@article{oai:kanazawa-u.repo.nii.ac.jp:00058951,
 author = {石井, 久仁子 and 塚崎, 恵子 and 京田, 薫 and 板谷, 智也 and 遠田, 大輔 and 中井, 寿雄 and Ishii, Kuniko and Tsukasaki, Keiko and Kyota, Kaoru and Itatani, Tomoya and Toda, Daisuke and Nakai, Hisao},
 issue = {2},
 journal = {Journal of wellness and health care, Journal of wellness and health care},
 month = {Feb},
 note = {Aim: The aim of this study was to clarify the actual status of management of triggers of
behavioral and psychological symptoms of dementia (BPSD) among care managers and
the factors that affect the implementation of management.
Methods: An anonymous self-administered questionnaire was conducted for care managers
from 4000 in-home long-term care support providers throughout Japan. The following
items were surveyed: gender, basic qualifications, years of work experience with basic
qualifications and care manager, cognitive symptoms, underlying illness and physical and
mental conditions, living ability, living environment, social participation and life history,
precautions when creating care plans, and difficulties in support. Univariate analysis was
conducted according to whether the management of BPSD triggers was implemented.
Binary logistic regression analysis was conducted with the items that showed significant
differences as independent variables, and the implementation of trigger management as the
dependent variable.
Results: An analysis was conducted on 832 care managers with the basic qualifications of
a certified care worker and nurse. Of these, 430 (53.6%) managed triggers, while 402 (46.4%)
did not. Compared to those who didn’t manage triggers, a significantly higher percentage
of those who did manage triggers assessed their cognitive symptoms, physical and mental
status, living ability, living environment and social participation, and adopted precautions
when creating care plans. Factors affecting the implementation of trigger management
included the patient’s strengths, connection with local residents, promotion of family
members’ understanding of dementia, consideration of abuse prevention, cooperation with
doctors, and basic qualifications.
Conclusions: Half of the respondents implemented trigger management, which was
affected by the list of precautions when creating care plans, and basic qualifications.
Promoting care plans that include support, which increases the self-efficacy of people
with dementia, building stable relationships with local residents and family members,
and cooperation with doctors, may lead to the implementation of trigger management. In
particular, the necessity of promoting trigger management among certified care workers
was suggested.},
 pages = {47--57},
 title = {Factors affecting the care management of behavioral and psychological symptoms of dementia among care managers in Japan},
 volume = {45},
 year = {2022}
}