Development of database for Community Diagnosis by Community Health Nurse

社区诊断是社区卫生护士的重要工作之一，社区卫生服务规划为社区卫生护士开展社区诊断提供了很好的契机。要在有限的时间内进行准确的社区诊断，就需要统一开发社区卫生护士社区诊断数据库。我们以前的调查发现，在制定《社区妇幼保健计划》（1996年）时，每个地方政府都进行了社区诊断。对冈山市所有地方政府制定的妇幼保健计划的分析表明，虽然社区保健护士使用有关人口统计、健康检查等方面的数据，但每个地方政府以不同的形式存储数据。此外，还不清楚如何处理数据以进行社区诊断。本研究探讨了建立社区诊断数据库需要哪些类型的数据。社区诊断是社区卫生护理过程的起点和核心，包括计划、实施和评估。社区诊断也可用于评估社区保健护理活动。各地方政府于1996年制定了《妇幼保健计划》，并于1997年对计划的执行情况进行了评估。这种评估将有助于提高每个社区的诊断。但是，如果各地方政府继续使用自己的评估表格，将会阻碍社区诊断的标准化。为了开发一种标准化的社区诊断（方式），与县政府合作建立了一个统一的数据库，以协助在有限的时间内有效地制定妇幼保健计划。

Community diagnosis is one of the important tasks of community health nurses, and planning for the community health care provides a very good opportunity for them to carry out community diagnosis. To do accurate community diagnosis in limited time they will need a unified Development of a Database for Community Diagnosis by Community Health Nurses common database. Our previous survey found that, in making a Maternal and Pediatric Health Care Plan for the community (in 1996) , every local government carried out community diagnosis.An analysis of the Maternal and Pediatric Health Care Plans eveloped by all the local governments in Okayama revealed that, though community health nurses used data concerning demography, health checks, etc., each local government stored data in diffenrent forms. Moreover, it was not clear how data was processed for community diagnosis. The present study investigated what kinds of data were needed to develop a database for community diagnosis.Community diagnosis is the starting point of, and central to, the Community Health Nursing Process which include planning, implementation, and evaluation. Community diagnosis is also available for the evaluation of community health nursing activities. Each local government layed out the Maternal and Pediatric Health Care Plan in 1996, and also they evaluated the implementation of the plans in 1997. This evaluation will help to improve the diagnosis of each community. However, if each local government continues to use their own forms for their evaluation, it will hinder the standardization of community diagnosis. To develop a standardized (way of) community diagnosis, a unified database was established in collaboration with the prefectural government to assist in making a Maternal and Pediatric Health Care Plan effectively in limited time.