Factors Affecting Family Care of the Elderly and the Optimal Combination between Formal and Family Care

影响老年人家庭护理的因素及正规护理与家庭护理的最佳结合

• 批准号: 06610208
• 负责人: SHIMIZU Yutaka
• 金额: $ 1.22万
• 依托单位: Sophia University (1995)Tokyo Metropolitan Institute of Gerontology (1994)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for General Scientific Research (C)
• 财政年份: 1994
• 资助国家: 日本
• 起止时间: 1994 至 1995
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-06610208/
• 关键词: elderly persons needing care; family care; home services; formal care; quality of care; 24-hour patrolling type of homehelp service; 介護サービス; 高齢者介護; 介護負担; 在宅ケア; 高齢者ケア; 老人福祉; 評価スケール

1. A Measurement Scale of Quality of Family Care which we developed for this analysis proved to attain a satisfactory level of reliability and validity.2. A less quality of care was found in such domains as 'considerations for safe moving in the house,' 'conditions for care in the toilet and bathroom,' 'maintenance of safety and security,' ' care facilitating the elderly's functional independence,' ' meeting the needs for social contacts and activities' and 'care for the demented elderly with behavioral disturbances.'3. It was disclosed that important factors affecting the quality of family care were the primary caregiver's burnout, coping style and knowledge about elderly care as well as the degree of the cooperation among family members in elderly care.4. As a result of a case study on the 24-hour patrolling type of homehelp service, this type of service was found to bring about (1) decrease of time in caregiving by family, (2) increase of feeling of security in both elderly persons and primary caregivers, and (3) emotional stability of elderly persons.5. On the other hand, the appropriate packages of home services including the 24-hour patrolling type of homehelp service proved to bring about (1) reduction of the primary caregiver's physical, mental and social burdens, (2) better utilization of the primary caregiver's life time and (3) better quality of family care.6. However, due to the insufficient delivery of formal care services at the moment, we could not pursue the analysis on the optimal combination between family care and formal care.

1.我们为此分析开发的家庭护理质量测量量表被证明达到了令人满意的信度和效度水平。2．在“家中安全移动的考虑”、“厕所和浴室的护理条件”、“安全保障的维护”、“促进老年人功能独立的护理”、“满足社会交往和活动的需要”以及“对有行为障碍的痴呆老年人的护理”等领域，护理质量较差。3。研究表明，影响家庭养老质量的重要因素是主要照顾者的倦怠程度、应对方式、养老知识以及家庭成员在养老方面的配合程度。4．对24小时巡逻式家政服务的案例研究发现，这种服务可以带来（1）减少家人照顾的时间，（2）增加老年人和主要照顾者的安全感，以及（3）老年人的情绪稳定。5。另一方面，事实证明，包括24小时巡逻式家政服务在内的适当的家庭服务套餐可以带来（1）减轻主要照顾者的身体、精神和社会负担，（2）更好地利用主要照顾者的生命时间，以及（3）更好的家庭护理质量。6。然而，由于目前正规护理服务的提供不足，我们无法对家庭护理和正规护理之间的最佳组合进行分析。

项目成果

和気純子、中野いく子、冷水豊: "在宅要介護高齢者の家族(在宅)介護の質の評価ー家族(在宅)介護評価スケールの開発とその適用-"季刊社会保障研究. 33巻4号. 392-402 (1998)

Junko Wake、Ikuko Nakano、Yutaka Reimizu：“需要居家护理的老年人的家庭（居家）护理质量评价——家庭（居家）护理评价量表的制定及其应用——”《社会保障研究季刊》第 1 卷。 33、4.第392-402号（1998）

冷水豊,古谷野亘,奥山正司: "高齢者のサポートシステムとしての家族-その保健.福祉機能(「平成6年度厚生省長寿科学総合研究費研究発表会抄録集」所収)" 長寿科学総合研究費中央事務局, 426 (1995)

Yutaka Hizumi、Wataru Furuyano、Masashi Okuyama：“家庭作为老年人的支持系统 - 其健康和福利功能（收录于1994年厚生省1994年长寿科学一般研究资助金摘要集）”中央长寿科学研究基金秘书处，426（1995）

J. Wake, I. Nakano and Y. Shimizu: "Assessment of Quality of Family Care for the Elderly the Community"Quarterly Journal of Social Security Research. 33,no.4. 392-402 (1998)

J. Wake、I. Nakano 和 Y. Shimizu：《社区老年人家庭护理质量评估》社会保障研究季刊。

菊地和則、冷水豊他: "在宅要介護高齢者に対する家族(在宅)介護の質の評価とその関連要因"老年社会科学. 18巻第1号. 50-62 (1996)

Kazunori Kikuchi、Yutaka Reimizu 等：“需要在家护理的老年人的家庭（家庭）护理质量及其相关因素”《老年社会科学》第 18 卷第 1. 50-62 期（1996 年）。

K. Kikuchi, Y. Shimizu, I. Nakao, Y. Nakatani, J. Wake, and others: "The Quality of family care for Impaired Elderly Persons"Japanese Journal of Gerontology. 18,no.1. 50-62 (1996)

K. Kikuchi、Y. Shimizu、I. Nakao、Y. Nakatani、J. Wake 等：“受损老年人的家庭护理质量”日本老年学杂志。