A study on development of suitable healthcare equipment for aged people at their homes-Toward efficiency and reduction of the homehelpers' labor in healthcare-

为了减少家务助理的劳动量，提高家务助理的工作效率，开发适合家中老年人的保健设备，我们对京都市的保健实际情况进行了研究（用餐和排泄保健，使用手动升降机移动和洗澡，轮椅移动，淋浴架保健，在此基础上，运用影像分析方法，对卫生工作进行场景划分，从卫生设备、信息、环境、卫生技术、心理负担、社会制度、家庭负担等。此外，家务助理的问卷调查（18人-50%的回答）澄清了超过一半的人患有腰痛，日常医疗保健中最大的负荷来自移动患者或将他们放入或取出设备进行移动。最后，我们考虑了适合每个医疗保健场景图像的具体建议，根据对适合老年人在家使用的保健设备的效率（设计指南）的评价：1）朝向正确姿势的设计2）朝向自助可能性的设计3）朝向患者积极参与的设计4）朝向整个过程的合理性的设计5）朝向适合场所的保健设备的设计6）朝向心理治疗的设计7）良好的保健技能水平8）经济、系统的合理性

Concerning the development of suitable healthcare equipment for aged people at their homes in order to reduce the labor and increase the efficiency in the homehelpers' work, we conducted a study on the actual conditions of healthcare in Kyoto city (healthcare in taking a meal and excretion, moving and taking a bath by using a hand-powered lift, moving by a wheelchair, shower carrier healthcare, assistance in body care and housework) by digital video filming, interviews and layout investigations.On the base of those investigations by using methods for analysis of video pictures, we divided the healthcare work into scenes and exctracted the main problems in terms of healthcare equipmert, information, environment, healthcare skills, mental burden, social system, family burden, etc. Furthermore the questionnaire survey of home helpers (18 persons-50% answers) clarified that more then half of them have lumbago pains and the biggest load in the everyday healthcare comes from moving the patients or getting them into or out of the equipment for moving.Finally we considered concrete proposals appropriate for each healthcare scene image, based on evaluation toward efficiency (design guidelines) for suitable healthcare equipment for aged people at their homes :1) Design toward a proper posture2) Design toward self-help possibility3) Design toward patient active participation4) Design toward rationality of the whole process5) Design toward place-appropriate healthcare equipment6) Design toward healing of mind7) Good level of healthcare skills8) Economic, systematic rationality