ホスピス患者のホームケア環境での人生の最後の1週間の間,ハイパーアクティブ・デリリウム
K Melekis1, C S Weisse2, J Whittier2
1Department of Social Work, University of Vermont, Burlington, VT, USA.
The American journal of hospice & palliative care
|February 20, 2026
まとめ
ハイパーアクティブ・デリリウム (HD) の症状は,ホームホスピスケアでは一般的で苦痛です. 人生の最後の週にHDの発生率が増加していることは,よりよい介護者サポートの必要性を強調しています.
科学分野:
- 緩和ケアとは,緩和ケアです.
- ゲリアトリック・メディシン (老年医学)
- 神経科学は神経科学である.
背景:
- 興奮や幻覚のような多動性妄想症 (HD) の症状は,患者や介護者に苦痛を与えます.
- HDの罹患率は,入院患者での終末期に近く増加しますが,ホームホスピスのデータは限られています.
- 非公式の介護者は,しばしばホームホスピス環境でHDの症状を管理します.
研究 の 目的:
- 生命の最後の1週間のホームホスピス患者におけるHD症状の頻度と重症度を特徴づけること.
- HDの症状を管理し,ケアを提供する介護者の経験を調査する.
- ホームホスピスにおける介護者支援の改善の必要性を特定する.
主な方法:
- ミックスメソッドのアプローチでは,ホームホスピス患者101人の医療記録を分析した.
- 混乱評価スケール (CRS) と看護妄想スクリーニングスケール (NDSS) を利用し,HDの発生を特定しました.
- HDの重症度を定量的に (頻度,総発生) と質的に (介護者の物語のテーマ分析) 評価した.
主要な成果:
- HDの症状は,患者の32.6% (N=29) に存在していました.
- 死亡前に少なくとも7日間ケアを受けた患者で133件のHD症例が記録されました (N=19).
- HDの症状は,人生の最後の週に着実に増加し,介護者は症状管理の課題を報告しました.
結論:
- HDは,ホームホスピス施設の介護者にとって大きな課題となっています.
- HDの症状の頻度と重症度は,介護者支援の強化の必要性を強調しています.
- サポートの改善は,HDを患っているホームホスピス患者のケア品質を向上させるために不可欠です.
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