Wandering Behavior in Elderly People with Alzheimer's Disease

URI http://harp.lib.hiroshima-u.ac.jp/pu-hiroshima/metadata/3225
File
Title
Wandering Behavior in Elderly People with Alzheimer's Disease
Title Alternative
アルツハイマー病高齢者の俳徊行動に関する研究
Author
氏名 OTSU Haruka
ヨミ オオツ ハルカ
別名 大津 美香
氏名 TAKAYAMA Shigeko
ヨミ タカヤマ シゲコ
別名 高山 成子
氏名 HANDA Yoko
ヨミ ハンダ ヨウコ
別名 半田 陽子
氏名 OGAWA Chiaki
ヨミ オガワ チアキ
別名 小川 千明
氏名 NOMURA Saori
ヨミ ノムラ サオリ
別名 野村 早織
Subject
徘徊
アルツハイマー病高齢者
Wandering
Elderly People with Alzheimer's Disease
Behavioral and Psychological Symptoms of Dementia
Abstract

This study investigated the relationship between feelings and opinions, non-wandering patterns, and types of wandering in wanderers with Alzheimer's Disease, with the ultimate aim of exploring methods of nursing care appropriate to their feelings while wandering. There were basically two types of wandering, purposeful and non-purposeful. The former could be categorized into four types, work, going home, interaction, and physiological. Regardless of the degree of impaired cognitive function, two or more wandering types were exhibited by all participants, and the combination of types differed from individual to individual. Feelings were broadly classified into positive and negative in investigating the relationship between feelings during wandering and types of wandering. In three purposeful types of wandering (except for going home) - work, interaction, physiological - feelings were positive in the case of accomplishing their purposes but negative in the reverse case, and were also negative in the non-purposeful type. Four patterns in the non-wandering situations - concentrating, peace of mind, relating to others, and physiological needs - were identified. The best pattern for discontinuing wandering was peace of mind, which was effective for all five wandering types. In particular, for the going home wandering type, this was the only way to discontinue wandering. On the other hand, work and physiological types were available in all four patterns as an effective way to discontinue wandering.

本研究では,認知症高齢者の徘徊時の気持ちや徘徊中断について聴取,および観察を行なった。認知症高齢者の徘徊の目的および理由と徘徊時の気持ちや徘徊を中断するときの関連から,徘徊者の気持ちを踏まえたより効果的な援助方法を探ることが目的である。徘徊には大きく分けて,有目的と無目的の二つのパターンがあり,前者は,さらに「勤勉性」「帰宅願望性」「親密性」「生理的要因性」の四つのタイプに分類された。個人を主体とした徘徊行動では,全ての対象者のタイプは単一ではなく,認知レベルにかかわらず,二ないし五タイプであり,個人における組み合わせも異なっていた。また,徘徊時には,肯定的及び否定的な感情があり,非徘徊時のパターンには,「集中する」「精神的安寧が得られる」「他者と関わる」「生理的欲求がある」があった。そして,「精神的安寧が得られる」ことは全ての徘徊行動パターンに有効な徘徊中断への対応方法であった。

Description

原著

Original Article

国立情報学研究所で電子化

Journal Title
人間と科学 : 県立広島大学保健福祉学部誌 = Humanity and science : journal of the Faculty of Health and Welfare
Volume
6
Issue
1
Spage
25
Epage
35
Published Date
2006-03
Publisher
県立広島大学
ISSN
1346-3217
NCID
AA12121256
Language
eng
NIIType
Departmental Bulletin Paper
Text Version
出版社版
Sort Key
07
Old URI
Set
pu-hiroshima