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The research on the establishment of community care system in remote areas for elderly people promoting health and not requiring long-term care

偏远地区老年人健康、无需长期护理的社区护理体系建立研究

基本信息

批准号：
16592222
负责人：
HARUYAMA Sanae
金额：
$ 2.05万
依托单位：
Jichi Medical 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

The purpose of this study was to identify role and approach of nurses which establish the community care system in remote areas for the elderly promoting health and not requiring long-term care by action research in two remote area (A : a rural, depopulation and heavy snowfall area, B : a island). They were the nurses who works in the support hospital for medical care in remote areas, the nurses who works at a clinic in remote areas, and municipality public health nurses. Researchers and nurses continued holding a meeting, considered the approach which solves the problem of the elderly, and practiced nursing activities. This was accomplished by analyzing description of the process.The findings showed :1. The necessity of supporting the elderly who live in remote areas to recognize the importance of health promotion and prevention, to manage health condition, and to maintain independence became clear. In addition, the elderly needed the support for accessing to various service in A area.2. The problems of a system were that it is the service which is hard to use by shortage of resources, and that the present resources are not functioning by the shortage of nurses. In B area, dense human relations had influenced the former.3. The importance of cooperation of a clinic nurse and a public health nurse became clear. In order to strengthen their cooperation, it was effective to have held a meeting in custom.4. A nurse's role is preventive support to the patient who needs health management. A public health nurse's roles are to devise the approach to provide health services by necessary minimum resources, to utilize mutual help power, and to facilitate the function of informal support for elderly people. A hospital nurse's role is supporting discharge so that elderly people's can live at home.

本研究目的在探讨护理人员在偏远地区建立社区照顾系统的角色与方法，以促进老人的健康与不需要长期照护，并以行动研究的方式，在两个偏远地区（A：农村、人口稀少且多雪的地区，B：一个岛屿）进行。他们是在偏远地区医疗保健支援医院工作的护士，在偏远地区诊所工作的护士，以及市政公共卫生护士。研究人员和护理人员继续举行会议，考虑解决老年人问题的方法，并实践护理活动。通过对过程描述的分析，研究结果表明：1.支持生活在偏远地区的老年人认识到健康促进和预防的重要性，管理健康状况和保持独立的必要性变得很明显。此外，A区老年人在获得各种服务时需要支持.一个系统的问题是，它是很难使用的资源短缺的服务，目前的资源是不运作的护士短缺。在B区，密集的人际关系影响了前者.诊所护士和公共卫生护士的合作的重要性变得明显。为了加强他们的合作，在海关举行了一次会议是有效的。护士的角色是为需要健康管理的病人提供预防性支持。公共卫生护士的角色是设计以必要的最低资源提供卫生服务的方法，利用互助力量，促进对老年人的非正式支持功能。医院护士的作用是支持出院，使老年人可以住在家里。

项目成果

期刊论文数量（10）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

山間へき地における高齢者の健康づくり・介護予防に係る地域看護活動充実の試み

加强偏远山区老年人健康促进和预防保健的社区护理活动的尝试

DOI：
发表时间：
2006
期刊：
日本公衆衛生雑誌 53・10
影响因子：
0
作者：
橋本顕子;北島謙吾;山田京子;荒木孝治;Kyoko Yamada;春山早苗;堤雅恵ほか;Sanae Haruyama;Tsutsumi M et al.;春山早苗
通讯作者：
春山早苗

最新社区护理理论2第4章根据地区特点的活动理论，I偏远地区的社区护理活动（宫崎美佐子、春山早苗编）

DOI：
发表时间：
2006
期刊：
影响因子：
0
作者：
橋本顕子;北島謙吾;山田京子;荒木孝治;Kyoko Yamada;春山早苗;堤雅恵ほか;Sanae Haruyama;Tsutsumi M et al.;春山早苗;堤雅恵ほか;春山早苗
通讯作者：
春山早苗

The newest community health nursing 2 : Nursing activities adjusted to the characteristic of a community : Community health nursing in a rural and heavy snowfall area

最新社区卫生护理2：适应社区特点的护理活动：农村、大雪地区的社区卫生护理

DOI：
发表时间：
2006
期刊：
影响因子：
0
作者：
Junko Omori;Toshie Miyazaki;Kiyomi Asahara;Yumiko momose;Hiroko Nagae;Noriko Kato;Maki Umeda;Maasa Kobayashi;Akemi Shionoya
通讯作者：
Akemi Shionoya