STUDY ON CARE-COORDINATE OF COMMUNITY HEAITH NURSE FOR SUPPORTING TO FRAIL EDERLY PERSONS AND THEIR FAMILIES AT HOME

社区保健护士支持体弱老人及其家庭的护理协调研究

• 批准号: 10672208
• 负责人: KONISHI Michiko
• 金额: $ 2.37万
• 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: 1998
• 资助国家: 日本
• 起止时间: 1998 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10672208/
• 关键词: frail elderly persons; Long-term Care Insurance service; community health nurse; formal and informal organization; caremanager; medical, healthy and welfare resource; care-coodinate; collaboration; 行政機関の保健婦; 難病患者自助グループ; 介護保険適用外在宅サービス; 関係者間の調整 /

The objective of research is to analyze the care-coordinate of community health nurse for supporting the homebound frail elderly persons with physical or mental health problems and their family caregigers, having used Long-term Care Insurance(LTCI). LTCI ACT was established in 1997 and started in 2000. Kinds of LTCI services in home care are home-help, bathing, nursing, rehabilitation, daycare, medical care, dayservic, shot stay at care facility, welfare equipment, modifying or repairing house. The care manager makes in a careplan of 1LTCI beneficiaries, to provide assistance with activity of daily living and to keep their healthy lifestyle. But it is difficulty to make in careplan the caremanager by itself.The LTCI services is provided by various formal and informal organizations, various specialist of medical, healthy and welfare area and many staffs. It is come out, after LTCI ACT, many hospitals have been to constitute the synthetic social support system to collaborate with other hospitals and to support patint's homecare being in and out a hospital.The caremanagers wants that community health nurse have been attending the care conferences and supervicing for being solved various trouble in the daily life of elderly persons and their family caregives.The function of care-coordinate of community health nurse is to go into partnership with the caremaneger, to introduce medical, healthy and welfare resouce within the community, to coordinate interperonal relationship between homecare services staffs and 1LTCI beneficiaries. Moreover it is covered to tap new formal and informal resource for supoorting frail elderly persons and to evalute followup program planning and service institute.

本研究的目的是分析社区护理人员在照顾有身心健康问题的居家体弱老人及其家庭照顾者时的护理协调情况。LTCI ACT成立于1997年，始于2000年。家庭护理中的LTCI服务种类有家政服务、洗澡服务、护理服务、康复服务、日托服务、医疗护理服务、日间服务服务、照护设施服务、福利设备服务、房屋改建或修缮服务。护理经理制定了一份由1名LTCI受益人组成的护理计划，为他们提供日常生活能力的帮助，并保持他们的健康生活方式。LTCI服务是由各种正式和非正式的组织、医疗、健康和福利领域的各种专家和许多工作人员提供的。LTCI法案出台后，许多医院都建立了综合性的社会支持系统，与其他医院合作，支持病人的家庭护理进出医院。护理管理者希望社区卫生护士一直参加护理会议，监督解决老年人及其家庭护理人员日常生活中的各种问题。社区卫生护士的护理协调职能是与护理管理者合作，在社区内介绍医疗、健康和福利资源，协调家庭护理服务人员与1LTCI受益者之间的关系。此外，还包括开发新的正式和非正式资源，以支持虚弱的老年人，并评估后续计划规划和服务机构。

项目成果

中本朱美, 小西美智子: "高齢在宅療養者の生きがいと療養生活の受け止め方に関する研究"日本地域看護学会誌. 2・1. 87-92 (1999)

Akemi Nakamoto、Michiko Konishi：“关于生命的意义以及老年家庭护理接受者如何看待他们的治疗生活的研究”日本社区护理学会杂志 2・1（1999 年）。

小西 美智子: "要支援高齢者に対する効果的な在宅看護の展開"保健の科学. 43・7. 555-558 (2001)

小西美智子：“为需要支持的老年人开发有效的家庭护理”《健康科学》43・7（2001）。

永井真由美,小西美智子: "在宅ケアにおける介護者の生活行動と日常生活の問題"日本看護科学会誌. 20・1. 19-27 (2000)

永井真由美、小西美智子：“家庭护理中的护理人员的生活方式和日常生活问题”日本护理学会杂志20・1（2000年）。

中本朱美, 小西美智子: "在宅療養高齢者を支援する地域ケアシステム再構築と行政保健婦の役割"日本地域看護学会第4回学術集会. 128 (2001)

Akemi Nakamoto、Michiko Konishi：“重建社区护理系统以支持接受家庭护理的老年人和公共卫生护士的作用”日本社区护理学会第四届学术会议128（2001）。

Harada Harumi and Konishi Michiko: "Collaboration between the visiting nurse and the home helper in domiciliary care of the elderly"Journal of health Sciences Hiroshima University. Vol.2(1). 57-63 (2002)

原田晴美和小西美智子：“上门护士和家庭帮手在老年人家庭护理方面的合作”广岛大学健康科学杂志。