Development of a nursing care manual for supporting the caregiving careers of families of patients with cerebrovascular disease or senile dementia

制定护理手册，支持脑血管病或老年痴呆症患者家属的护理事业

• 批准号: 17592320
• 负责人: IKEZOE Shino
• 金额: $ 2.37万
• 依托单位: Kochi Women's University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2005
• 资助国家: 日本
• 起止时间: 2005 至 2007
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-17592320/
• 关键词: the caregiving careers of families; a nursing care manua; families of patients with cerebrovascular disease; families of patients with senile dementia; 生活の再構築; 脳血管障害; 認知症; 看護介入; 介護キャリア; 良循環; 悪循環; 影響要因

The objective of the present study was to develop a nursing intervention method for supporting caregiving careers by determining the care activities of family members living with patients with cerebrovascular disease or senile dementia and elucidating the causal and background factors that promote or hinder the progress of caregiving careers. Based on a caregiving career model for families providing care for patients with cerebrovascular disease or senile dementia, we used a five-stage process, which included the extraction of conditions affecting the establishment of the caregiving careers of families, comparison of the caregiving careers of families for different diseases, and the assessment and refinement of care guidelines using the focus group method, to determine nursing care that contributes to the establishment and development of the caregiving careers of families and thereby created a "Care guideline for supporting the caregiving careers of families". This guideline comprised … More five items as follows : 1) About the caregiving careers of families, 2) Points for understanding the caregiving careers of families, 3) Formation of relationships involving care in the family, 4) Selection of nursing intervention that supports the caregiving careers of families based on the family empowerment model, and 5) Materials. The following types of nursing care were found to be effective for promoting the caregiving careers of families : "nursing that promotes the value of caregiving" for "nursing that supports the foundation of caregiving careers" ; "nursing that supports the development of the wisdom accumulated in the family" and "nursing that promotes the formation of open-minded communication" for "nursing that supports the establishment of caregiving careers" ; "nursing that supports the maintenance of the personality of the patient", "nursing that supports the maintenance of the characteristics of the family", "nursing that solidifies one's position as a caregiver through acquisition of the power to control", "nursing that supports the establishment of grounds for self confidence", and "nursing that supports the acquisition of confidence" for "nursing that supports the development of caregiving careers" ; and "nursing that supports the establishment of boundaries", "nursing that enhances the certainty of what has been recognized", and "nursing that enhances the certainty of relationships with patients" for "nursing for breaking vicious cycles". The following factors were identified as nursing interventions that support family empowerment for these types of nursing care : "increasing support for the daily lives and self care of the family", "providing emotional support for the family", "educating family members", "enhancing the coping behavior and ability of the family", "harmonization and enhancement of family relationships and promotion of communication", "management of responsibilities in the family", "utilization of relatives and local social resources", and "support and advocacy for the family's decision-making". Less

本研究的目的是通过确定脑血管疾病或老年痴呆症患者家属的护理活动，阐明促进或阻碍护理事业发展的原因和背景因素，从而开发一种支持护理事业的护理干预方法。以护理脑血管疾病或老年痴呆症患者的家庭护理职业生涯模型为基础，我们采用了五个阶段的过程，包括提取影响建立家庭护理职业生涯的条件，比较不同疾病家庭的护理职业生涯，以及使用焦点小组方法评估和完善护理指南，以确定有助于家庭护理职业生涯的建立和发展的护理，从而制定《支持家庭护理职业生涯的护理指南》。该指南包含…包括以下五项：1)关于家庭照料事业，2)家庭照料事业的理解要点，3)涉及家庭照料的关系的形成，4)基于家庭赋权模式支持家庭照料事业的护理干预措施的选择，5)材料。以下类型的护理被发现对促进家庭护理事业是有效的：“促进护理价值的护理”，即“支持护理事业基础的护理”；“支持在家庭中积累的智慧的发展的护理”；以及“支持建立护理事业的护理”；“支持维持病人人格的护理”、“支持维持家庭特征的护理”、“通过获得控制权巩固自己作为照顾者的地位的护理”、“支持建立自信基础的护理”、以及“支持获得信心的护理”；以及“支持建立界限的护理”，“增强已被承认的事物的确定性的护理”，以及“增强与患者关系的确定性的护理”，以及“打破恶性循环的护理”。以下因素被确定为支持这些类型护理的家庭赋权的护理干预措施：“增加对家庭日常生活和自我照顾的支持”、“为家庭提供情感支持”、“教育家庭成员”、“增强家庭的应对行为和能力”、“协调和加强家庭关系和促进沟通”、“管理家庭中的责任”、“利用亲属和当地社会资源”以及“支持和倡导家庭决策”。较少

项目成果

脳血管障害患者と認知症高齢者の家族の介護キャリアを支える看護援助マニュアルの開発 研究成果報告書

制定护理支持手册，支持脑血管病患者及痴呆老人家属的护理事业 研究结果报告

• 发表时间: 2008
• 作者: 池添 志乃

脳血管障害患者と認知症高齢者の家族の介護キャリアを支える看護援助マニュアルの開発研究成果報告書

制定护理支持手册支持脑血管病患者及痴呆老人家属护理事业研究报告

• 作者: 池添 志乃