認知症と軽度認知機能障害患者のリハビリテーションにおける目標設定に関するスコーピングレビュー

A scoping review of research on the goal setting for people in rehabilitation with dementia or mild cognitive impairment

要旨：認知症患者および軽度認知機能障害患者を対象としたリハビリテーションにおける目標設定に関する既存の知見を，スコーピングレビューを使用して分析した．PubMed，MEDLINE，ProQuest，CINAHL，Web of Science，Scopusから得られた33編の適格論文を精読した結果，意思決定支援ツールや介入パッケージ・理論を適応させる研究や，介護者の関与を促進させる研究が抽出された．しかし，重度認知症患者を対象とした報告は限定的であり，今後は重度認知症患者に対する目標設定のさらなる検証や，認知症特有の意思決定支援ツールの開発の必要性が示唆された．

　This scoping review aimed to map existing literature on goal setting for people with dementia or mild cognitive impairment in rehabilitation. Six electronic databases were mined for articles that described goal setting processes during rehabilitation for people with dementia or mild cognitive impairment. Thirty-three studies met the eligibility criteria. Decision aids were applied to identify occupational problems of patients in rehabilitation including the Canadian Occupational Performance Measure, the Bangor Goal Setting Interview, and Goal Attainment Scaling. The structured frameworks were used to identify individual rehabilitation goals and promote the involvement of their families and caregivers. However, there were only a few studies that targeted patients with severe dementia.