A STUDY OF PUBLIC HEALTH NURSE'S ROLE IN HOME CARE SUPPORT OF THE BEDRIDDEN ELDERLY AND THEIR CAREGIVERS

公共卫生护士在卧床老人及其照顾者家庭护理支持中的作用研究

• 批准号: 07672526
• 负责人: KONISHI Michiko
• 金额: $ 1.47万
• 依托单位: HIROSHIMA UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1995
• 资助国家: 日本
• 起止时间: 1995 至 1997
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07672526/
• 关键词: BEDRIDDEN ELDERLY; PUBLIC HEALTH NURSE; COORDINATING FUNCTION; VISITING NURSE; HOMEHELPER; SOUCIAL RESOURCE; CAREGOODS; CAREGIVER; 3年間の状況変化; 在宅療養支援; 理学療法士; 作業療法士; 歯科衛生士; 在宅療養; 保健婦の指導; ティサービス; ショートステイ; 寝たきり高齢者; 看護・介護態勢

The objective of this research is to suggest the coordinating function and the counseling function of public health nurses for supporting the bedridden elderly with physical or mental problem and their families by utilizing health and welfare service.First, a 3-year follow up (1995-1997) was conducted of a sample of 51 bedridden elderly who had been receiving home health care service by public health nurses and caregivers in Hiroshima city. Their levels of independence in ADL were in Rank B or C according to the standard of the Ministry of Health and Welfare. Interviews were composed of elderly's condition, ADL,amount of resources and caregiving. As a results at 3 years, 34 elderly were still at home, 14 (Rank B=6, RankC=8) were died and 3 were institutionalized. The ADL levels of the 2 who had been at home were upped (from Rank B to Rank A) and of the 3 were down (from Rank B to Rank C).On personal resource utilization, amount and intensity of home-visitting services and home-help ser … More vices were increased. The most elderly person received services by over 3 health and welfare care staffs, and the utilization number of them had been increased and decreased dugin 3 years. On the others resources, the most utilized service was bathing-service, next were short-stay and day-service/day-care. The amount of utilization of those services and had been increased, but some elderly stopped receiving them, because their needs not be satisfied in institution service for elders. On care goods resources, excepting for 1 elderly, they bought or rented care beds, mattresses. Some of the elderly started to use wheelchairs, assistant bathing goods and portable toilets, and some of them stopped to use them.Second, Physical therapists and Occupational therapists in Hiroshima Prefecture agreeded with self-report questionairs relating to their activities and problems on their works. Most of them engaged in rehabilitation program or day care in hospitals. The main problems of them were how to coorporate with other agancies and other professional staffs. Less

本研究旨在探讨公共卫生护理人员在协助有身心问题的卧床老人及其家人利用卫生福利服务时，应扮演的协调与辅导角色。3年随访（1995-1997年）以广岛市51位接受居家照护的卧床老人为研究对象。根据厚生省的标准，他们的ADL独立性水平为B或C级。访谈内容包括老年人的身体状况、日常生活能力、生活资源、生活自理能力等。结果，3年时，34名老年人仍在家，14名（等级B=6，等级C =8）死亡，3名住院。在个人资源利用方面，家庭访视服务和家务助理服务的数量和强度， ...更多信息 罪恶增加了。最多的老年人接受过3名以上卫生福利人员的服务，且3年来卫生福利人员的使用人数有增有减。在其他资源上，最多使用的服务是洗浴服务，其次是短期住宿和日间服务/日托。这些服务的使用量有所增加，但一些老人停止接受这些服务，因为他们的需求没有得到满足，在机构服务的老人。在护理用品资源上，除1名老人外，均购买或租用护理床、床垫。第二，广岛县的物理治疗师和职业治疗师接受了关于他们的活动和工作中存在的问题的自我报告问卷。他们中的大多数人在医院从事康复计划或日托。他们面临的主要问题是如何与其他机构和其他专业人员进行沟通。少

项目成果

KONISHI MICHIKO: "A PUBLIC HEALTH NURSE'S COORDINATING FOR THE FRAIL ELDERLY AND THEIR FAMILIES AT HOME." JOURNAL OF JAPAN ACADEMY OF NURSING SCIENCE. VOL.17 NO.3. 335-359 (1997)

小西美智子：“一名公共卫生护士正在为体弱的老年人及其家人进行协调。”

鈴木 千智: "在宅療養支援に必要な保健婦の関わり方" 日本公衆衛生雑誌. 43巻10号. 449-450 (1996)

Chitomo Suzuki：“公共卫生护士如何参与家庭护理支持”《日本公共卫生杂志》，第 43 卷，第 10 期。449-450（1996 年）。

永井 真由美: "在宅療養支援に必要な保健婦の関わり方" 日本公衆衛生雑誌. 43. 449-450 (1996)

Mayumi Nagai：“公共卫生护士如何参与家庭护理支持”《日本公共卫生杂志》43. 449-450 (1996)。