STUDY ON FACTORS AFFECTING PROLONGED STAY FOR THE AGED ACCOMMODATED IN LONG-TEAM CARE FACILITIES FROM THE STANDPOINT OF COORDINATING RELATIONSHIP AMONG THE FAMILY

从协调家庭关系的角度探讨长期团队护理机构老年人长期居住的影响因素

• 批准号: 06672256
• 负责人: HOSOI Keiko
• 金额: $ 1.41万
• 依托单位: TOIN UNIVERSITY OF YOKOHAMA
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1994
• 资助国家: 日本
• 起止时间: 1994 至 1996
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-06672256/
• 关键词: Geriatric intermediate care facilities; Hospitals; Long-term care; Home-care; Care coordination; Care-givers

In Japan, long-term care facilities for the aged are general hospitals, hospitals for the aged, geriatric intermediate care facilities (GICFs), special nursing homes for those needing activities of daily living assistance and so on. GICFs were introduced for the hospitalized disable elderly to be adapted to the home-care program by rehabilitation and activity programs.In this paper, 72 males and 216 females in 3 GICFs and 175 males and 346 females in 3 hospitals for the aged were investigated to analyze the factors affecting the prolonged stay. Conclusion are as follows ;1. Care-givers not having desires to take care of the aged prolonged stay at GICFs increased more than those at hospitals, because of tiredness for home-care. For supporting home-care, it is very necessary readily to re-enter in GICFs for the aged, and to coordinate psychological assistance for care-givers.2. For adequate home-care management, coordinators in GICFs are expected to arranged the social resources according to the situation of each family for quality assurance, in the long-term care services.3. Many care-givers could be characterized as displeased to take careof the inmate with "hopeless condition to get better". Reasons to prolong stay in hospitals are not only to feel anxiety to relapse and to be disability for care-giving in home-care, but also not to enter easily in special nursing homes, to bear the expenses in special nursing homes more than in hospitals according to circumstances and to keep up appearances for each family.4. As analyzed by the type of facility, coordinators in hospitals tended to advise to enter in special nursing homes more, still the inmate and their family wanted to stay at hospitals more.

在日本，老年人的长期护理设施有综合医院、老年人医院、老年人中间护理设施（GICF）、为需要日常生活帮助的人提供的特殊护理之家等。GICF是为住院的残疾老年人通过康复和活动计划来适应家庭护理计划而引入的。对3所老年综合护理机构的男72人、女216人和3所老年医院的男175人、女346人进行调查，分析影响老年人长期住院的因素。结论如下：1.不愿照顾老人的照顾者，因居家照顾疲劳，而长期停留在GICFs者较医院者增加。为支援居家照顾，随时重返社区护老机构，并配合照顾者心理辅导，是非常必要的。在长期照护服务中，为确保居家照护管理的适当性，GICF的协调员应根据每个家庭的情况来安排社会资源，以确保服务质量。许多照顾者可以被描述为不愿意照顾“病情无望好转”的囚犯。延长住院时间的原因除了担心复发、居家照顾能力差外，还有不愿轻易进入专科护理院、视情况承担专科护理院比医院多的费用、为每个家庭面子等.按机构类型分析，医院的协调员倾向于建议更多地进入特殊护理之家，囚犯及其家人仍然希望留在医院。

项目成果

細井啓子: "おとなの目を気にする子どもたち" ブレーン出版, 226 (1996)

细井惠子：“关心成人眼睛的孩子”Brain Publishing，226（1996）

細井啓子: "老人保健施設における入所者の家庭復帰困難要因に関する研究-相談業務の機能と地域ケアとの連携について-" 日本医学雑誌. 54. 178-186 (1995)

Keiko Hosoi：“老年保健机构居民难以返回家园的因素研究 - 关于咨询服务和社区护理合作的功能”《日本医学杂志》54. 178-186 (1995)。

HOSOI,KEIKO: "The Elderly and Family in the Aged Society" Annual Progress of Family Psychology. 13. 134-145 (1995)

细井庆子：《老龄社会中的老年人与家庭》家庭心理学年度进展。

HOSOI,KEIKO: "Study on Fctors Affecting Prolonged Stay in a Geriatric Intermediate Care Facility from the Standpoint of Coordinating Relationships among the Family" J.Nihon Univ.Med.Ass.54 (3). 178-186 (1995)

HOSOI，KEIKO：“从协调家庭关系的角度来看影响老年中间护理机构长期停留的因素的研究”J.Nihon Univ.Med.Ass.54 (3)。

細井啓子: "長寿社会における家族の問題-なぜ施設療養者の家庭復帰はむずかしくなってきたか-" 家族心理学年報. 13. (1995)

Keiko Hosoi：“长寿社会中的家庭问题 - 为什么在设施中接受治疗的人很难返回家园？” 13. (1995)。