認知症看護認定看護師による外来認知症高齢者の家族支援の実施と関連要因

Support Provided by Certified Nurse in Dementia Nursing to Families of Elderly Individuals with Dementia Undergoing Outpatient Treatment and Related Factors

抄録

　本研究の目的は，認知症看護認定看護師（以下，DCN）による，外来通院している認知症高齢者（以下，外来認知症高齢者）の家族支援の実施と関連要因を明らかにすることである．全国の医療施設に勤務するDCN499人を対象に自記式質問紙調査を実施した．199人（有効回答率39.9％）の回答について，記述統計とχ²検定，二項ロジスティック回帰分析を行った．

　DCNの所属部署は病棟が133人（66.8％）で最も多かった．外来認知症高齢者の家族支援を行っているのは84人（42.2％）であった．DCNによる外来認知症高齢者の家族支援の実施に関連する要因は，活動時間の保証，認知症相談窓口の存在，外来所属，経験年数であった．外来所属以外で，外来認知症高齢者の家族支援を行っているDCNは，認知症高齢者の家族支援に対する認識が高く，家族支援の役割を果たしていると考えられた．今後は，その重要性を医療施設の管理者およびDCN自身が認識し，組織的な取り組みを行うことが必要である．

　The aim of this study was to clarify support provided by Certified Nurse in Dementia Nursing (DCN) to families of elderly individuals with dementia undergoing outpatient treatment and to identify related factors. A self-administered questionnaire survey was conducted among 499 DCN working at medical institutions across Japan. Responses from 199 DCN (valid response rate, 39.9％) were analyzed using descriptive statistics, χ² test, and binomial logistic regression test. The largest number of 133DCN (66.8％) belonged to a hospital ward, and 84 DCN (42.2％) were providing support to families of elderly individuals with dementia undergoing outpatient treatment. Factors related to provision of support by DCN to such families included : being assured of working hours as DCN ; availability of dementia consultation services ; affiliation with an outpatient department ; and years of experience. The DCN who did not belong to outpatient departments yet and provided support to families of elderly individuals with dementia undergoing outpatient treatment appeared to be highly aware of support to families of elderly individuals with dementia and played a role in supporting families. Administrators of medical institutions and DCN themselves should be aware of the importance of providing support to families of elderly individuals with dementia undergoing outpatient treatment and make coordinated efforts.