Appropriate Measures for Memory Impairment in Patients with Dementia─Evidence from “Ninchisho Chienowa Net”─

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  • Kazui Hiroaki
    Department of Neuropsychiatry, Kochi Medical School, Kochi University.
  • Sato Shunsuke
    Department of Psychiatry, Osaka University Graduate School of Medicine Department of Psychiatry, Osaka General Medical Center
  • Yoshiyama Kenji
    Department of Psychiatry, Osaka University Graduate School of Medicine
  • Kosugi Naoko
    Division of Healthcare Informatics, Faculty of Healthcare, Tokyo Healthcare University
  • Ikeda Manabu
    Department of Psychiatry, Osaka University Graduate School of Medicine

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  • 認知症患者の記憶障害に対する適切な対応法─認知症ちえのわ net の結果から─

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<p>  “Ninchisho Chienowa net” is a website developed by us to collect experiments related to care for patients with dementia from all over Japan. On the website, we ask family or professional caregivers throughout Japan to submit their care experiences, including what happened（what types of behavioral and psychological symptoms of dementia（BPSD））, the management method used, and whether the method improved the BPSD（effective or ineffective）to this website. Then, we make a group of the care experiences with both the same kind of BPSD and the same kind of management method. In this group, this management method is effective in some care experiences, and ineffective in others. Then, we calculate the success rate for these care experiences.<br>  Memory impairment is a common symptom that appears frequently in patients with dementia and is a major obstacle to daily life. The number of the care experiences related to memory impairments was the most in 12 categories of BPSD on Ninchisho Chienowa net. “Forgetting to make medicine” is one of the major obstacle to daily life. Three representative management methods for the obstacle were “Putting the medicine in the box on which the date was written”, “Using the calendar”, and “Creating a system to hand over the medicine to the patient”. The success rates for the three management methods were 40, 55.3, and 92%, respectively. The success rate of “Leaving the dishes unclean after meals” for “forgetting to eat a meal” was 66.7%. We confirmed that the success rates calculated on Ninchisho Chienowa net were similar to those calculated in the actual clinical scene.</p>

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