Research on the Development of the Model of Case Management for Mental Disorders in the Community

社区精神障碍个案管理模式发展研究

• 批准号: 07672534
• 负责人: CHIKAZAWA Noriko
• 金额: $ 1.41万
• 依托单位: College of Nursing Art & Science, Hyogo
• 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-07672534/
• 关键词: Mental Disorders; Self-regulation; Case Management; 地域ケア

The purpose of this study was to develop the case management model, which was for reinforcement of self-regulation among mental disorders who were living in the community. There were 3 steps in this study. On the first step, in 1995,8 mental disorders were interviewed and analyzed qualitatively. Then on the second step of this study in 1996,10 care takers, who were physicians, public health nurses, home-visit nurse, and advisor at work-training house, were interviewed and analyzed by grounded-theory approach. On the third step in 1997, the results of the previous studies were compared with literature, and case management model for reinforcement of self-regulation among mental disorders, who were living in the community, was developed.The results of these studies were as foolws :1)Self-regulation of mental disorders who were living in the community consisted of 4 components, which were <learning to keep company with illness and symptoms><learning to interact with others><learning to have rtythm of daily-living><expanding the place to spend in the day>.2)There were 5 function of care-takers to mental disorders who were living in the community, which were reinforcement of <self-determination ><grasp sense of illness><coping with symptoms><arrangement rhythm of daily-living>having the place to spend in the day>.3)Care takers had special competent to develop the relation-ship between them and mental disorders.These results were discussed from the view point of function of case-manager and coordination system. It was discussed that there was no case-manager to coodinate service along with needs of mental disoders and no system to cooperate with each professionals.

这项研究的目的是开发案例管理模型，这是为了加强生活在社区中的精神障碍之间的自我调节。这项研究有3个步骤。在第一步，在1995年，对精神障碍进行了定论和分析。然后在这项研究的第二步中，通过基础理论方法对医师，公共卫生护士，家庭视野护士和工作培训之家的顾问进行了采访和分析。在1997年的第三步中，开发了生活在社区中的精神障碍中的自我调节的案例管理模型，并开发了生活在社区中的案例管理模型。这些研究的结果与愚蠢的研究一样：1）自我调节的自我调节，这些精神障碍的自我调节是在社区中居住在社区中的4个成分，这些成分与其他人相互作用，这些成分<学习<学习<学习> <<学习<学习> <<学习<学习> <日常生活> <<扩大当天花费的地方> .2）在社区中生活的精神障碍有5个功能，这些功能是加强<自我确定性> <grasp的疾病> <应对症状> <应对症状> <安排节奏的日常生活>在日常生活中遇到的习惯是在> .3> .3）与他们之间的互动习惯。从案例经理和协调系统的功能的角度来看。讨论的是，没有案例经理可以协调服务，以及精神上的需求，也没有与每个专业人员合作的系统。