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STUDY ON BEHAVIORAL FACTORS FOR ASSURING CONTINUITY OF HOME CARE SERVICES OF THE ELDERLY.

确保老年人家庭护理服务连续性的行为因素研究。

基本信息

批准号：
09670374
负责人：
MOTOHASHI Yutaka
金额：
$ 1.34万
依托单位：
AKITA UNIVERSITY
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1997
资助国家：
日本
起止时间：
1997 至 1998
项目状态：
已结题

项目摘要

Behavioral rhythm abnormalities were found in 66.2% of the institutionalized dependent elderly, and 26.9% of the dependent elderly residing at home in the community. Rhythm abnormalities were classified into five types : severely impaired circadian rhythm. free running, decreased amplitude, ultradian rhythm and mixed type. Type of severely impaired circadian rhythm was found in 30.5% of the institutionalized dependent elderly. Rhythm abnormality of free-running was suggested to be corrected by bathing service. To resynchronize the impaired circadian rhythm, an appropriate supply of home care services in the community was required in the future.Physical and human resources of home care services were related to urbanization and public financial status of communities by a social scientific study Furthermore, factors associated with realization of 24-hour home care service in a community were investigated by the focus group interview method. Results showed that. the leadership of community government and financial support community participation and a development, of effective management system of home care services were crucial factors for a realization of 24-hour home care service in the community. The technology transfer of the continuity of home care service of the elderly will be possible. In conclusion, the objective assessment of needs for dependent elderly in the community anti the development. of effective system of supply of home care service will be required in addition 10 the leadership of community government and community participation.

66.2%的机构供养老年人和26.9%的社区居家供养老年人存在行为节律异常。节律异常分为五种类型：严重受损的昼夜节律。自由活动型、振幅减低型、超日节律型和混合型。30.5%的机构依赖型老年人的昼夜节律严重受损。建议通过沐浴服务纠正自由奔跑的节律异常。为解决居民昼夜节律失调的问题，未来需要在社区提供适当的居家护理服务，通过社会科学研究，将居家护理服务的物质资源和人力资源与城市化和社区公共财政状况相关联，并采用焦点小组访谈法，对社区实现24小时居家护理服务的相关因素进行了调查。结果表明，社区政府的领导，社区的财政支持和有效的居家养老服务管理体系的建立是实现社区24小时居家养老服务的关键因素。技术转移的连续性的家庭护理服务的老年人将成为可能。结论：客观评估社区老年人的需要，有利于社区老年人的健康发展.有效的家庭护理服务供给体系的建立还需要社区政府的领导和社区的参与。