Basic Study of Judgment in the Community Health Nursing

本研究的目的是确定护理判断的组成部分，具有较高的专业性，在社区下进行。对行政护理活动和居家护理活动进行了4次调查。研究结果如下：在调查1中，重点调查了公众对公共卫生护理作为行政服务的认识。通过对31名公共卫生护士的调查发现，对公共卫生护理需要解决的问题的判断、对人的独立性和潜力的判断、对社区整体的帮助是公共卫生护理工作的重要内容。通过对机制改革后组织体制发生变化的2个地州的138名公共卫生护士的调查，护理人员对(1)支持患者及家属的护理判断(…(2)患者及其家庭生活质量，(3)选择问题，(4)帮助和服务质量，(5)救助人员，(6)社区互助，(7)丰富服务和政策。调查3重点是对市级公共卫生护理在规划儿童保健福利服务体系中作用的认识。通过对97名公共卫生护士的调查，肯定了护理人员对居住者真实需求的判断，对当事人的观念和意识，对社区的向往和与人的合作，以及患者和当事人独立性的形成。调查4集中了家庭护理对提高家庭护理环境中生活质量的认识。通过某居家护理机构对4例居家护理案例的调查，得出以下判断：(1)自我选择和自主，(2)日常生活活动的独立性，(3)可能性和希望，(4)个人想法和意图，(5)室内外安全，(6)清新感觉和满足感，(7)预防疾病，(8)继续日常生活活动，(9)家庭经济负担，(10)家庭成员之间的情感关系，(11)与邻居的关系，(12)对社区联系的兴趣，和(13)每个家庭成员的想法得到确认。较少

The purpose of this study was to identify the components of the nursing judgment with the high professionalism which were done under the community. Four investigations were done for the administration nursing activities and the home nursing activities. The results were follows :In the investigation 1, the recognition of the public health nursing which functions as the administration service were focused. Through the survey to 31 public health nurses, the judgment of the problem which needs solution having to do with the public, the independence and the potentiality of the people and the help the community as a unit were important for public health nursing.In the investigation 2, the recognition of the public health nursing which functions after the organization reform were focused. Through the survey to 138 public health nurses in 2 prefectures which the organization system had changed by the mechanism reform, the nursing judgment of (1) supporting for the patient and the family member … More s, (2) quality of the patient and their family life, (3) selecting the problem to be considered , (4) quality of the help and services, (5) concerning aid person , (6) supporting each other in the community, and (7) enriching services and the policy were found.In the investigation 3, the recognition of municipal public health nursing which functions in planning the health and welfare service system for child care were focused. Through the survey of 97 public health nurses, the nursing judgment about the true needs of the habitant, the idea and the consciousness of the person concerned, the wining of a vision to their community and a cooperation with person , and the forming the independence of the patients and the person concerned were confirmed.In the investigation 4, the recognition of the home nursing about the improvement of the quality of life in home care setting were focused. Through the survey of the 4 home nursing cases by a home care agency, the judgment of (1) self-selection and self-decision, (2) independence of daily living activities, (3) possibility and hope, (4)his/her own idea and intention, (5) safety of indoors and outdoors, (6) refreshing sense and satisfaction, (7) prevention of the disease, (8) continuation of daily living activities, (9) burden of domestic economy, (10) emotional relationship between family members, (11) relationship to the neighbors, (12) interest in the connection to their community, and (13) idea of each family member were confirmed. Less