The study about the function and the efficacy of psychiatric visiting care for schizophrenia patients

精神科探访护理对精神分裂症患者的作用及效果研究

• 批准号: 12672315
• 负责人: MAMI Kayama
• 金额: $ 1.66万
• 依托单位: The University of Tokyo
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2000
• 资助国家: 日本
• 起止时间: 2000 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672315/
• 关键词: Schicophrenia; visiling care; medical expenditure; Thter national research exchange; schizophrenia; home visiting; psychiatric nursing

In order to clarify the function and the efficacy of visiting care service, the research reported here focuses on the function of visiting care service for schizophrenic patients, especially when the symptoms exacerbated, and analyzes the details of care given and the changes in the length of hospital stays and the medical costs two years before and after the introduction of the service, We then divided these into two groups, before and after the introduction of the service, and tested the difference between population means of these two groups.After visiting care service started, hospital stays largely declined to 102 days, compared to 366 days before it started. However, no change was seen in the number of admissions, which were both 1.2.Assuming the frequency of outpatient treatment as once every week in the two-year period before the visiting care service started, excluding inpatient period, the total medical expenditure was estimated \4,958,830. And assuming the frequency of outpatient treatment as once every week and that of visiting care service as once every week in the two year period after the visiting care service started, the total medical expenditure was estimated \2.478,992.We nave interviewed to 35 patients about specialties and needs of visiting care and analyzed it with grounded theory approach. So we have extracted three core categories [(1) assistances with daily life], [(2) communication for emotional contentment], and [(3) keeping up with medical needs ] from visiting care. Of those categories, category (1) proved that patients regard a cooperation or not as most important, and category (2) proved mat it is so important of respecting for patients' voices that patients need nurses to say "May I help you? "and "Are you in trouble? "

为了明确访视服务的功能和效果，本研究着重探讨了访视服务对精神分裂症患者的作用，特别是在症状加重时的作用，并分析了访视服务实施前后两年内的护理细节、住院时间和医疗费用的变化，然后将其分为两组，在推行探访护理服务后，住院日由推行前的366天大幅减少至102天。但是，住院人数没有变化，均为1.2。假设门诊治疗的频率为在开始访问护理服务之前的两年期间每周一次，不包括住院期间，总医疗费用估计为4，958，830日元。并假设门诊就诊频率为每周1次，访视服务频率为每周1次，在开展访视服务后的两年内，估计总医疗费用为247.8992万元。因此，我们从访视护理中提取了三个核心类别[（1）日常生活援助]，[（2）情感满足的沟通]和[（3）跟上医疗需求]。在这些类别中，类别（1）证明了病人认为合作与否是最重要的，类别（2）证明了尊重病人的声音是如此重要，以至于病人需要护士说“我可以帮你吗？“你有麻烦了吗？”"