著者

大谷 明弘 林 典生 おおたに あきひろ はやし のりお Akihiro OTANI Norio HAYASHI

雑誌

最新社会福祉学研究

巻号頁・発行日

vol.13, pp.15-27, 2018-03-31

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本研究は, 認知症に伴う行動・心理症状(Behavioral and Psychological Symptoms ofDementia:以下,BPSD)の背景因子を捉えるためのケアの視点を明らかにするためにCiNiiおよびJ-STAGEを活用した文献研究を実施した.論文145本が対象となり,更に先行研究に基づき5要因(身体的要因,精神的要因,環境的要因,個人的要因,介護者要因)を抽出し,その後分類した.分類結果は,①BPSDの現状把握のための背景因子,②介護施設の現状,③実践的アプローチの現状の3つになった.この結果から,施設での多忙な業務の中でも5要因に着目することでBPSDの背景因子を推定できる可能性が明らかになった.また,介護負担感の概念の広さが,隣接する研究領域に重複させ,分類を困難にしている理由として考えられた.今後は,介護負担感の概念整理と共に本研究で明らかになった5要因に基づく背景因子の推定を実施した上でのケアが,利用者のBPSD減少やQOL向上,更に介護職員の介護負担感に与える影響を明らかにする必要があるIn this research, in order to clarify the viewpoint of care for grasping background factors ofbehavioral and psychological symptoms of dementia (hereinafter referred to as BPSD), a reviewresearch was conducted through utilizing CiNii and J-STAGE. With 145 papers as a subject,based on the previous researches, 5 factors (physical factors, mental factors, environmentalfactors, personal factors, and caregiver's factors) were extracted, and classified afterwards.Consequently, they were classified into the followings; (1) Background factors for grasping thecurrent status of BPSD, (2) Current status of nursing-care facilities, and (3) Current status ofpractical approach. From this result, it has become clear that the background factors of BPSDcan be estimated through focusing on 5 factors despite busy tasks at facilities. Additionally,it was deemed that a broad concept of caregiver's burden made adjacent research areasoverlapped, which resulted in difficult classification. From this time on, it is necessary to clarifythe effects of decreases in users BPSD, QOL improvements, and caregiver's burden exertedby the care in which not only the concepts of caregiver's burden were organized but also thebackground factors based on the 5 factors clarified in this research.