認知症 の 患者 の 中 で 実施 さ れ た 大規模 な 調査 研究: 受ける 介護 の 種類 や 介護 の 質 と 生活 質 に 関する 性別 の 差異
Michiel de Graaff1,2, Iris van der Heide1, Jany Rademakers1,2
1Nivel. Netherlands Institute for Health Services Research, Utrecht, the Netherlands.
Dementia (London, England)
|September 2, 2025
まとめ
認知症の男性と女性は 治療の質は似ていますが 男性の生活の質は わずかに高いと報告されています 医療の質は性別に関係なく 認知症患者の生活の質に ポジティブな影響を及ぼしました
科学分野:
- ゲロントロジー
- 神経科学
- 公衆衛生
背景:
- 認知症の治療の質と生活の質を 関連付ける研究がありますが 性別差は十分に研究されていません
- この研究は,オランダの認知症患者のケアタイプ,ケア品質,生活の質におけるジェンダーの違いを調査することで,このギャップを埋めています.
- 性別が介護の質と生活の質の関係に 影響を及ぼすことも検討しています
研究 の 目的:
- 認知症の患者さんが受ける介護の性別差を調べる
- 認知症の男性と女性の間で 認知されたケアと生活の質を比較する
- 介護の質と生活の質との関連におけるモデレーターとしてのジェンダーの役割を分析する.
主な方法:
- オランダの449人の認知症患者の横断調査データを使用した.
- 記述的統計と非パラメトリックテストを用いて分析されたケアタイプ.
- 10ポイントのスケールでケアと生活の質の認識を評価し,性別を考慮した回帰分析を行いました.
主要な成果:
- 女性はより頻繁に家庭でのケアを受け,男性はより頻繁にグループミーティングに参加しました.
- 医療の質は男性 (7.6) と女性 (7.5) の間で比較され,良いと評価された.
- 生活の質は男性 (7.1) よりも女性 (6.9) の方がわずかに低く,この関連性は性別とは無関係でした.
結論:
- 認知能力のある認知症患者は 介護の利用において 性別による差異を示しました
- 介護の質は全体的に良好で,男性の生活の質はわずかに高かった.
- 医療の質の向上は 性別に関係なく 参加者の生活の質の向上と相関しています
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