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Volume 8 Journal of Alzheimers Disease & Parkinsonism
ISSN: 2161-0460 Dementia 2018
October 29-31, 2018
October 29-31, 2018 | Valencia, Spain
12th International Conference on
Alzheimer’s Disease & Dementia
Can we quantify the person-centered care concept for people with dementia? Extract of priority
approach points for people with dementia: A pilot study
Aya Seike1, 2, Akinori Takeda1, Naoki Saji1, Hidetoshi Endo 1, Yukihiko Washimi1, Kenji Toba1 and Takashi Sakurai 1
1National Center for Geriatrics and Gerontology (NCGG), Japan
2Kokoro Research Center—Kyoto University, Japan
To quantify the care concept (person-centered care) for people with mild cognitive impairment (MCI) and early stage
dementia, we analyzed the difference between the MESD’s and family caregiver’s narratives and extracted approach points
for MESDs. We conducted a semi-structured interview for 14 pairs of MESDs and caregivers visiting the National Center for
Geriatrics and Gerontology (NCGG). Based on the self-regulatory model of illness behavior, the interview items were set to
eight categories (physical and mental changes, self-esteem, etc.). Methods of content analysis were, segmenting the contents
of utterances; classifying them as positive and negative and sorting those classified into eight categories (ultimately, sorting
them into 16 categories). Finally, the percentage of speech in each category and their total number of words was calculated
(incidence of occurrence) and compared between MESDs and caregivers. The attributes of MESDs were age: 78.0±3.4, MCI
50.0%, MMSE (mini–mental state examination): 21.7±3.4. The attributes of caregivers were age: 64.0±11.5, relationship:
biological parent and child was 57.1%. The categories of significantly higher incidences in MESDs were: affirmative self-esteem
(t(24)=1.8, p<0.05), family affinity (t(24)=1.9, p<0.05). Conversely, in caregivers, pessimistic feelings of MESD’s mental and
physical changes accounted for a high percentage. MESDs positively talked about their personality and their families. On the
other hand, caregivers negatively talked about changes of MESDs. As a result, the focus approach point for MESDs is based on
personal history, such as personal background and the individual’s view of life. In other words, this suggestion is synonymous
with the concept of person-centered care.
J Alzheimers Dis Parkinsonism 2018, Volume 8
DOI: 10.4172/2161-0460-C7-055