STUDY ON FACTORS AFFECTING PROLONGED STAY FOR THE AGED ACCOMMODATED IN LONG-TEAM CARE FACILITIES FROM THE STANDPOINT OF COORDINATING RELATIONSHIP AMONG THE FAMILY

在日本，老年人的长期护理设施包括综合医院、老年医院、老年中间护理设施、为需要日常生活援助的人提供的特殊疗养院等等。通过康复和活动方案，为住院的残疾老年人引入了GICFs，使其适应家庭护理方案。本文选取3家GICFs的72名男性、216名女性和3家老年医院的175名男性、346名女性进行调查，分析影响住院时间延长的因素。结论如下：1。由于对家庭护理感到疲劳，不愿在综合医疗中心长期照顾老年人的护理人员比在医院的护理人员增加。为支援居家照护，有必要随时重新进入长者综合服务中心，并协调照顾者的心理协助。2 .在长期照护服务方面，政府综合服务中心的协调人员应根据每个家庭的情况安排社会资源，以确保质素。许多看护人都不愿意照顾“病情无望好转”的囚犯。3 .延长住院时间的原因，除了担心复发和家庭护理的残疾外，还有不容易进入特殊养老院，根据情况承担特殊养老院比医院更多的费用，以及每个家庭的面子。根据设施类型分析，医院协调员倾向于建议更多地进入特殊疗养院，但囚犯及其家人更希望留在医院。

In Japan, long-term care facilities for the aged are general hospitals, hospitals for the aged, geriatric intermediate care facilities (GICFs), special nursing homes for those needing activities of daily living assistance and so on. GICFs were introduced for the hospitalized disable elderly to be adapted to the home-care program by rehabilitation and activity programs.In this paper, 72 males and 216 females in 3 GICFs and 175 males and 346 females in 3 hospitals for the aged were investigated to analyze the factors affecting the prolonged stay. Conclusion are as follows ;1. Care-givers not having desires to take care of the aged prolonged stay at GICFs increased more than those at hospitals, because of tiredness for home-care. For supporting home-care, it is very necessary readily to re-enter in GICFs for the aged, and to coordinate psychological assistance for care-givers.2. For adequate home-care management, coordinators in GICFs are expected to arranged the social resources according to the situation of each family for quality assurance, in the long-term care services.3. Many care-givers could be characterized as displeased to take careof the inmate with "hopeless condition to get better". Reasons to prolong stay in hospitals are not only to feel anxiety to relapse and to be disability for care-giving in home-care, but also not to enter easily in special nursing homes, to bear the expenses in special nursing homes more than in hospitals according to circumstances and to keep up appearances for each family.4. As analyzed by the type of facility, coordinators in hospitals tended to advise to enter in special nursing homes more, still the inmate and their family wanted to stay at hospitals more.