患者や介護者が認知症の診断を希望するかどうかに影響する要因
Chikara Nakayama1, Teruyuki Matsuoka1,2, Ayu Imai1
1Department of Psychiatry, Kyoto Prefectural University of Medicine, Kyoto, Japan.
まとめ
ほとんどの患者は認知症の診断を 公開したいと願っていますが 介護者の願いは異なります 患者と介護者の間で情報開示の決定に影響を与える要因は異なっており,コミュニケーションのギャップを強調しています.
科学分野:
- ゲロントロジー
- 神経学
- 精神科
背景:
- 認知症の開示は 患者の自立とケア計画に 極めて重要です
- 認知症の診断を公表したいという欲求に影響を与える要因に関する研究は限られている.
研究 の 目的:
- 認知症の診断を公表したいという患者や介護者の願いを決定する要因を特定する.
主な方法:
- 201人の認知症患者とその介護者を対象に実施された調査です.
- 患者と介護者のグループ間の情報公開の好みの比較
- フィッシャーの精度と マン・ウィトニーUテストを用いた統計分析です
主要な成果:
- 患者の93. 5%が情報開示を希望し,介護者の75. 1%が情報開示を希望した.
- 幻覚は,開示を望む患者と開示を望まない患者の間で有意に異なっていた.
- 介護者は,患者の穏やかな興奮と無関心を報告し,開示を望む可能性が高くなった.
結論:
- 日本では認知症の情報公開に関する 患者と介護者の間で大きなギャップがある.
- 患者と介護者の間で情報開示の欲求に影響を与える要因は異なっており,改善されたコミュニケーション戦略の必要性を示唆しています.
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