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Please use this identifier to cite or link to this item: http://hdl.handle.net/10285/9844

NII Resource type: Departmental Bulletin Paper
Title: 独居認知症高齢者へのSmart Home利用の包括的アセスメント・評価枠組みの開発 -文献レビューと介入研究事例の統合から-
Other Titles: Development of Framework for Assessing and Evaluating Usage of 'Smart Home' Monitoring Systems for the Elderly with Dementia Residing at Home Alone -Integrating a Literature Review and Interventional Studies-
Authors: 亀井, 智子
藤原, 佳典
細井, 孝之
深谷, 太郎
野中, 久美子
小池, 高史
渡邊, 麗子
澤登, 久雄
松本, 真澄
渡辺, 修一郎
田中, 千晶
Keywords: elderly with dementia at home
Smart home
safety system by ICT in the home
evaluation framework
Smart home
Shimei: 聖路加看護大学紀要
Issue: 39
Start page: 10
End page: 19
Issue Date: Mar-2013
Publisher: 聖路加看護大学
Abstract:  独居認知症高齢者の在宅生活の質,および生活のモニタリングによる安全を促進する観点から,Smart home 利用時のアセスメント・評価枠組みを開発した。  方法は文献のメタ統合,およびSmart home 新規利用者のモニタリング結果の分析を並行して行い,①個人・ 家族背景,②最適なモニタリング方法,③モニタリング内容,および④ Smart home 利用成果の項目別にアセ スメント・評価項目を統合した。  Smart home 利用による成果の主な評価項目は,本人の安全・自立した一人暮らしの継続,トイレ・台所他居 室の使用回数,睡眠と活動( 動き) の場所と量,QOL / 健康関連QOL,入院・入所の回避他「健康的な生活リズム」 を評価する項目であった。離れて暮らす家族・介護者については,家族からみた課題の解決度,満足度他,自宅 内環境では,Smart home 技術が本人のニーズに合致しているか,地域包括システムでは専門職からみた問題の 解決度,業務量,満足度他,また,ヘルスケアの経済面についてのインパクトをアセスメント・評価枠組みとす ることが可能であると示唆された。
Abstract-Alternative: We examined assessment and evaluation frameworks of‘ Smart home’ monitoring systems for the elderly with dementia living alone at their residences, which encouraging monitoring of their safety life and life’s quality in the residence. We demonstrated the assessment and evaluation framework through integration with Meta-synthesis of the literature and elderly who introduced to the Smart home systems.  They were examined through the following perspectives:(1)elderly and family’s back ground,(2) adequate home monitoring methods,(3)details of monitoring and(4)outcome of living in the Smart home.  The results suggested that it is possible to set up frameworks to evaluate and assess the following: needs of the elderly, safe and independent single living, usage of the lavatory or kitchen, sleeping and activity times/spaces, impact on quality of life(QOL)and health-related QOL, these were the elements of ‘healthy life rhythms’ and avoidance of hospitalization or institutionalization. Regarding the family living separately, problem resolution and satisfaction of them. Regarding the residence environment, whether the Smart home technology was adequate to meet the demented elder’s needs; and regarding the general support system in the community whether, according to experts in the field, there were more significant problems solved, satisfaction with/and the amount of work, and the economical impact on healthcare.
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The kind of text : publisher
URI: http://hdl.handle.net/10285/9844
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