\u3010\u6587\u732e\u3011
\nPhilip D Sloane, et al. Effect of Person-Centered Showering and the Towel Bath on Bathing-Associated Aggression, Agitation, and Discomfort in Nursing Home Residents with Dementia: A Randomized, Controlled Trial. J Am Geriatr Soc;52:1795-1804. 2004.<\/p>\n
\u3010\u8981\u7d04\u3011
\n\u300a\u5c0e\u5165\u300b
\n\uff08\u8a8d\u77e5\u75c7\u306e\uff09\u30d1\u30fc\u30bd\u30f3\u30bb\u30f3\u30bf\u30fc\u30c9\u30b1\u30a2\u3068\u306f\uff1f
\n\u304a\u304a\u3082\u3068\u306f\u3001\u30a4\u30ae\u30ea\u30b9\u306e\u5fc3\u7406\u5b66\u8005\u306eJ. \u30ad\u30c3\u30c8\u30a6\u30c3\u30c9\u304c\u63d0\u5531\u3002
\n\u25cf\u3000\u30d1\u30fc\u30bd\u30f3\u30bb\u30f3\u30bf\u30fc\u30c9\u30b1\u30a2\u306e\u30b3\u30f3\u30dd\u30fc\u30cd\u30f3\u30c8\u3000(\u53c2\u8003\u6587\u732e\u3088\u308a)
\n\u2022\u4eba\u9593\u6027\u304c\u5931\u308f\u308c\u305f\u306e\u3067\u306f\u306a\u304f\u3066\u3001\u898b\u3048\u306a\u304f\u306a\u3063\u3066\u3044\u308b\u3060\u3051\u3068\u307f\u306a\u3059\u3002
\n\u2022\u5168\u3066\u306e\u30b1\u30a2\u306e\u5834\u9762\u3067\u3001\u305d\u306e\u4eba\u306e\u4eba\u9593\u3089\u3057\u3044\u5074\u9762\u3092\u91cd\u8996\u3059\u308b\u3002
\n\u2022\u74b0\u5883\u3084\u30b1\u30a2\u3092\u500b\u5225\u5316\u3057\u305f\u3082\u306e\u3068\u3059\u308b
\n\u2022\u610f\u5fd7\u6c7a\u5b9a\u306e\u5171\u6709(Shared-decision making)\u3092\u63d0\u6848\u3059\u308b
\n\u2022\u8a8d\u77e5\u75c7\u306e\u65b9\u306e\u884c\u52d5\u3092\u3001\u305d\u306e\u65b9\u306e\u8996\u70b9\u306b\u305f\u3063\u3066\u89e3\u91c8\u3059\u308b
\n\u2022\u30b1\u30a2\u306e\u30eb\u30fc\u30c1\u30f3\u30bf\u30b9\u30af(\u6e05\u62ed\u306a\u3069)\u3068\u540c\u7b49\u306b\u3001\u8a8d\u77e5\u75c7\u306e\u65b9\u3068\u306e\u95a2\u4fc2\u6027\u306b\u91cd\u304d\u3092\u7f6e\u304f\u3002
\n\u25cf\u3000\u4eca\u56de\u306e\u6587\u732e\u306e\u4e2d\u3067\u306f\u4ee5\u4e0b\u306e\u4e00\u9023\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u6307\u3057\u3066\u3044\u308b\u3002
\n\u3000\u30fb\u5c45\u4f4f\u8005\u306e\u5feb\u9069\u3055\u3068\u597d\u307f\u3092\u5c0a\u91cd\u3059\u308b
\n\u3000\u30fb\u884c\u52d5\u7684\u75c7\u72b6\u306f\u3001\u30cb\u30fc\u30ba\u304c\u6e80\u305f\u3055\u308c\u3066\u3044\u306a\u3044\u305f\u3081\u8d77\u3053\u308b\u3068\u307f\u306a\u3059
\n\u3000\u30fb\u5c45\u4f4f\u8005\u306e\u8a8d\u77e5\u6a5f\u80fd\u306b\u5408\u308f\u305b\u305f\u30ec\u30d9\u30eb\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3046
\n\u3000\u30fb\u554f\u984c\u89e3\u6c7a\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u7528\u3044\u308b
\n\u3000\u30fb\u5c45\u4f4f\u8005\u306e\u5feb\u9069\u3055\u306e\u305f\u3081\u306b\u3001\u74b0\u5883\u306e\u8abf\u7bc0\u3092\u56f3\u308b
\n\u300a\u76ee\u7684\u300b
\n\u25cf\u4ecb\u8b77\u65bd\u8a2d\u5165\u6240\u4e2d\u306e\u8a8d\u77e5\u75c7\u60a3\u8005\u306e\u8208\u596e\u72b6\u614b\u3084\u653b\u6483\u7684\u884c\u52d5\u3092\u6e1b\u3089\u3059\u305f\u3081\u306e\u975e\u85ac\u7269\u7684\u4ecb\u5165(Person-centered showing\u307e\u305f\u306f\u3001Towel-bath)\u306e\u52b9\u679c\u3092\u8a55\u4fa1\u3059\u308b\u3002
