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Development of a program to assure quality of home care for children with chronic diseases and their families

制定一项计划，确保慢性病儿童及其家人的家庭护理质量

基本信息

批准号：
11672395
负责人：
OIKAWA Ikuko
金额：
$ 2.11万
依托单位：
St. Luke's 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-11672395/
关键词：
Chronic diseases Children Family Home Care Nursing Care of Outpatient Clinic Assurance quality Care program モデル開発

项目摘要

The present study investigated the strategies to increase the quality of nursing care at the outpatient setting for children with chronic diseases and their families, during the three-year period from 1999 to 2001.1. Construction of a care model by group activities : In the first phase, action research was conducted by forming focus groups to identify the nursing problems of outpatient nurses and to support their practical activities. Thirty-three outpatient nurses were divided into three groups : "nursing record", "coordination", and "patient guidance" groups. Three sessions of lectures and group activities were conducted. An evaluation was conducted to examine the process of the three group activities and the change in attitude before and after the activities. The results showed active exchange of opinions in all three groups, and the attitude toward handling outpatient duties could be perceived from the problems identified by the participants. In addition, the awareness and job sati … More sfaction of the outpatient nurses were elevated. In the second phase, a "nursing model for children with bronchial asthma" was constructed aiming to increase the quality of care for children with chronic diseases. Twenty-four outpatient nurses were divided onto three groups. Through 5 sessions of group activities, the nurses discussed the status and problems of care for asthmatic children, and practical situations were continuously added to the draft model. Lectures and practical demonstrations were also included in these sessions to increase participants' practical skills. The care model is scheduled to be evaluated practically. As with phase one, the participant's satisfaction was increased. The results of group activities in phases I and II suggest that information and opinion exchange through focus groups are useful educational strategies to increase the quality of outpatient nursing.2. Evaluation of the quality of nursing care for children and their families visiting the outpatient department : To evaluate the quality of outpatient nursing, a questionnaire survey was conducted on children with chronic diseases and their families. Responses were obtained from 112 children aged between 9 to 15 years. The results of analysis showed that the children had a high degree of recognition of their own diseases, and conformed to the restrictions of daily life. They also held a positive view toward the relationship with the outpatient nurses. Responses were obtained from 320 parents. Although the care received at the outpatient department varied according to the condition of the children, the parents were generally satisfied with the care received, and emotional stability of the parents was observed. Less

本研究调查的策略，以提高护理质量的门诊慢性病儿童及其家庭，在1999年至2001年的三年期间。以小组活动建构护理模式：第一阶段以焦点小组的方式进行行动研究，以找出门诊护士的护理问题，并支持他们的实践活动。将33名门诊护士分为护理记录组、协调组和病人指导组。举办了三期讲座和小组活动。对三个小组活动的过程和活动前后态度的变化进行了评价。结果显示，三个小组都积极交换意见，并且可以从参与者发现的问题中感知处理门诊职责的态度。此外，还应提高员工的意识和工作满意度， ...更多信息提高了门诊护士的满意度。第二阶段，建构“支气管气喘病儿护理模式”，以提升慢性病病儿的护理品质。将24名门诊护士分为三组。通过5次小组活动，护士们讨论哮喘儿童护理的现状和问题，并不断将实际情况添加到模式草案中。这些课程亦包括讲座和实际示范，以提高参加者的实际技能。计划对这一护理模式进行实际评估。与第一阶段一样，参与者的满意度有所提高。第一、二阶段小组活动的结果显示，透过焦点小组的资讯与意见交流，是提高门诊护理品质的有效教育策略。门诊患儿及其家属护理质量评价：对门诊慢性病患儿及其家属进行问卷调查，评价门诊护理质量。从112名9至15岁的儿童中获得了答复。分析结果表明，儿童对自身疾病的认知程度较高，且符合日常生活的限制。他们也对与门诊护士的关系持积极态度。共收到320位家长的回复。虽然在门诊部接受的护理根据儿童的病情而有所不同，但父母对接受的护理普遍满意，并观察到父母的情绪稳定。少