The Factors Analysis and Methods of Judgement for Urgent Problems of Patients with Incurable Disease

疑难杂症患者急症的因素分析及判断方法

• 批准号: 59571008
• 负责人: SHIMANOUCHI Setsu
• 金额: $ 0.83万
• 依托单位: The Institute of Public Health
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for General Scientific Research (C)
• 财政年份: 1984
• 资助国家: 日本
• 起止时间: 1984 至 1986
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-59571008/
• 关键词: 在宅難病患者; 緊急事態

PURPOSES AND METHODSThis research has two purposes, the first is a comprison between background condition of the happening group and non-happening group(control group) of urgent problems, the second is a factor analysis and methods of judgement for urgent problems. The subjects are the home care patients with incurable diseases in Tokyo Metolopolitan Neurotic Hospital and the region of Central Health Center in Okinawa Prefecture.RESULTS1. The happening group has 80 patients and the control group has 66 patients during two months in 1983 and 1985.2. The differences in background of the two groups are that the happening group has the following remarkable points: (1) average age is high. (P<. 05) (2) level of activities in daily living (ADL) are low. (p<. 05) (3) Condition of disease is worse than control group. (4) Treatment are frequent. (p<. 05)3. The contents of urgent problems are change of disease condition (35. 1%), prblems with the patient' family care (21%) and others (43.9%).4. The priority index of care for the patients with incurable diseases are patient's age, condition of disease, level of ADL, frequency of treatments, condition of medical care, condition of care person at the paient's home.5.The process of judgement and care for the urgent problems of the patients are the follow: (1) confirmation of information from patients and/or their families (2) judgement of the urgent problems (3) planning of the solutions (4) practice for the caring of the patients (5) confirmation of the results

本研究有两个目的，第一个目的是对紧急问题发生组和非发生组（对照组）的背景情况进行比较，第二个目的是对紧急问题进行因素分析和判断方法。研究对象为东京都大都会神经症医院和冲绳县中央保健中心地区的家庭护理疑难杂症患者。1983年和1985年两个月内，发病组80例，对照组66例。两组人群的背景差异主要表现在：（1）发病人群平均年龄偏高。（P<. 05)（2）日常生活活动能力（ADL）低下。（p<. 05)（3）病情较对照组严重。(4)治疗很频繁。（p<. 05）3.急需解决的问题主要有病情变化（35。1%），主要由患者家属照顾（21%），其他（43.9%）.对疑难杂症患者的护理优先指标是患者的年龄、病情、ADL水平、治疗频率、医疗护理条件、患者家中护理人员的条件。5.对患者紧急问题的判断和护理过程如下：（1）确认来自患者和/或其家属的信息（2）判断紧急问题（3）规划解决方案（4）照顾患者的做法（5）确认结果

项目成果

Sawako Kawamura, Setsu Shimanouchi Saburou Nishi: "The Theory and Practice of Home Care for Patients with Incurable Disease - The Urgent Problems and Nursing -" Japanese Journal of Primary Care. 31, NO:6,. (1987 Prearrangement of Publication)

河村佐和子、岛内节三郎西：“疑难杂症患者家庭护理的理论与实践 - 紧急问题和护理 -”日本初级保健杂志。