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Care Plan and Evaluation for Supporting Independence of Basic ADL in Home Care

支持家庭护理中基本 ADL 独立性的护理计划和评估

基本信息

批准号：
10470522
负责人：
SHIMANOUCHI Setsu
金额：
$ 8.06万
依托单位：
TOKYO MEDICAL AND DENTAL UNIVERSITY
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B).
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 2000
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-10470522/
关键词：
Home Care ADL IADL Satisfaction Care Plan Assessment Outcome Evaluation ニーズ自立支援 FIM(機能的自立度評価)

项目摘要

We conducted research on "Care Plan and Evaluation for Supporting Independence of Basic ADL in Home Care" from 1998 to 2000.In 1998, we analyzed conditions which enabled independence of ADL.Result was that items, which could be improved in two months, were cloth changing, medication, pain, and mental and/or physical fatigue of caregiver. In the same year, we analyzed solution of needs or problems, depending on whether or not care plan was implemented and by amending plan. As a result, the other of highly-rated need solution was (1) implementation of care plan after amending in accordance with needs, (2) imp1ementation of care plan, (3) no implementation. The order of factor for amendment was client condition, service providing condition and care manager.In 1999, we conducted home care evaluation using outcome items of ADL change, centering on OASIS (The Outcome Assessment Information Set) which was compulsory to Medicare home care agencies in U.S.A.combining with Japanese version of home care assessment sheet which we developed. Then based on these, we implemented care plan in five agencies (visiting nursing stations).In 2000, we finalized outcome items evaluated contents and satisfaction degree of dependence change and care process, developed the method to make plan and evaluate outcome and plan again after implementation, developed method to evaluate ability development of service provider and organizational ability improvement of these agencies, then manualized them.In addition, regarding client outcome, we conducted collaboration with Finland.

我们于1998年至2000年进行“支援居家照顾者基本日常生活能力独立性之照护计画与评估”之研究。1998年我们分析居家照顾者日常生活能力独立性的条件，结果发现两个月内可改善的项目为：换衣服、药物、疼痛、照顾者身心疲劳。在同一年，我们分析了需求或问题的解决方案，这取决于护理计划是否实施和修改计划。结果显示，其他高评价需求解决方案为（1）根据需求修改后实施护理计划，（2）实施护理计划，（3）不实施。1999年，我们以美国Medicare居家照护机构强制性的OASIS（The Outcome Assessment Information Set）为核心，结合我们所开发的日文版居家照护评估表，以日常生活能力改变的结果项目进行居家照护评估。在此基础上，我们在五个机构实施了护理计划2000年，我们确定了依赖改变和护理过程的评价内容和满意度的结果项目，开发了制定计划和实施后重新评估结果和计划的方法，开发了评估服务提供者能力发展和这些机构组织能力提高的方法，此外，在客户成果方面，我们与芬兰进行了合作。