Nursing Practice Promoting Community Social Support Networks for the Elderly

本项目旨在描述公共卫生护士(PHN)促进社区老年人社会支持网络的有效护理实践。通过对日本A市84名75岁以上独居老人的家访调查，结果表明，与家人、朋友和邻居关系好、爱好爱好好的老年人对自己的健康状况表现出更多的积极情绪。他们还发现，老年人对自己的健康状况有更积极的感觉，不仅得到了支持，而且也提供了支持。在项目的第二年，我们检查了PHN促进社区老年人社会支持网络的护理实践。我们选取了17个强调公共卫生护理的案例报告来促进社区社会支持网络。通过对访谈数据的分析，得出以下特征是促进社区老年人社会支持网络有效护理实践的关键；评估老年人通过PHN的常规社区活动促进社区社会支持网络的需求或优先事项；支持或鼓励社区中在老年活动中发挥重要作用的志愿者和领导者。

The purpose of this project was to describe the efficient nursing practice by public health nurses (PHNs) promoting community social support networks for the elderly.First, we clarified the relationship between health status and the daily life of the elderly and community social support networks. Data was collected from the interview surveys of home visits to 84 elderly people aged 75-years who lived independently in City A in Japan.Results exhibited that elderly people that had good relationships with family members, friends and neighbors or hobbies and interests displayed more positive feelings about their health conditions. And they also found that the elderly people had more positive feeling about their health conditions not only received support but also provided it.In the second year of the project, we examined nursing practices by PHNs promoting community social support networks for the elderly. We chose 17 case reports that emphasized on public health nursing in promoting community social support networks. From these we selected 5 cases and performed interviews with the PHNs involved about their practices.After analyzing the interview data, we conducted that the following characteristics were vital to efficient nursing practice promoting community social support networks for the elderly; to assess needs or priorities for the elderly to promote networks through PHN's routine community activities, to support or encourage volunteers and leaders in the community who played important roles in the activities for the elderly.