Research of the problems facing the elderly patients at discharge from the hospital concerning their health, their daily life at home, and their living vicissitude on time series

老年患者出院时健康状况、居家日常生活及生活变迁问题的时间序列研究

• 批准号: 05671944
• 负责人: TAKATA Setuko
• 金额: $ 1.28万
• 依托单位: OKAYAMA UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for General Scientific Research (C)
• 财政年份: 1993
• 资助国家: 日本
• 起止时间: 1993 至 1994
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-05671944/
• 关键词: elderly patient; patient education for discharge; problem at discharge; needs of patient at discharge; 自宅退院

The purpose of this study was to clarify the problems facing the elderly patients at discharge from the hospital concerning their health, their daily life at home, and their living vicissitude on time series.We interviewed 78 patients aged 70 years and above when they were ready to be discharged from the hospital.After having done these interviews, we conclude as follows,(1) 23.1% of the subjects need continuous nursing care from the viewpoint of their body condition after leaving the hospital, and 20.5% need help from their family or others to live by themselves at home. (2) Most of them worried about their disease or dietary cure, and had a wish to consult the problems concerning their physical or psychosocial health and their daily life with the doctors or the nurses. (3) 69.5% of the subjects had less problems, but 21.7% had more than 4 problems. (4) 84.7% of the subjects had a life's worth. The more they made an effort for a happy life, the more they had a life's worth.We surveyed 92 patients at 3 months, 6 months, and 12 months since they were discharged. Their living vicissitude on time series was clarifyed.(1) Patients who thought their physical condition was good was 51.4% of subjects after 3 months, 56.7% of them after 6 months, and 54.1% of them after 12 months. (2) Patients who had troubles with their daily life was 38.6% of the subjects after 3 months and 37.7% of them after 12 months. (3) Patients who had a life's worth was 84.7% of subjects after 3 months, 86.7% of them after 6 month, and 62.3% of them after 12 months. (4) 3 patients in subjects had nursiung service at home. 4 patients out of 25 subjects, who had problems when they were discharged, died after 12 months. 4 patients did not respond.We investigated 154 nurses that educated the patient for discharge. 71% of nurses gave patients aged 70 years and above education for discharge.

本研究的目的是澄清出院老年患者在时间序列上面临的健康、家庭日常生活和生活变迁等问题。我们采访了78名70岁及以上准备出院的患者。完成这些采访后，我们得出以下结论：(1)从出院后的身体状况来看，23.1%的受试者需要持续护理，和 20.5%的人需要家人或其他人的帮助才能独自在家生活。 (2)大部分人对自己的疾病或饮食治疗感到担忧，希望向医生或护士咨询有关身体或心理健康以及日常生活的问题。 (3)69.5%的受试者问题较少，但21.7%的受试者存在4个以上问题。 (4)84.7%的受试者具有人生价值。他们为幸福生活付出的努力越多，他们的人生价值就越高。我们对92名患者在出院后3个月、6个月和12个月时进行了调查。 (1)3个月后认为自己身体状况良好的患者占51.4%,6个月后占56.7%,12个月后占54.1%。 (2) 3个月后日常生活出现困难的患者占38.6%，12个月后占37.7%。 (3)3个月后有生命价值的患者为84.7%，6个月后为86.7%，12个月后为62.3%。 (4)受试者中有3例患者在家中接受护理。 25 名受试者中，有 4 名出院时出现问题的患者在 12 个月后死亡。 4 名患者没有反应。我们调查了 154 名教育患者出院的护士。 71%的护士对70岁及以上的患者进行了出院教育。

项目成果

太田にわ他: "自宅退院時における高齢者の生きがいに関連する要因の分析" 中国四国地区 看護研究学会集録. 平成6年. 127-133 (1994)

Niwa Ota 等：“老年人出院时生活目的相关因素分析”中国四国地区护理研究会会议记录 1994 年。127-133 (1994)。

高田節子他: "自宅退院後3カ月経過した高齢者の健康と生活上の問題" 看護管理学会集録 岡山県看護協会. 平成6年. 64-72 (1994)

高田节子等：“老年人出院后3个月的健康和日常生活问题”冈山县护理协会护理管理学会会议记录1994年。64-72（1994年）。

中西代志子他: "高齢者の自宅退院時における-健康及び日常生活上の問題-" 岡山大学医療技術短期大学部紀要. 第5巻. 17-21 (1994)

Yoshiko Nakanishi 等：“老年人出院时的健康和日常生活问题”冈山大学医学技术学院通报第 5 卷 17-21（1994 年）。

猪下 光他: "高齢者の自宅退院時の看護的諸問題" 成人看護II学会集録 岡山県看護協会. 平成6年. 82-91 (1994)

Hikaru Inoshita 等：“老年人出院时的护理问题”成人护理 II 学会会议记录冈山县护理协会 1994 年。82-91 (1994)。

高田節子他: "自宅退院後3カ月経過した高齢者の健康と生活上の問題" 岡山県看護協会 看護管理学会集録. 平成6年度. 64-72 (1994)

高田节子等：“老年人出院后3个月的健康和生活方式问题”冈山县护理协会护理管理学会会议记录1994年。64-72（1994年）。