运用竹内理论为64名失智症患者提供家庭护理研讨会:家庭主导的失智症缓解计划

Megumi Kodaira, Takahito Takeuchi
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引用次数: 4

摘要

近年来,旨在缓解痴呆症症状的方案已在全国范围内实施。在这些项目中,痴呆症患者由他们的家庭成员根据竹内的理论来照顾。作者为这些护理人员提供了教育。在本研究中,我们在3个地点对64名痴呆症患者及其家庭照顾者进行了为期6个月的家庭护理研讨会。在这些患者在研讨会前表现出的141例痴呆症状中,92例(65.2%)得到缓解,15例(10.6%)在研讨会后几乎完全消失(总数:75.8%)。根据一项涉及家庭照顾者的问卷调查,57.8%的人认为患者的痴呆症症状出现了非常或轻微的好转;这一比例低于实际症状缓解者(75.8%)。因此,痴呆症状的消失并没有导致家庭照顾者对症状变化的积极评价。我们的研究结果表明,痴呆症症状可以通过护理得到解决或缓解,需要采取持续的方法,以减少家庭照顾者的焦虑,并使他们认识到患者症状的变化。Takeuchi’s theory, family care, dementia kodaira@iuhw.ac.jp (Megumi KODAIRA) .中华社会科学杂志,2015,(9):1-16。©2015亚洲人类服务协会收到
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Provision of a family-care seminar for 64 demented individuals using Takeuchi's theory:A family-led dementia-alleviation program
In recent years, programs aimed at relieving dementia symptoms have been implemented nationwide. In these programs, dementia patients are cared for by their family members using Takeuchi's theory. The authors have provided education for these caregivers. In the present study, we held a 6-month family-care seminar for 64 dementia patients and their family caregivers at 3 sites. Of the 141 dementia symptoms exhibited by these patients before the seminar, 92 (65.2%) were resolved and 15 (10.6%) almost completely disappeared after the seminar (total: 75.8%). According to a questionnaire survey involving their family caregivers, 57.8% of them felt that patients showed very or slightly favorable changes in their dementia symptoms; this percentage was lower than that of actually resolved symptoms (75.8%). Thus, the disappearance of dementia symptoms did not lead to family caregivers’ positive evaluation of symptom changes. Our findings suggest that dementia symptoms can be resolved or relieved depending on care, and that there is a need to adopt continued approaches in a manner so that the anxiety of family caregivers will be reduced, and they will recognize changes in their patients’ symptoms. Takeuchi’s theory, family care, dementia kodaira@iuhw.ac.jp (Megumi KODAIRA) Asian J Human Services, 2015, 9:1-16. © 2015 Asian Society of Human Services Received
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