<原著>訪問看護におけるケア内容とケア手法に関する解析(3) : 高齢利用者の痴呆の程度との関連

概要

論文の詳細を見る
The purpose of this study was to analyze nursing intervention among home care elderly patients with different levels of dementia. Questionnaires that concerning health care provider and client characteristics, and categories and targets of nursing interventions were sent to nurses in 759 home care agencies in Japan. 525 questionnaires were returned, and 394 clients aged 65 or older were chosen for this study. The subjects were divided into 4 dementia groups; non-dementia (n=131), mild dementia (n=91), moderate dementia (103), and severe dementia (n=69). Nursing interventions among four groups were analyzed. A positive correlation between average age and dementia level was demonstrated. Levels activities of daily living were lowest in the moderate and severe dementia groups. Levels of provided self-care, decubitus care, bladder and bowel care, and positioning correlated positively with dementia level. Frequencies of exercise and rehabilitative interventions were lower in moderate and severe dementia groups than in mild and non-dementia groups. The most frequently provided intervention category was "treatment and procedure" of clients, followed by "health teaching, guiding and counseling" and "surveillance" of clients' family members.
福井大学の論文
2000-03-31