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A Study on the collaboration between social worker and home helper for elderly in need of nursing care with difficulties for treatment-A discussion focusing on alteration of user's living and helping prosess under the care management system

治疗困难老人社工与家政服务人员协作研究——以护理管理制度下使用者生活改变和救助过程为中心的探讨

基本信息

批准号：
16530369
负责人：
SHIMASUE Noriko
金额：
$ 2.3万
依托单位：
Saitama Prefectural University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2006
项目状态：
已结题

项目摘要

According to the previous studies, we found that l) it is difficult to analyze causes of and treatment to the difficulties of the elderly cases in detail, 2) it needs to monitor the process for the discussion of the cases with difficulties for treatment. So we conducted collecting and analyzing cases like as below;1) we asked service offer managers to extract the cases with difficulties for treatment from all cases they were conducting, and after we broke cases into patterns we conducted interviewing research to care managers. 2) we asked service offer managers to write in the format for discusioning and in the questionnaire on causes of and treatment to the cases. And we asked helpers to write down real scenes with difficulties for treatment. 3) we re-interviewed to care managers and service offer managers about cases with difficulties for treatment.The useful conclusions is next four points; l) As a result of typing causes of cases with difficulties for treatment through the questionnaire, we confirmed that cases we had studied since previous years was typical cases. 2) Finding out preventive point of ingravescence, variations for treating and monitoring function become the key so that helpers support keeping the uses' life in their home. 3) It is important for service offer managers and care managers to support helpers while they meet difficult situations. 4) There are some issues following difficulties for treatment on sup-port by care managers, service offer managers, home helpers and their relationship along to the systems and services, family relation and so on. 5) The cases with difficulties need empowerment approach, and in its cases the LSI is being used. So we conducted the LSI training program to care workers. 6) Recording is important for team work and collabo-ration so that we examined the way of recording for using multidiciplinary team.

根据以往的研究，我们发现：（1）对老年人疑难病例的原因和处理难以进行详细的分析;（2）对疑难病例的处理讨论需要全程监控。因此，我们进行了如下收集和分析案例：1）我们要求服务提供经理从他们正在进行的所有案例中提取治疗困难的案例，并在我们将案例分解成模式后，我们对护理经理进行了访谈研究。2)我们要求服务提供经理以讨论格式和调查问卷的形式填写案例的原因和处理方法。并且我们要求帮助者写下有困难的真实的场景，以便治疗。3)本研究针对治疗困难的个案，重新访谈照护管理者与服务提供管理者，其有用的结论为以下四点：1）透过问卷调查，将治疗困难的个案原因分类，确认本研究前几年所研究的个案为典型个案。2)找出防止内凹的点、治疗的变异及监测功能，是协助者维持使用者居家生活的关键。3)重要的是服务提供经理和护理经理，以支持帮助者，而他们遇到困难的情况。4)在护理管理者、服务提供管理者、家庭佣工及其与系统和服务的沿着关系、家庭关系等的支持下，存在一些治疗困难的问题。5）有困难的病例需要赋权方法，在这种情况下正在使用LSI。因此，我们对护理人员进行了LSI培训计划。6)记录对于团队工作和协作非常重要，因此我们研究了使用多学科团队的记录方法。