認知症と軽度認知機能障害患者のリハビリテーションにおける目標設定に関するスコーピングレビュー
要旨：認知症患者および軽度認知機能障害患者を対象としたリハビリテーションにおける目標設定に関する既存の知見を，スコーピングレビューを使用して分析した．PubMed，MEDLINE，ProQuest，CINAHL，Web of Science，Scopusから得られた33編の適格論文を精読した結果，意思決定支援ツールや介入パッケージ・理論を適応させる研究や，介護者の関与を促進させる研究が抽出された．しかし，重度認知症患者を対象とした報告は限定的であり，今後は重度認知症患者に対する目標設定のさらなる検証や，認知症特有の意思決定支援ツールの開発の必要性が示唆された．...
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| Published in | 作業療法 Vol. 42; no. 4; pp. 435 - 445 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本作業療法士協会
15.08.2023
一般社団法人 日本作業療法士協会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0289-4920 2434-4419 |
| DOI | 10.32178/jotr.42.4_435 |
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| Abstract | 要旨：認知症患者および軽度認知機能障害患者を対象としたリハビリテーションにおける目標設定に関する既存の知見を，スコーピングレビューを使用して分析した．PubMed，MEDLINE，ProQuest，CINAHL，Web of Science，Scopusから得られた33編の適格論文を精読した結果，意思決定支援ツールや介入パッケージ・理論を適応させる研究や，介護者の関与を促進させる研究が抽出された．しかし，重度認知症患者を対象とした報告は限定的であり，今後は重度認知症患者に対する目標設定のさらなる検証や，認知症特有の意思決定支援ツールの開発の必要性が示唆された． |
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| AbstractList | 要旨：認知症患者および軽度認知機能障害患者を対象としたリハビリテーションにおける目標設定に関する既存の知見を，スコーピングレビューを使用して分析した．PubMed，MEDLINE，ProQuest，CINAHL，Web of Science，Scopusから得られた33編の適格論文を精読した結果，意思決定支援ツールや介入パッケージ・理論を適応させる研究や，介護者の関与を促進させる研究が抽出された．しかし，重度認知症患者を対象とした報告は限定的であり，今後は重度認知症患者に対する目標設定のさらなる検証や，認知症特有の意思決定支援ツールの開発の必要性が示唆された． 要旨:認知症患者および軽度認知機能障害患者を対象としたリハビリテーションにおける目標設定に関する既存の知見を, スコーピングレビューを使用して分析した. PubMed, MEDLINE, ProQuest, CINAHL, Web of Science, Scopusから得られた33編の適格論文を精読した結果, 意思決定支援ツールや介入パッケージ・理論を適応させる研究や, 介護者の関与を促進させる研究が抽出された. しかし, 重度認知症患者を対象とした報告は限定的であり, 今後は重度認知症患者に対する目標設定のさらなる検証や, 認知症特有の意思決定支援ツールの開発の必要性が示唆された. 認知症患者および軽度認知機能障害患者を対象としたリハビリテーションにおける目標設定に関する既存の知見を，スコーピングレビューを使用して分析した．PubMed，MEDLINE，ProQuest，CINAHL，Web of Science，Scopusから得られた33編の適格論文を精読した結果，意思決定支援ツールや介入パッケージ・理論を適応させる研究や，介護者の関与を促進させる研究が抽出された．しかし，重度認知症患者を対象とした報告は限定的であり，今後は重度認知症患者に対する目標設定のさらなる検証や，認知症特有の意思決定支援ツールの開発の必要性が示唆された． |
| Author | 大野 勘太 友利 幸之介 小山 貴士 赤坂 竜一 |
| AuthorAffiliation | つくばセントラル病院総合リハビリテーションセンター 善常会リハビリテーション病院リハビリテーション部 東京工科大学医療保健学部リハビリテーション学科作業療法学専攻 |
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| Copyright | 2023 一般社団法人日本作業療法士協会 |
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| CorporateAuthor | つくばセントラル病院総合リハビリテーションセンター 善常会リハビリテーション病院リハビリテーション部 東京工科大学医療保健学部リハビリテーション学科作業療法学専攻 |
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| DOI | 10.32178/jotr.42.4_435 |
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| References_xml | – reference: 4) Hirschman KB, Joyce CM, James BD, Xie SX, Karlawish JH: Do Alzheimer's disease patients want to participate in a treatment decision, and would their caregivers let them? Gerontologist 45(3): 381- 388, 2005. – reference: 1) Kitwood T : Toward a Theory of Dementia Care : Ethics and Interaction. J Clin Ethics 9(1) : 23-24, 1998. – reference: 24) Watermeyer TJ, Hindle JV, Roberts J, Lawrence CL, Martyr A, et al : Goal Setting for Cognitive Rehabilitation in Mild to Moderate Parkinson's Disease Dementia and Dementia with Lewy Bodies. Parkinsons Dis 2016 : 8285041, 2016, doi: 10.1155/2016/8285041. – reference: 20) Zarit SH, Chiusano C, Harrison AS, Sewell L, Krause C, et al: Rehabilitation of persons with dementia: using technology to improve participation. Aging Ment Health 