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首页> 外文期刊>Dementia and Geriatric Cognitive Disorders Extra >Does the Use of Nursing-Care Services Reduce the Information about Dementia Patients Provided by Their Caregivers
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Does the Use of Nursing-Care Services Reduce the Information about Dementia Patients Provided by Their Caregivers

机译：使用护理服务是否会减少照护者提供的痴呆患者信息

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Background: The rate of use of nursing-care services has been increasing dramatically in recent years with the upgrading of the public long-term care insurance system in Japan. We addressed how the increased use of the nursing-care services might affect the information on the patients provided by their caregivers. Methods: A questionnaire survey of 531 family caregivers caring for dementia patients at home was carried out to investigate how the use of these services might affect the information about the patients provided by the caregivers. The survey revealed that the use of the nursing-care services reduced the burden (quality, quantity, time of nursing care, and feeling) on the caregivers. Results: According to the observation provided by the caregivers, the patients’ behaviors and activities at home tended to decrease. These results indicated that the use of the nursing-care services resulted in a reduction in the opportunity for and the time spent on observation of the patients by the caregivers, making it more difficult for the caregiver to provide an appropriate assessment of the patient’s condition. Conclusions: We discussed the impact of the use of the nursing-care services on the Clinician’s Interview-Based Impression of Change plus (CIBIC-plus) rating. Due to the reduction in the time spent on nursing care and in the opportunity for observation of the patient’s activities of daily living by the caregiver resulting from the use of the nursing-care services, it is difficult to obtain an accurate picture of the patient’s clinical condition using the CIBIC-plus, probably leading to an inappropriate CIBIC-plus rating.
机译：背景：近年来，随着日本公共长期护理保险制度的升级，护理服务的使用率已急剧增加。我们解决了护理服务使用量的增加如何影响其护理人员提供的患者信息的问题。方法：对531名在家中照顾痴呆症患者的家庭护理人员进行了问卷调查，以调查这些服务的使用如何影响护理人员提供的患者信息。调查显示，使用护理服务可以减轻护理人员的负担（质量，数量，护理时间和感觉）。结果：根据护理人员的观察，患者在家中的行为和活动有减少的趋势。这些结果表明，护理服务的使用减少了护理人员观察患者的机会和时间，使护理人员更难以对患者的状况进行适当的评估。结论：我们讨论了使用护理服务对临床医生基于面试的变革印象加（CIBIC加）评级的影响。由于减少了护理时间，并且由于使用护理服务而使护理人员有机会观察患者的日常生活，因此难以准确了解患者的临床情况使用CIBIC-plus的情况，可能会导致不适当的CIBIC-plus等级。

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