\n\u3010\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u3011
\n\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3000
\n\u3010\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3011
\n15\u306e\u9ad8\u9f62\u8005\u798f\u7949\u65bd\u8a2d(Nursing home)
\n\u3010\u8ad6\u6587\u306ePECO\u3011
\nP\uff1b\u5165\u6d74\u4ecb\u52a9\u6642\u306b\u8208\u596e\u3057\u305f\u308a\u3001\u653b\u6483\u7684\u884c\u52d5\u304c\u307f\u3089\u308c\u305f\u8a8d\u77e5\u75c7\u5229\u7528\u800569\u4eba\u3068\u4ecb\u52a9\u3059\u308b\u4ecb\u8b77\u800537\u4eba
\nE\uff1b\u2460person-centered showering
\n\u3000\u3000\u2461the towel bath (a person-centered, in-bed bag-bath with no-rinse soap)\u3000\u3000\u2460\u3068\u2461\u306f\u30af\u30ed\u30b9\u30aa\u30fc\u30d0\u30fc
\nC\uff1b\u901a\u5e38\u901a\u308a\u306e\u30b1\u30a2
\nO\uff1bAgitation\u3068Aggression\u3001\u5165\u6d74\u6642\u9593\u30fb\u5165\u6d74\u304c\u7d42\u3048\u3089\u308c\u308b\u304b\u3001\u76ae\u819a\u306e\u72b6\u614b\u3001\u76ae\u819a\u5e38\u5728\u83cc\u53e2
\n\u3000Agitation\u3068Aggression\u306f Care Recipient Behavior Assessment(CAREBA)\u3068\u3044\u3046\u30b9\u30b3\u30a2\u3067\u6e2c\u5b9a\u3055\u308c\u305f\u3002
\n\u3000\u5229\u7528\u8005\u306e\u4e0d\u5feb\u611f\u306b\u3064\u3044\u3066\u3082\u3001Discomfort Scale for Dementia of the Alzheimer Type\u3068\u3044\u3046\u30b9\u30b3\u30a2\u3067\u6e2c\u5b9a\u3055\u308c\u305f\u3002<\/p>\n
\u300a\u7d50\u679c\u300b
\nPrimary endopoint
\n\u8208\u596e\u3084\u653b\u6483\u7684\u884c\u52d5
\nPerson centered showering\uff1a\u300053\uff05\u6e1b\u5c11(P<\uff10\uff0e\uff10\uff10\uff11)\nTowel bath\uff1a\u3000\u300060\uff05\u6e1b\u5c11\u3000(P\uff1c\uff10\uff0e\uff10\uff10\uff11)\nControl\uff1a\u3000\u3000\u6e1b\u5c11\u306a\u3057\n\u4e0d\u5feb\u611f\u30b9\u30b3\u30a2\nPerson centered showering\uff1a\u3000\u3000\uff08P<\uff10\uff0e\uff10\uff10\uff11)\nTowel bath\uff1a\u3000\u3000(P<\uff10\uff0e\uff10\uff10\uff11)\nControl\uff1a\u3000\u3000\u6e1b\u5c11\u306a\u3057\nSecondary endpoint\n\u5e73\u5747\u5165\u6d74\u6642\u9593\u306f\u3001Person-centered showering\u306e\u30b0\u30eb\u30fc\u30d7\u306e\u65b9\u304c\u3001Towel bath\u306e\u30b0\u30eb\u30fc\u30d7\u3088\u308a\u6709\u610f\u306b\u9577\u304b\u3063\u305f\u3002(3.3\u5206)\n\u4f53\u3092\u6d17\u3063\u305f\u90e8\u5206\u306e\u591a\u3055\u3084\u76ae\u819a\u72b6\u614b\u3001\u76ae\u819a\u7d30\u83cc\u53e2\u306b\u3064\u3044\u3066\u306f\u5dee\u306f\u898b\u3089\u308c\u306a\u304b\u3063\u305f\u3002\n\n\u53c2 \u8003\uff1bDavid Edvardsson, Bengt Winblad, PO Sandman. Person-centred care of people with severe Alzheimer's disease: current status and ways forward: Lancet Neurol 2008; 7: 362-67\n\n\n\n\u3010\u958b\u50ac\u65e5\u3011\n\uff12\uff10\uff11\uff10\u5e74\uff19\u6708\uff11\uff15\u65e5\uff08\u6c34\uff09\n<\/p>\n","protected":false},"excerpt":{"rendered":"