Classification of Community Nursing Ac, tivities for Individuals and Families with Vulnerability

本研究旨在透过厘清当前护理活动的实际情况，对社区难治性疾病患者及家庭的护理活动进行系统分类。【研究方法】在此框架基础上，制作“公共卫生护士或访视护士对难治性疾病居家护理患者及家庭的护理活动问卷”，进行实地调查。[结果]1)对于难治性疾病患者及家属支持活动的实施，公卫护士“团体支持活动”和“社区支持活动”得分显著较高，访护护士“患者支持活动”和“家庭支持活动”得分显著较高。值得注意的是，公共卫生护士虽已意识到其重要性，但仍未执行的“支持领域”之一是[病人的日常疾病治疗]，而因子分析得出的“11项护理活动”包括与疾病和日常生活有关的活动。访护意识到重要性，未在【患者日常疾病治疗】、【了解疾病】等“领域支持”，“11项护理活动”中包含与疾病相关的活动。2)基于因子分析结果对社区护理活动结构的探讨，获得了11项护理活动，明确了“难治性疾病患者及家属社区护理活动”的结构。11项护理活动由85项护理行动和27个小类别组成。【讨论】根据现场调查结果，提出了顽固性疾病患者及其家属公共卫生护理活动的任务和方向。并对提取因子的含义和特征进行探讨，明确“难治性疾病患者及家属社区护理活动”的结构和分类。少

The purpose of this research is to develop a systematic classification of nursing activities by clarifying actual conditions of the current nursing activities to support individuals with intractable diseases and families living in the community.[Research Method] Based on the framework, a field survey was performed after generating "questionnaires concerning nursing activities performed by public health nurses or visiting nurses for home care patients with intractable diseases and families."[Result] 1) For the implementation of support activities for patients with intractable diseases and families, the score for "support activities for groups" and "support activities for community" was significantly high among public health nurses, and visiting nurses' score for "support activities for patients" and "support activities for families" was significantly high. One of the "areas of support" to be noted which has not been performed by public health nurses despite their awareness of its import … More ance was [patients' daily disease treatment], and the "11 nursing activities" which were derived from the factor analysis included the ones related to diseases and daily life. Visiting nurses, being aware of the importance, have not performed "supports in areas" of [patients' daily disease treatment] and [understanding diseases], and "11 nursing activities" included the ones related to diseases. 2) Eleven nursing activities were obtained from the discussion over structuring of community nursing activities based on the result of factor analysis, clarifying the structure of "community nursing activities for patients and families who live with intractable diseases." Eleven nursing activities were composed of 85 nursing actions and 27 subcategories.[Discussion] As a result of the field survey, the task and direction of public health nursing activity for intractable disease patients and their families were suggested. Also, extracted factors were discussed in terms of their meanings and characteristics to clarify the structure and classification of "community nursing activities for patients and families who live with intractable diseases. Less