Strategies for avoiding hospitalization among the elderly alone and effect of the narrative care which is introduced into nursing for patient

本研究旨在探讨叙述式照护在门诊护理之成效。我们利用了一项针对老年人的研究结果。换言之，本研究利用“老年人有避免住院策略”的研究结果，并以门诊护理为例，从“策略特性（动机、目的、内容、结果）”的角度进行分析。通过仔细倾听的方法和分析，通过访谈，它变得清晰，采取战略关系，与来访的护士和管家，以维持家庭护理生活的老人。此外，一名护士在门诊患者中接近叙事护理的意图，并能够通过找到叙事的地点和时间来确认家庭生活的“放松紧张和不安”的效果。这意味着人际关系的扩大和支持环境的扩大，以包围一个孤独的老人。这样的护理环相关的扩展导致继续单独逗留，并了解我带来了早期发现的改善和异常情况的健康意志和预防效果。门诊和临时护理在家里的合作成为一个老人独自一人的医疗生活的面包，我认为我提高了作为病人的满意度。

The purpose of this research was to clarify the effect of narrative care of outpatient nursing. We utilized result of a study for an elderly alone. In other words, we utilized result of study that "the elderly named having strategy to avoiding hospitalization " and a scene of outpatient nursing from "a strategic characteristic (a motive, an aim, contents and result). Through listening closely method and analysis by an interview and it became clear to take a strategy in relations with a visiting nurse and a housekeeper to maintain home care life with an elderly alone. In addition, a nurse came close with intention of narrative care in an outpatient and was able to confirm an effect to "relax strain and uneasiness" of at-home life by finding a place and time of the narrative. It meant expansion of human relations and supporting circumstances to surround an elderly alone. Such care ring-related expansion led to continuation of staying alone and understood that I brought early detection of improvement and an abnormality situation of healthy will and a preventive effect. Cooperation of an outpatient and temporary nursing at home became bread of medical treatment life for an elderly alone and it was thought that I raised feeling of satisfaction as a patient.