認知症高齢者における日常生活遂行能力評価表の構築—第1報

Development of "Evaluation of the Daily Executive Functions for elderly people with dementia" : I. preliminary study

要旨：認知症高齢者のADL能力と対象者をとりまく環境の現状が確認可能な評価表「日常生活遂行能力評価表(以下，E-DEF)(案)」を作成し，介護療養型病床群に入院中で認知症と診断された22名を対象として予備調査を行った．E-DEF(案)の総得点を障害高齢者自立度，認知症高齢者自立度，介護度の3種類の基準における各群間で比較したところ，総得点に有意差がみられた．また，HDS-R得点との間に有意な相関がみられた．今回作成したE-DEF(案)は，対象者のADL能力を簡便に評価すると同時に，対象者をとりまく環境の介入要因とその量の把握が可能であるという点で有用性を持つと考えられる．さらに一部の修正を加えて最終案を作成した．

　We made an Evaluation of the Daily Executive Functions (E-DEF: draft) for elderly people with dementia. Our hope is to understand activities of daily living (ADL) abilities and the environment of the elderly with dementia.

　We created a E-DEF (draft). We decided on criteria for the E-DEF (draft) as having 7 ADL factors and 4 intervention factors. The ADL factors were feeding, grooming, dressing, toileting, bathing transfers and movement. The intervention factors were environmental institution, watching, signs, behavior helping. We evaluated each elderly person with dementia to judge their level of independence in all categories under study. The object was to evaluate 22 elderly people with dementia. As a result of this study, three types of evaluations and E-DEF's (draft) total scores were examined. These include activities of daily living rates for handicapped elderly people, activities of daily living rates for handicapped elderly people with dementia and level of care needs. There is a relationship between the E-DEF's (draft) total scores and HDS-R scores.

　We were able to understand ADL ability, elderly people with dementia's environmental and intervention factor's quantity by using the E-DEF (draft). The E-DEF (draft) was a useful evaluation instrument for studying the elderly with dementia.

　Finally, when creating E-DEF (the final copy), we decided to modify the language to make it easier to understand.