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

摘要本研究旨在探讨整体照护体系向单位照护体系转变的环境，以及养老院的技术辅助对居民生活活动及照护负担的影响。结果如下：1)体压测量：可调节式轮椅和可调节式轮椅使用者有改善。2)坐姿观察可调节式椅子、可调节式轮椅和可调节式桌子使用者的坐姿呈现多样化。3)生活活动的改善。观察可调节型轮椅使用者离开私人房间的时间增加。然而，没有看到生命的多样化行为。4)睡眠/觉醒节律对于可调节型轮椅使用者，观察夜间睡眠的增加。此外，离开私人房间的时间也有所增加。5)体力活动即使引进技术辅助工具，护理负担也不会增加。(6)单元护理系统与整体护理系统的生活活动比较。整体护理系统中，即使离开私人房间的时间增加了，但生活行为并没有改变。另一方面，在单元制中，各种行为随着离开私房时间的增加而增加。

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.