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Research on structuring the function of home care and clarifying the content of care

构建居家养老功能、明确养老内容的研究

基本信息

批准号：
10470521
负责人：
MURASHIMA Sachiyo
金额：
$ 7.94万
依托单位：
University of Tokyo
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 1999
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10470521/
关键词：
home care around-the-clock in-home care total care plan scale development care work visiting nurse service Denmark United States

项目摘要

The purpose of this research is to clarify the meaning and the specialty of home nursing through classifying and arranging the needs of nursing care and home help. The research was done with two steps.As the first step the records of the nursing visits and home help visits for 366 patients of 12 Visiting Nurse Service Stations in Japan based on the questionnaire for collecting the needs for nursing and home help services. By the multiple regression analyses the factors which affect the frequencies of visiting services, such as nurse visits and home help visits of both types of shorter visits and longer visits were investigated. Even though extracting the effects by other variables, the numbers of the nursing treatments and the numbers of visits of shorter type visits affected the frequencies of nursing visits. The factors that increase the frequencies by home helpers were the situation of living alone, lower ADL, and the limitation of the available time for caring by family members.At the second step of this research ninety eight subjects of a visiting nurse service station which provides nurses' visits in day and night by three shifts. Content of provided care to the users were collected from the records of care plan as well as home visits. Based on the data collected, needs for care, the profession and time zone provided were described. Through the content of care provided in each time zone by nurses and home-helpers enabled the quick change of service use and nurses' correspond as well as providing medical treatment especially visiting at night time. As the Conclusion around-the-clock in-home nursing care enabled more clients stay at home through care for dying patients at home and quick response when clients get sick as well as providing medical treatment at home.

本研究旨在通过对护理服务需求与家庭服务需求的分类整理，阐明家庭护理的内涵与特殊性。本研究分两个阶段进行，第一阶段以问卷调查方式收集日本12个探访护士服务站366位病人的护理探访及家庭服务需求，并记录其护理探访及家庭服务需求。通过多元回归分析，探讨了短期访视和长期访视两种类型的护士访视和家务助理访视频率的影响因素。即使以其他变项萃取影响因素，护理治疗次数及短期访视次数仍会影响护理访视次数。家庭佣工频率增加的因素是独居的情况下，日常生活能力较低，和家庭成员照顾的可用时间有限。本研究的第二阶段，98名受试者的访视护士服务站提供护士的访问，在白天和晚上三个轮班。从照护计划及家访记录中收集使用者照护内容。根据收集的数据，对护理需求、提供的专业和时区进行了描述。通过护士和家庭佣工在每个时区提供的护理内容，使服务使用和护士的对应以及提供医疗服务，特别是在夜间访问的快速变化。结论全天候家庭护理通过在家护理垂死的患者、在客户生病时快速反应以及在家提供医疗服务，使更多的客户能够留在家里。