Departmental Bulletin Paper エビデンスとナラティヴの関係 : 認知症高齢者と介護者の社会的認知に着目した検討
Relationship between evidence and narrative: A study focusing on social cognition in the elderly with dementia and elderly care professionals

村山, 明彦  ,  ムラヤマ, アキヒコ  ,  Akihiko, MURAYAMA

Description
DSM−5では,認知機能をこれまでの5領域から6領域とし,新たに社会的認知が加わった.また,認知症施策推進総合戦略(新オレンジプラン)の策定に伴い,これまで以上に社会的認知が注目されるようになった.このような背景から,認知症高齢者の社会的認知を,科学的に検討する研究が増加しつつある.一方,高齢者ケア専門職の社会的認知を検討した研究は少ない.本研究では.認知症高齢者と高齢者ケア専門職,双方の社会的認知に着目し,認知症ケアの方法論として有益な知見を提示することを目的とした.本研究の目的を遂行するために,文献研究の手法を用いて,先行研究を踏まえ,本研究における社会的認知を定義するための理路を提示した・認知症ケアの方法論の現状と課題についても言及し,エビデンスとナラティヴに関する先行研究からの知見を援用した.以上の結果を統合し,実践への提言として,社会的認知をSOAP形式にて,評価・記録することの可能性をまとめた.
The previous edition which included five domains of cognitive function has been updated to the newly revised edition of the Statistical Manual of Mental Disorders (DSM-5) which defines six domains of cognitive function including social cognition. Along with formulation of the Comprehensive Strategy to Accelerate Dementia Measures by the Japanese government (also called “New Orange Plan”), social cognition has drawn more attention. Based on such background, an increasing number of studies on social cognition in elderly people with dementia have been conducted, but only a few studies on social cognition in elderly care professionals have been performed. The present study, based on a literature review, focuses on social cognition in both the elderly with dementia and elderly care professionals, and is aimed at offering findings that are useful for providing dementia care. In order to achieve the objective of this study, a discussion is presented in the following order: a method of defining social cognition based on previous studies is shown; evidence and narrative are cited from previous studies; and recommendations for dementia care practice are provided from these integrated results.
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