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

提高需要家庭护理协助的老年人日常生活独立性的有效护理计划的国际比较

• 批准号: 14402033
• 负责人: SHIMANOUCHI Setsu
• 金额: $ 8.19万
• 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: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2004
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14402033/
• 关键词: Home care; require assistance; Outcome; measurement of effect; 要支援・要介護1; 自立支援; 到達目標; 支援プロトコール; 介入調査; アウトカム改善; プログラム開発; アウトカム改善率

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.

我们提取了有效的护理项目来提高日常生活行为的独立性，并为在家庭护理中需要帮助（需要帮助/护理等级1）的老年人制定了独立支持计划。因此，我们为这些受试者提取了34个有效项目，在每个支持项目中建立了独立目标，并制定了具体的技术支持描述方案。使用该程序，在客户结果方面表现出较大改善的项目包括“清洁”、“参与活动”和“紧急联系和措施”。在独立支持计划的基础上，芬兰和瑞典对结果进行了为期两个月的评估。日本在改善成果方面，特别是在国际开发署和紧急措施方面名列第一。作为可能的解释，日本的平均年龄是最年轻的（80.1岁），脑血管疾病在日本流行，糖尿病在芬兰流行，癌症在瑞典流行。与家人同住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较好。日本客户更多地接受了促进家务劳动和康复计划的初级团体护理与个人护理相结合的服务，而瑞典和芬兰客户更多地接受了个人护理。这些结果表明，团体护理和个人护理相结合更有可能提高护理的有效性。记住这些，包括成功护理内容的护理计划对提高独立性是有效的。

项目成果

島内 節, 友安直子, 森田久美子: "在宅ケア利用者に対するケアマネジメント業務の実施状態"第5回日本地域看護学会講演集. 131 (2002)

Setsu Shimauchi、Naoko Tomoyasu、Kumiko Morita：“家庭护理使用者护理管理工作的实施状况”第 5 届日本社区护理学会会议记录 131（2002 年）。

The Elderry Independence and effectiveness of Care in Home Care No.2

家庭护理中老年人的独立性和护理有效性第二期

• 发表时间: 2003
• 期刊: Journal of Japan Academy of Community Health Nursing
• 作者: Setsu Shimanouchi;Kumiko Morita;Naoko Tomoyasu;Yoshimi Nakatani;Yuriko Watanabe
• 通讯作者: Yuriko Watanabe

The Assessment of Need and Its Relation to Outcome Evaluation of The Elderly Home Care

居家养老需求评估及其与结果评价的关系

• 发表时间: 2003
• 期刊: ICCHNR International Symposium
• 作者: 島内節

島内節, 森田久美子: "Comparison of Outcome Improvement of The Elderly Required Mild Care in Home Care Among Countries"第5回国際看護学術集会. (発表予定). (2004)

Setsu Shimauchi、Kumiko Morita：“各国居家护理中老年人需要的轻度护理的结果改善比较”第五届国际护理会议（预定报告）（2004 年）。

森田久美子, 島内節, 友安直子, 中谷芳美, 渡辺由利子: "在宅要支援と要介護I高齢者の自立度とケアの効果評価 1報:対象者の自立度とその変化"日本地域看護学会 第6回学術集会講演集. 39 (2003)

森田久美子、岛内节、智安直子、中谷佳美、渡边百合子：“必要的家庭支持和护理I：老年人的独立水平和护理效果评估第1次报告：受试者的独立水平及其变化”日本社区护理学会第六届学术会议论文集39（2003）。