Study on the Roles of Visiting Nurses and Nursing Intervention as Perceived by Families Taking Care of Patients at Home

本研究从两个角度探讨了人口减少和老龄化地区的居家照护者对家庭的认知、护理者对访护角色的认知以及护理者对访护角色的期望。“照顾者对家庭的看法（即谁构成了“家庭”）和来访护士的角色”，以及“来访护士认识到的与来访护理服务相关的麻烦/问题”。结果，无论他们的家庭构成如何——一个只有老人的家庭，一个几代人住在一起的家庭，或者一个有血亲住在附近的家庭——所有的研究对象都认为“亲戚”是他们家庭的一部分。家庭成员的角色被分为5类：亲情、生存的理由、心灵的平静、信任、相互合作。关于来访护士的角色，研究结果表明，更多的研究对象将来访护士视为“医疗/护理专业人员”。更具体地说，被试认为探视护士的角色是：1)改善病人的健康状况，2)为照顾者提供情感支持，3)在病人、家属和初级保健医生之间扮演调解人的角色。访护活动中出现的困扰/问题与患者及家属对访护角色的期望有关。由于来访护士与病人、病人家属、医生和家庭护理提供者有着各种各样的关系，因此报告了一些与病人家属关系有关的麻烦。未来，基于上述研究结果，需要研究更多与患者家属与访护人员关系相关的问题实例，并开发包含具体风险管理措施的家庭护理模式。少

This study considered 1)how those taking care of patients at home in a depopulated and aging region perceive their families, 2)how those caregivers perceive the roles of visiting nurses, and 3)what kind of nursing intervention (roles of visiting nurses) is expected by those caregivers, from the two perspectives : "caregivers' perceptions of the family (i.e., who constitutes "family") and the roles of visiting nurses," and "troubles/problems associated with visiting nursing service, recognized by visiting nurses."As a result, regardless of their household compositions a household of elderly persons only, a household where several generations live together, or a household that has blood relatives living nearby all study subjects perceived "relatives" as part of their families. The roles of family members were classified into five categories : affection, reason for living, peace of mind, trust, and mutual cooperation. Regarding the roles of visiting nurses, the study results show that man … More y study subjects regard visiting nurses as a "medical/nursing professional." More specifically, subjects perceive the roles of visiting nurses as : 1)to improve the health status of patients, 2)to provide emotional support for caregivers, and 3)to play the role of mediator between patients, their family members, and their primary care physicians. It was also revealed that troubles/problems occurring in visiting nursing activities are related to the roles of visiting nurses expected by patients and their families. Since visiting nurses are involved in various relationships with patients, their families, their doctors and homecare providers, some troubles associated with the relationship with patients' families were reported.In the future, based on the findings of these results, it will be necessary to research more instances of troubles associated with the relationship between patients' families and visiting nurses and to develop a family nursing model that incorporates concrete risk management measures. Less