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Research on the effectiveness of discharge planning program for aged inpatients

老年住院患者出院计划方案的有效性研究

基本信息

批准号：
13470524
负责人：
MURASHIMA Sachiyo
金额：
$ 8.26万
依托单位：
The University of Tokyo
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2003
项目状态：
已结题

项目摘要

To perceive the state of discharge planning, we conducted a mail survey targeting all of the 3,268 general hospitals with more than 100 general beds (e.g. this excluded beds for psychiatric and infectious disease patients). Of the 1568 collected answers (collection rate : 48.0%), 1359 were subjected to analysis. Of the hospitals, 1,313 (96.6%) had cases that had difficulties with discharge. Departments of discharge planning were present in 399 (29.4%) hospitals and hospitals with a department of discharge planning put forth more effort in discharge issues.To examine the differences in discharge planning activities between hospitals with and without a department of discharge planning, we conducted a mail survey of ward nursing staff of two national university hospitals. Nurses at hospital with the department are tackling the support about the resources outside a hospital at patient discharge more, and they had more knowledge about Long-term Care Insurance than the nurses without the dep … More artment.To understand what support these patients received, we also studied 101 discharged patients with support from the department of discharge planning at Tokyo University Hospital and with Long-term Care Insurance service in 2000 to 2002. The cases applied for the Insurance after hospital admission were likely to be introduced the nurses as a care manager. The number and type of introduced services depended on the physical and family situation of the patient.We also studied the implementation of discharge planning and condition after discharge of 10 patients over 65 years old who were discharged from two community-based hospitals. After their discharge, we made a door-to-door survey of these patients. As a result, we found that the process of discharge planning has two aspects : ‘support in ward' and ‘coordination of home care.' ‘Support in ward' includes 'ordinary care,' ‘care instruction' and ‘information supplementation.' In summary, smooth coordination requires a department of discharge planning as a ‘bridge.' Less

为了了解出院计划的情况，我们对所有3268家拥有100张以上普通床位的综合医院（例如，这不包括精神科和传染病患者的床位）进行了邮件调查。在收集的 1568 个答案中（收集率：48.0%），对 1359 个进行了分析。其中1,313家（96.6%）医院出现出院困难病例。 399家（29.4%）医院设有出院计划部门，并且设有出院计划部门的医院在出院问题上投入了更多的精力。为了了解有和没有出院计划部门的医院在出院计划活动方面的差异，我们对两家国立大学医院的病房护理人员进行了邮件调查。与没有科室的护士相比，科室的医院护士在患者出院时更多地处理院外资源的支持，并且他们对长期护理保险的了解比没有科室的护士更多。为了了解这些患者获得了哪些支持，我们还对 2000 年至 2002 年在东京大学医院出院计划部门的支持和长期护理保险服务下的 101 名出院患者进行了研究。入院后申请保险的病例很可能会被介绍为护士护理经理。引入服务的数量和类型取决于患者的身体和家庭情况。我们还研究了两家社区医院出院的10名65岁以上患者的出院计划实施情况和出院后情况。出院后，我们对这些患者进行了挨家挨户的调查。结果，我们发现出院计划的过程有两个方面：“病房支持”和“家庭护理协调”。 “病房支援”包括“普通护理”、“护理指导”和“信息补充”。综上所述，协调的顺利进行需要排放规划部门作为“桥梁”。较少的