■原著
街ぐるみ認知症相談センターの4年間の活動状況
石渡 明子1, 北村 伸2, 野村 俊明3, 根本 留美4, 石井 知香4, 若松 直樹5, 片山 泰朗1, 川並 汪一4
1日本医科大学大学院医学研究科神経内科学
2日本医科大学武蔵小杉病院内科
3日本医科大学基礎科学心理学
4日本医科大学街ぐるみ認知症相談センター
5新潟リハビリテーション大学医療学部リハビリテーション学科
4-year Activities of the Community Consultation Center
Akiko Ishiwata1, Shin Kitamura2, Toshiaki Nomura3, Rumi Nemoto4, Chika Ishii4, Naoki Wakamatsu5, Yasuo Katayama1 and Ouichi Kawanami4
1)Department of Neurology, Nippon Medical School
2)Nippon Medical School Musashi Kosugi Hospital
3)Department of Psychology, Nippon Medical School
4)The Community Consultation Center for Citizens with MCI and Dementia, Nippon Medical School
5)Department of Rehabilitation, Niigata University of Rehabilitation
Aim: Community Consultation Center was established in 2007 as a core facility of a project entitled "Community Support Network for Citizens with Mild Cognitive Impairment and Dementia" subsidized by the Ministry of Education, Culture, Sports, Science and Technology. This study reports the activity within the facility and users' outcome.
Methods: At the facility, users consulted their memory problem, and a screening tool with a touch-panel type computer (TP) was used to check their memory loss. Dementia was suspected when the TP score was 12 or less points, and clinical psychotherapist implemented Mini-Mental state examination. All the results were summarized in reports, and we prompted users to see their primary doctors, or nearby medical institutes that we offered. In this study, we asked these medical institutes of their outcome. Informed consent was obtained from all users.
Results: A total of 2,802 people visited the Center, and 1,565 people registered (male/female=519/1,046; mean age, 74 years). 561 people used the center twice or more. Among 1,354 who had TP, 722 users got a score under 12 (46.1%). A total of 409 responses from medical institutes were collected. The data revealed that Mild cognitive impairment (MCI) was 11.2%, Alzheimer's disease was 37.1%, and vascular dementia was 8.00%.
Conclusion: These results indicate that approximately half of the users of the Center was suspected dementia, and a prevalence of both MCI and dementia reached to about 60%. This Center has proven to be useful for early detection and diagnosis.
日医大医会誌 2013; 9(1), 14-19
Key words
dementia, Mild Cognitive Impairment, early detection of dementia, Community Consultation Center, social network
Correspondence to
Akiko Ishiwata, Department of Neurology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
E-mail：akiko081@nms.ac.jp
受付：2012年6月21日 受理：2012年7月31日 |
全文PDF