25(3): 543-550, 2021. – reference: 11) Kim S : Cognitive rehabilitation for elderly people with early-stage Alzheimer's disease. J Phys Ther Sci 27(2): 543-546, 2015. – reference: 13) Regan B, Wells Y, Farrow M, O'Halloran P, Workman B: MAXCOG-Maximizing Cognition: A Randomized Controlled Trial of the Efficacy of Goal-Oriented Cognitive Rehabilitation for People with Mild Cognitive Impairment and Early Alzheimer Disease. Am J Geriatr Psychiatry 25(3): 258-269, 2017. – reference: 15) Gitlin LN, Arthur P, Piersol C, Hessels V, Wu SS, et al: Targeting Behavioral Symptoms and Functional Decline in Dementia: A Randomized Clinical Trial. J Am Geriatr Soc 66(2): 339-345, 2018. – reference: 21) Londos E, Boschian K, Linden A, Persson C, Minthon L, et al : Effects of a goal-oriented rehabilitation program in mild cognitive impairment: a pilot study. Am J Alzheimers Dis Other Demen 23(2): 177-183, 2008. – reference: 55) Grande G, Stajduhar K, Aoun S, Toye C, Funk L, et al: Supporting lay carers in end of life care: current gaps and future priorities. Palliat Med 23(4) : 339- 344, 2009. – reference: 37) Leven NV, de Lange J, Groenewoud J, van der Ploeg E, Pot AM : Exploring the usefulness of indicators for referring people with dementia and their informal caregivers to activating interventions : a qualitative analysis of needs assessments. BMC Geriatr 19(1) : 230, 2019, doi: 10.1186/s12877-019-1221-0. – reference: 19) Ciro CA, Poole JL, Skipper B, Hershey LA : Comparing Differences in ADL Outcomes for the STOMP Intervention for Dementia in the Natural Home Environment Versus a Clinic Environment. Austin Alzheimers Parkinsons Dis 1(1): 1003, 2014, PMCID: PMC5333932. – reference: 52) Ally BA, Gold CA, Budson AE : The picture superiority effect in patients with Alzheimer's disease and mild cognitive impairment. Neuropsychologia 47(2): 595-598, 2009. – reference: 41) Douglas N, Brush J, Bourgeois M: Person-Centered, Skilled Services Using a Montessori Approach for Persons with Dementia. Semin Speech Lang 39(3) : 223-230, 2018. – reference: 6) Menne HL, Whitlatch CJ: Decision-making involvement of individuals with dementia. Gerontologist 47(6): 810-819, 2007. – reference: 42) Perneczky R, Wagenpfeil S, Komossa K, Grimmer T, Diehl J, et al: Mapping scores onto stages: minimental state examination and clinical dementia rating. Am J Geriatr Psychiatry 14(2): 139-144, 2006. – reference: 56) Zeiss AM, Gallagher-Thompson D, Lovett S, Rose J, McKibbin C: Self-Efficacy as a Mediator of Caregiver Coping: Development and Testing of an Assessment Model. Journal of Clinical Geropsychology 5(3): 221- 230, 1999. – reference: 30) Kelly ME, Lawlor BA, Coen RF, Robertson IH, Brennan S : Cognitive rehabilitation for early stage Alzheimer's disease : a pilot study with an Irish population. 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| Snippet | 要旨：認知症患者および軽度認知機能障害患者を対象としたリハビリテーションにおける目標設定に関する既存の知見を，スコーピングレビューを使用して分... 認知症患者および軽度認知機能障害患者を対象としたリハビリテーションにおける目標設定に関する既存の知見を，スコーピングレビューを使用して分... 要旨:認知症患者および軽度認知機能障害患者を対象としたリハビリテーションにおける目標設定に関する既存の知見を, スコーピングレビューを使用して分析した. PubMed,... |
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| Title | 認知症と軽度認知機能障害患者のリハビリテーションにおける目標設定に関するスコーピングレビュー |
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