Establishment of a daily living support system for home care patients that utilizes nurses' patient discharge summaries

为建立一个使用护士出院总结的日常生活支持系统，我们对173名护士进行了问卷调查，并对家庭护理后再次住院的病人进行了访谈。然后，我们开发了一款用于家庭护理的“疗养笔记本”。问卷调查显示，17%的护士在收集有关使用适合病人的社会资源的信息方面遇到困难，而访谈显示，他们需要适合病人情况的日常生活活动信息，如洗澡。利用这些结果，我们准备了一个由7章组成的笔记本。第一章是一个盒子，写着患者在住院期间被告知的出院后应注意的事项。剩下的章节留出空间来写与洗澡和其他日常生活活动有关的事情，服用药物，如何使用社会资源，以及其他患者应该注意的事项。

With the aim of establishing a daily living support system that uses nurses' patient discharge summaries, we conducted a questionnaire survey of nurses (n = 173) and interviews of patients re-hospitalized after home care. We then developed a "recuperation notebook" for use in home care. The questionnaire survey revealed that 17% of nurses had experienced difficulty in gathering information on the use of social resources appropriate to patients, while the interviews showed needs for information on daily living activities such as bathing that is suited to patients' circumstances. Using these results, we prepared a notebook consisting of 7 chapters. The first chapter is a box to write "Things to be careful about after leaving the hospital" that the patient is told during hospitalization. The remaining chapters give space for writing things related to bathing and other daily living activities, taking medicines, how to use social resources, and other matters that patients should note.