韓国における認知症患者の長期介護施設での入院数
Eun Hye Hong1, Gwang Suk Kim2, Eunhee Cho2
1Yonsei University College of Nursing, Seoul, Republic of Korea.
Nursing outlook
|August 30, 2025
まとめ
家庭やコミュニティーベースのサービス (HCBS) は認知症のケアに影響を与えます. 6ヶ月以上持続したHCBS使用は,より短い期間と比較して長期介護施設の入院を減らす.
科学分野:
- ゲロントロジー
- 医療サービス研究
- 公衆衛生
背景:
- 認知症は長期介護施設の入院の主な要因です
- 家庭やコミュニティベースのサービス (HCBS) の種類と期間がLTCの入学に与える具体的な影響はよく理解されていません.
研究 の 目的:
- 認知症患者におけるHCBSの種類 (家庭,昼間,併用ケア) と期間 (<6 vs. ≥6ヶ月) とLTC施設での入院との関係を調査する.
- 異なるHCBS利用戦略に基づいて入学パターンを分析する.
主な方法:
- 韓国の国民健康保険とLTC保険のデータセット (2017年−2019年) を利用した遡及コホート研究.
- 認知症と診断された 14,011人の受益者も含まれています.
- 多重ロジスティック回帰とコックス比例リスク回帰分析を用いた.
主要な成果:
- デイケアや複合ケアサービスを利用する受益者は,自宅でのケアのみを受ける受益者と比較して,LTC施設に入院する確率が高かった.
- 6ヶ月以上持続したHCBS使用は,短期間の使用 (< 6ヶ月) に比べて施設入院のリスクが低下した.
結論:
- パーソナライズされたホームケアを推進し,長期にわたるHCBSの関与を奨励することで,認知症患者の施設化が遅れる可能性があります.
- HCBSの継続的な使用は,患者の成果を改善し,医療システムの持続可能性に貢献します.
- パーソナライズされたホームケア計画と実施のための看護師主導の戦略を 支持しています
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