The influence that introduction of technical aids and unit-care system with rebuilding of nursing home give to living activity and burden of nursing care

本研究目的在探讨由整体照护制度向单元照护制度的环境变迁，以及护理之家的技术辅助对居民生活活动与护理负担的影响。结果如下：1）身体压力测量可调式轮椅和可调式轮椅使用者有改善; 2）坐姿观察可调式轮椅、可调式轮椅和可调式桌子使用者坐姿多样化; 3）生活活动改善观察可调式轮椅使用者离开私人房间的时间增加。4）睡眠/觉醒节律对于可调式轮椅使用者来说，夜间睡眠有所增加。5）身体活动即使引入技术援助，护理负担也不会增加。6）单元护理系统和整体护理系统的生活活动比较即使整体护理系统中的私人房间外时间增加，生活行为也没有改变。另一方面，在单位照顾系统中，各种行为随着离开私人房间时间的增加而增加。

The purpose of this study is to consider the effects of environmental transition from whole-scale-care system to unit-care system and technical Aids of nursing home on residents' living activities and burden of nursing care. The results are as follows.1)Body Pressure MeasurementAdjustable-type chair and adjustable-type wheelchair users showed improvement.2)Observation of seated posturesAdjustable-type chair, adjustable-type wheelchair and adjustable-type table users showed diversification of seated postures.3)Improvement in living activitiesIncrease of the time when adjustable-type wheelchair users were out of private rooms were watched. However, the diversifications of life act were not seen.4)Sleep/Wake RhythmsAs for the adjustable-type wheelchair users, increases of night sleep were watched. In addition, increases of time out of the private room were confirmed.5)Physical activitiesBurden of nursing care do not increase even if they introduce technical aids.6)Comparison of living activity of unit-care system and whole-scale-care systemEven if time out of the private room increased in whole-scale-care system, the life act did not change. On the other hand, in unit-care system, various acts increased with increase of time out of the private room.