並列タイトル等重度知的障害者の施設環境の移行に伴う強度行動障害の変化
授与機関名Nagasaki University (長崎大学)
一般注記Challenging behavior (CB), the most common example being extreme self-injurious or aggressive/destructive behavior, is often observed as a major behavior issue in individuals with severe intellectual disabilities. This study investigated how CB changed among residents of a facility for people with disabilities before and after it was restructured from a traditional format single room shared by two to three individuals with approximately 20 residents lived together to a format featuring private areas with two rooms per resident and a unitcare system. Twenty-one residents of Care Home A, which was rebuilt in the new care format, were selected. Care staff completed a questionnaire one month before, one month after, and six months after residents moved to the new facility. Scores were compared among each time point. The results revealed significant reductions in residents’ aggressive, stereotyped, and targeted behaviors, such as hitting their own head and fecal smearing. The major features of the restructured facility were a living space consisting of two private rooms per resident and a shift to unit care for the entire ward. These new features enabled residents to reduce destructive stimuli and made it easier to understand what to do in each private room.
長崎大学学位論文 学位記番号:博(医歯薬)甲第1624号 学位授与年月日:令和6年6月5日
Mizuho Kawanaka, Yuto Iwanaga, Akiko Tokunaga,Toshio Higashi, Goro Tanaka, Akira Imamura and Ryoichiro Iwanaga
Healthcare, 12(3), art. no. 288; 2024
Nagasaki University (長崎大学), 博士(医学) (2024-06-05)
著作権情報© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
関連情報（DOI）10.3390/healthcare12030288
連携機関・データベース国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）