孤独な認知症患者の心理的社会的なニーズ:物語の統合 体系的なレビュー
Tia Cheung-Cook1,2, Phil Joddrell1,3, Karen Harrison Dening1
1Research and Publications, Dementia UK, London, England.
Dementia (London, England)
|September 2, 2025
まとめ
孤独に暮らす 認知症患者の数は増えていて 独特の心理的社会的な課題を 抱えています このレビューは彼らのニーズをまとめ,アイデンティティの維持や 終末期のケアを家庭で管理するなど, 異なる問題を強調しています.
科学分野:
- ゲロントロジー
- 心理学
- 社会科学
背景:
- 独身の認知症患者は 2039年までに2倍になると予測されています
- 認知症で一人暮らしは 患者,介護パートナー,支援サービスに 独特の課題をもたらします
- 孤独 に 生きる 理由 に は,個人 の 選択 や 悲しみ の よう な 出来事 が 含ま れ ます.
研究 の 目的:
- 認知症で孤独な人の 心理的社会的なニーズを 体系的に見直し,要約する.
- 認知症で一人暮らしの経験によって 独特で悪化する特定のニーズを 特定すること
- このグループ内の多様な集団のニーズに関する研究におけるギャップを強調する.
主な方法:
- 複数の学術データベース (Academic Search Ultimate,MEDLINE,CINAHL Ultimate,APA PsycArticles,APA PsycInfo) で,包括的な文献検索が行われました.
- 対象となる研究は,独身で暮らす認知症患者のニーズや経験を調査するために,質的または混合的なアプローチを使用した.
- データは物語的アプローチを用いて合成され,研究品質は国立ケア・ヘルス・エクセレンス研究所のチェックリストを用いて評価された.
主要な成果:
- キットウッドのモデルでは 恋愛,アイデンティティ,愛着,包摂,職業,快適さといった あらゆる領域で 心理的社会的なニーズが特定されました
- 一人暮らしをする人の独特のニーズには,アイデンティティナラティブを維持する他者の不在による人格に対する脅威が含まれます.
- 家庭での終末期介護の管理や 終末期介護の認識も課題です
結論:
- 孤独に暮らす認知症患者の多様性は インターセクショナルで個人中心のアプローチを必要とします
- 将来の研究と臨床実践は,LGBTQ+を含む多様なグループの特定のニーズと経験に対応する必要があります.
- 孤独に暮らす認知症患者のサポートとケアを改善するために これらのユニークな心理的社会的ニーズを理解し対処することが不可欠です
関連する概念動画
01:29Documentation in Long-Term and Home Healthcare Setting
983
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
983
01:30Dementia
165
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
165
01:30Cognitive Development During Adulthood
255
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
255
01:27Erikson's Theory on Socioemotional Development during Adulthood
272
Erik Erikson's theory of psychosocial development outlines a series of stages through which individuals progress across the lifespan. Each stage involves a psychosocial conflict that significantly influences personal growth and well-being. Three key stages — intimacy versus isolation, generativity versus stagnation, and integrity versus despair — highlight the developmental challenges faced in adulthood.
Intimacy Versus Isolation in Early Adulthood
Individuals in early...
Intimacy Versus Isolation in Early Adulthood
Individuals in early...
272
01:26Alzheimer's Disease: Overview
666
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
666
01:28Drug Therapy
96
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
96