@article{oai:iuhw.repo.nii.ac.jp:00000029,
 issue = {2},
 journal = {国際医療福祉大学紀要, Bulletin of International University of Health and Welfare},
 month = {Jan},
 note = {本研究は在宅の認知症高齢者の福祉用具利用時の事故・ひやりはっとの実態を知るためにアンケート調査を行い,その防止策について検討を行ったものである。全国福祉用具専門相談員協会会員全員を対象に行った結果から,事故・ひやりはっと134 件のうち最も多いのはベッド・付属品で,なかでも柵が43 件(32.1%)と多く,「柵を乗り越えて転落」(19 件14.2%),「柵の挟み込み」(18 件13.4%)が顕著であることが明らかになった。認知症高齢者に限定した福祉用具の事故・ひやりはっと調査自体,筆者が調べた範囲ではこれまで例がなく,「柵を乗り越えて転落」に見られるように,認知症高齢者にとっては転落防止のための柵が行動の障害となり,事故につながる可能性があると考えられる。ベッド柵で囲むなど家族からの福祉用具による身体拘束の依頼も多く,認知症高齢者のリスクマネジメントとして,福祉用具専門相談員はベッド柵の使用について慎重に考える必要があると思われる。国とメーカーは「柵を乗り越える」ことに対する注意喚起をする必要がある。, In this study, a questionnaire was used to assess the actual situation of accidents/near accidents during the use of assistive products by elderly persons with dementia receiving home care and to investigate measures to prevent such accidents/near accidents. The questionnaire was mailed to all members of the Japan Association of Expert Advisors for the Provision of Assistive Products, and the responses revealed 134 accidents/near accidents, the most common being those involving beds and their attachments. In particular, a significant number (43 cases: 32.1%)involved bed rails, including "climbing over the rails and falling" (19 cases: 14.2%) and "becoming caught in the rails" (18 cases: 13.4%) To our knowledge, there have been no other studies concerning accidents/near accidents involving assistive products focusing exclusively on elderly persons with dementia. As evidenced by reported cases of "climbing over the rails and falling," bed rails, which are intended to prevent accidental falls, can inhibit the movement of elderly persons with dementia, potentially resulting in accidents. On the other hand, the families of elderly persons with dementia often ask for assistive products that provide physical restraint, such as beds with rails.The results of the present study suggest that expert advisors who are responsible for providing assistive products should carefully consider the use of bed rails from the viewpoint of risk management for elderly persons with dementia. At the same time, the government and manufacturers of assistive products should issue warnings to consumers concerning the potential risk of users climbing over the bed rails.},
 pages = {29--40},
 title = {福祉用具専門相談員から見た,在宅の認知症高齢者の福祉用具利用状況とリスクマネジメントのあり方},
 volume = {14},
 year = {2010}
}