啓蒙活動，検診，作業療法を統合した認知症早期発見・援助事業とその効果

The effect of total support on people with early-stage dementia through enlightening activities, medical examination and occupational therapy

要旨：認知症の予防と効果的な援助を目的として，一般市民及び専門職に認知症の講演を行うと同時に検診を呼びかけ，予防や適切な対応に対する意識を喚起した．さらに，検診で問題が見つかった者に対して，地域の在宅ケア専門職と連携しながら作業療法でフォローをするという啓蒙活動，検診，作業療法の流れを意識した取り組みを行った．啓蒙活動や検診は，対象者にとって自らの生活を振り返るきっかけとなり，予防的関わりとして有効であることが示唆された．問題が見つかった者に対して，地域の在宅ケア専門職と連携して作業療法を行うことは，対象者の機能的改善や閉じこもり防止に寄与する可能性が高いことが示唆された．

　The purpose of this article is to report the intervention of a total support network, including enlightening activities, medical examination and occupational therapy on people with early-stage dementia. Our results indicate that medical examination might contribute to the understanding and prevention of dementia. In addition, the enlightening activities of the public health nurse and the care manager might contribute to the execution of effective and well-timed home care for people with early-stage dementia. Furthermore, occupational therapy for patients with early-stage dementia and family cooperation with the home-care support center might improve the patient's function and motivation. These results suggest that a network of total support through enlightening activities, medical examination and occupational therapy may be beneficial to the people with early-stage dementia.