International comparison on effective care plan to improve daily living independence of the elderly requiring assistance in home care

我们提取了有效的护理项目，以提高日常生活行为的独立性，并制定了一个独立的支持计划，为老年人谁需要帮助（需要援助/护理水平1）在家庭护理。结果，我们为这些主题提取了34个有效的项目，在每个支持项目中建立了独立的目标，并制定了一个具体的协议来描述技术支持。使用该方案，在客户的结果显示出更大的改善项目包括“清洁”，“参与活动”，“紧急联系和措施”的独立支持计划的基础上，结果进行了评估，在芬兰和瑞典两个月。日本在改善结果方面，特别是在国际日常生活能力和应急措施方面，排名第一。作为可能的解释，日本的平均年龄最小（80.1岁），日本的脑血管疾病，芬兰的糖尿病和瑞典的癌症普遍存在。与家人住在一起的客户比例在日本为82.2%，瑞典为34.7%，芬兰为25.5%。此外，日本老年人的视力和听力也更好。日本的服务对象更多地接受了促进家务劳动和康复计划的初级团体护理和个人护理的组合服务，而瑞典和芬兰的服务对象更多地接受了个人护理。考虑到这一点，护理计划包括成功的护理内容是有效的，以提高独立性。

We extracted effective care items to improve independence in daily living behaviors, and developed an independence support program for the elderly who require assistance (assistance required/care level 1) in home care. As a result, we extracted 34 effective items for these subjects, established independence targets in each support item, and developed a concrete protocol to describe technical supports. Using this program, the items showing greater improvement in client outcomes included "cleaning," "participating in the events," and "emergency contact and measures".Base on the independence support program, outcomes were assessed in Finland and Sweden for two months. Japan placed in the first on the improvement of outcomes, particularly in IADL and emergency measures. As possible explanation, the average age was the youngest in Japan (80.1 years old), and cerebrovascular disease was prevalent in Japan, diabetes in Finland, and cancer in Sweden. The percentage of the clients lived with their family was 82.2% in Japan while it was 34.7% in Sweden and 25.5% in Finland. Also, Japanese elderly people had better vision and hearing. Japanese clients received more combination services of primary group care promoting house-work and rehabilitation programs and individual care while Swedish and Finnish clients received more individual care.These results revealed that a combination of group care and individual care was more likely to improve the effectiveness of care. Keeping these in mind, care plan including successful care contents is effective to improve the independence.