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Verified Research on Continuity of Care after Hospital Discharge among Frail Elderly

体弱老年人出院后连续性护理的验证研究

基本信息

批准号：
11672350
负责人：
UEHARA Masuko
金额：
$ 2.24万
依托单位：
Osaka Prefecture College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672350/
关键词：
Frail Elderly Continuity of Care Discharge Planning Care System After Hospital Discharge Program 評価退院指導連携システム外来看護看護サマリー

项目摘要

1. Study of Care Received among Frail Elderly and Their Families after Discharge from HospitalThe purpose of this study was to investigate the actual conditions of continuing care among 92 elderly who were discharged from hospital, their family caregivers and their nurses. Problems were found in the areas: 【○!1】understanding about conditions of elderly and family; 【○!2】discharge planning; 【○!3】holding discharge conference; 【○!4】teaching for discharge; 【○!5】information to post-discharge care providers; and 【○!6】support after discharge.2. Development and Evaluation of a Program for Continuing Care after Hospital DischargeWe developed an overall program for solving the problems of continuing care based on the results of the initial study, which was put to practical use among 79 frail elderly at 29 hospitals. The program was verified to be effective in the solution of the above-mentioned problems from analysis of program records and questionnaires completed by charge nurses and post-discharge care providers.3. Establishment of a Continuing Care System in Hospital1) Nursing administrators at the hospitals completed questionnaires and the subject of the continuing care system configuration in a hospital was clarified.2) Interviews were conducted with the nursing administrators of four hospitals where continuing care systems differ, and a concentrated type and a distributed type were examined.3) Nurse education about continuing care was carried out in "A" hospital, and later developed into a core element of the program there.4. A symposium by the health, medical and welfare staffs of "A" city was held for the purpose of establishment of a continuing care system ; mutual understanding was deepened, and it was tied to periodic cooperative team activity.

1.体弱老人及其家属出院后接受照护情况的研究本研究旨在调查92名出院老人及其家属照顾者及护士继续照护的实际情况。[0！1]了解老年人及家庭状况；[0！2]出院计划；[0！3]召开出院会议；[0！4]出院教学；[0！5]向出院后护理人员提供信息；[0！6]出院后支持。出院后继续护理计划的制定和评估根据初步研究的结果，我们制定了一个解决持续护理问题的总体计划，并在29家医院的79名虚弱老年人中进行了实际应用。通过对项目记录和护士长及出院后护理人员填写的调查问卷的分析，验证了该方案在解决上述问题上的有效性。医院持续护理体系的建立1)医院护理管理者完成问卷调查，明确了医院持续护理体系配置的主题。2)对四家不同继续护理体系的医院的护理管理者进行了访谈，考察了集中式和分散式。3)在A级医院开展了关于继续护理的护理教育，并后来发展成为该项目的核心要素。召开了“A”市卫生、医疗和福利工作人员座谈会，以建立持续护理体系；加深了相互了解，并与定期的合作团队活动联系在一起。