Seike Aya, Sumigaki Chieko, Takeda Akinori, Endo Hidetoshi, Sakurai Takashi, Toba Kenji
Center for Comprehensive Care and Research on Demented Disorders, National Center for Geriatrics and Gerontology, Obu, Japan; Kokoro Research Center, Kyoto University, Kyoto, Japan.
Geriatr Gerontol Int. 2014 Apr;14 Suppl 2:28-34. doi: 10.1111/ggi.12263.
The National Center for Geriatrics and Gerontology has begun to provide educational support for family caregivers through interdisciplinary programs focusing on patients in the early stage of dementia. These interdisciplinary programs have established two domains for the purpose of "educational support": cure domains (medical care, medication) and care domains (nursing care, welfare). In the present study, we examined the learning needs and post-learning attitude changes of patients and their families who participated in these programs in order to assess the effectiveness of an interdisciplinary program of educational support in each of these domains.
A total of 170 participants (51 dementia patients, 119 family members) were included in the study. Data were obtained from electronic health records, and through a written survey administered before and immediately after each program.
A high percentage of patients and family members desired knowledge about the progression and symptoms of dementia, as well as measures to prevent progression, both of which fall under the medical care content. For patients, education in the medical care content increased their motivation to live. For families, education in the medical and nursing care contents promoted their understanding of dementia, while education in medication and welfare contents improved their skills for handling dementia patients and their symptoms.
Both patients and family members expressed a need to learn medical care content, including the progression and disease symptoms of dementia, and methods to prevent the progression of dementia symptoms. Their responses showed that learning medical care was effective for understanding dementia. We suggested that medical care content was the core of interdisciplinary educational support for early-stage dementia patients and their family members.
国立老年医学和老年学中心已开始通过以早期痴呆症患者为重点的跨学科项目,为家庭护理人员提供教育支持。这些跨学科项目为“教育支持”设立了两个领域:治疗领域(医疗护理、药物治疗)和护理领域(护理、福利)。在本研究中,我们调查了参与这些项目的患者及其家属的学习需求和学习后的态度变化,以评估这些领域中跨学科教育支持项目的效果。
共有170名参与者(51名痴呆症患者,119名家庭成员)纳入本研究。数据来自电子健康记录,并通过在每个项目前后立即进行的书面调查获得。
很高比例的患者和家属希望了解痴呆症的进展和症状以及预防进展的措施,这两者都属于医疗护理内容。对于患者来说,医疗护理内容的教育增加了他们的生活动力。对于家属来说,医疗和护理内容的教育促进了他们对痴呆症的理解,而药物治疗和福利内容的教育提高了他们处理痴呆症患者及其症状的技能。
患者和家属都表示需要学习医疗护理内容,包括痴呆症的进展和疾病症状以及预防痴呆症症状进展的方法。他们的回答表明,学习医疗护理对理解痴呆症是有效的。我们建议医疗护理内容是对早期痴呆症患者及其家属进行跨学科教育支持的核心。