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Factors related to aggravation of the level of care for elderly individuals with behavioral and psychological symptoms of dementia requiring support

  • Maruta Michio
    Medical Corporation, Sansyukai, Okatsu Hospital (Former affiliation; Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University)
  • Tanaka Takayuki
    Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University
  • Sagari Akira
    Division of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Shinsyu University
  • Miyata Hironori
    Department of Occupational Therapy, Faculty of Rehabilitation, Kyushu Nutrition Welfare University
  • Hotta Maki
    Department of psychiatry, Course of Integrated Medicine, Osaka University, Graduate School of Medicine
  • Yoshimitsu Koji
    Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University
  • Han Gwanghee
    Department of Neuropsychiatry, Kumamoto University Hospital (Former affiliation; Department of Rehabilitation center, St.Mary's Hospital)
  • Takahashi Hiroki
    Department of Rehabilitation center, St.Mary's Hospital
  • Kawagoe Masahiro
    Graduate School of Health, Medicine, and Welfare, Saitama Prefectural University

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Other Title
  • BPSD 関連項目に該当する要支援高齢者の介護度悪化 に関わる要因の検討

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Abstract

<p>In this study, we investigated factors related to aggravation of the level of care for elderly individuals with behavioral and psychological symptoms of dementia (BPSD) requiring support, based on the A City's certification of long-term care needs survey in 2014 and 2016. We investigated the survey contents related to mental and physical function, activities of daily living (ADLs), and instrumental activities of daily living (IADLs) using a multiple logistic regression model. As a result, "own medications," "daily decision-making," and "handling finances" were significantly related to aggravation of the levels of care; "walking" was significantly related to maintenance of and improvements in the levels of care. Our findings suggested that to prevent aggravation of the level of care for elderly individuals with BPSD requiring support, we should prevent degradation in their IADLs, and we must support their decision-making in daily living. It was also suggested that improving walking ability leads to maintenance of and improvements in the levels of care.</p>

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