dementia: Systematic review, J. Med. Internet Res., 20(6), doi: 10.2196/jmir.9548.
- Kajiwara, L., Noto, H., Yamanaka, M. (2018): Positive appraisal reduces caregiver burden among in-home family caregivers of persons with dementia in Japan, インターナショナル Nursing Care Research, 17(2), 61-67.
- Kishimoto, Y., Terada, S., Takeda, N., et al. (2013): Abuse of people with cognitive impairment by family caregivers in Japan(a cross-sectional study), Psychiatry Res., 209(3), 699-704.
- 厚生労働省(2018a) : 市町村・地域包括支援センターによる家族介護者支援マニュアル〜介護者本人の人生の支援〜, https://www.mhlw.go.jp/content/12300000/000307003.pdf.
- 厚生労働省(2021) : 令和元年度「高齢者虐待の防止, 高齢者の養護者に対する支援等に関する法律に基づく対応状況等に関する調査」の結果及び高齢者虐待の状況等を踏まえた対応の強化について(通知), https://www.mhlw.go.jp/content/12300000/000752416.pdf.
- 厚生労働省(2018b) : 市町村・都道府県における高齢者虐待への対応と養護者支援について, https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000200478.html.
- Leng, M., Zhao, Y., Xiao, H., et al. (2020): Internet-based supportive interventions for family caregivers of people with dementia: Systematic review and meta-analysis, J. Med. Internet Res., 22(9), doi: 10.2196/19468.
- 松本直美, 池田学, 福原竜治, 他(2006) : 日本語版NPI-DとNPI-Qの妥当性と信頼性の検討, 脳と神経, 58(9), 785-790.
- 諸岡明美(2012) : 在宅における認知症高齢者の介護および死別体験のプロセスと心理 家族介護者へのインタビューの質的研究, 日本認知症ケア学会誌, 10(4), 462-475.
- 日本経済新聞社(2019) : 死亡事故の高齢運転者, 半数が認知機能低下などの恐れ, https://www.nikkei.com/article/DGXMZO42596990Y9A310C1CC1000/.
- 任貞美(2014) : 介護職員の虐待認識に基づいた高齢者虐待定義の再構築への試み : 「準虐待」の構造と特徴に着目して, 社会福祉学, 54(4), 57-69.
- Oh, S., Yu, M., Ryu, Y. M., et al. (2020): Changes in family dynamics in caregiving for people with dementia in South Korea: A qualitative meta-synthesis study, Qualitative Health Res., 30(1), 60-72.
- Rivera-Navarro, J., Contador, I. (2019): Family caregivers' perceptions of maltreatment of older adults with dementia: Findings from the northwest of Spain, J. Elder Abuse Negl., 31(1), 77-95.
- Serra, L., Contador, I., Fernandez-Calvo, B., et al. (2018): Resilience and social support as protective factors against abuse of patients with dementia, Int. J. Geriatr. Psychiatry, 33(8), 1132-1138.
- 柴尾慶次(2008) : 高齢者虐待と虐待防止 施設内における高齢者虐待の実態と対応, 老年精神医学雑誌, 19(12), 1325-1332.
- 高井隆一(2018) : 認知症鉄道事故裁判, ブックマン社, 東京.
- 寺岡貴子, 深堀浩樹, 野末聖香, 他(2021) : 日本の認知症高齢者を在宅介護する家族介護者の体験のメタ統合, 日本精神保健看護学会誌, 30(2), 39-49.
- Toda, D., Tsukasaki, K., Itatani, T., et al. (2018): Predictors of potentially harmful behaviour by family caregivers towards patients treated for behavioural and psychological symptoms of dementia in Japan, Psychogeriatrics, 18(5), 357-364.
- Tong, A., Sainsbury, P., Craig, J. (2007): Consolidated criteria for reporting qualitative research(COREQ): A 32-item checklist for interviews and focus groups, Int. J. Qual. Health Care, 19(6), 349-357.
- United Nation: World Population Prospects 2019, https://population.un.org/wpp/Download/Standard/Population/.
- U. S. Department of Health & Human Services: National Adult Maltreatment Reporting System(NAMRS), https://acl.gov/programs/elder-justice/national-adult-maltreatment-reporting-system-namrs.
- van Wijngaarden, E., van der Wedden, H., Henning, Z., et al. (2018): Entangled in uncertainty: The experience of living with dementia from the perspective of family caregivers, PLoS One, 13(6), doi: 10.1371/journal.pone.0198034.
- Wang, M., Sun, H., Zhang, J., et al. (2019): Prevalence and associated factors of elder abuse in family caregivers of older people with dementia in central China cross-sectional study, Int. J. Geriatric. Psychiatry, 34(2), 299-307.
- World Health Organization(2021): Dementia, https://www.who.int/en/news-room/fact-sheets/detail/dementia.
- Williamson, G. M., Shaffer, D. R. (2001): Relationship quality and potentially harmful behaviors by spousal caregivers: How we were then, how we are now, Psychol. Aging, 16(2), 217-226.
- 矢吹知之, 吉川悠貴, 阿部哲也, 他(2016) : 認知症家族介護者における高齢者虐待の蓋然性自覚の生起要因 介護者と被介護者の続柄および性別による検討, 老年社会科学, 37(4), 383-396.
- Yan, E. (2014): Abuse of older persons with dementia by family caregivers: results of a 6-month prospective study in Hong Kong, Int. J. Geriatr. Psychiatry, 29(10), 1018-1027.
- 横山さつき(2020) : 介護職員による不適切ケアの様相と対応方略の検討-開発した「不適切ケア防止チェックリスト」による実態調査を基に-, 中部学院大学・中部学院大学短期大学部研究紀要, 21, 45-54.
- 吉川悠貴(2010) : 認知症の人への虐待の防止 施設・事業所における高齢者虐待の実態と防止のための教育, 日本認知症ケア学会誌, 9(3), 472-478