A STUDY OF PUBLIC HEALTH NURSE'S ROLE IN HOME CARE SUPPORT OF THE BEDRIDDEN ELDERLY AND THEIR CAREGIVERS

公共卫生护士在卧床老人及其照顾者家庭护理支持中的作用研究

基本信息

批准号：
07672526
负责人：
KONISHI Michiko
金额：
$ 1.47万
依托单位：
HIROSHIMA UNIVERSITY
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1995
资助国家：
日本
起止时间：
1995 至 1997
项目状态：
已结题

项目摘要

The objective of this research is to suggest the coordinating function and the counseling function of public health nurses for supporting the bedridden elderly with physical or mental problem and their families by utilizing health and welfare service.First, a 3-year follow up (1995-1997) was conducted of a sample of 51 bedridden elderly who had been receiving home health care service by public health nurses and caregivers in Hiroshima city. Their levels of independence in ADL were in Rank B or C according to the standard of the Ministry of Health and Welfare. Interviews were composed of elderly's condition, ADL,amount of resources and caregiving. As a results at 3 years, 34 elderly were still at home, 14 (Rank B=6, RankC=8) were died and 3 were institutionalized. The ADL levels of the 2 who had been at home were upped (from Rank B to Rank A) and of the 3 were down (from Rank B to Rank C).On personal resource utilization, amount and intensity of home-visitting services and home-help ser … More vices were increased. The most elderly person received services by over 3 health and welfare care staffs, and the utilization number of them had been increased and decreased dugin 3 years. On the others resources, the most utilized service was bathing-service, next were short-stay and day-service/day-care. The amount of utilization of those services and had been increased, but some elderly stopped receiving them, because their needs not be satisfied in institution service for elders. On care goods resources, excepting for 1 elderly, they bought or rented care beds, mattresses. Some of the elderly started to use wheelchairs, assistant bathing goods and portable toilets, and some of them stopped to use them.Second, Physical therapists and Occupational therapists in Hiroshima Prefecture agreeded with self-report questionairs relating to their activities and problems on their works. Most of them engaged in rehabilitation program or day care in hospitals. The main problems of them were how to coorporate with other agancies and other professional staffs. Less

这项研究的目的是建议公共卫生护士的协调功能和咨询功能，以通过使用健康和福利服务来支持卧床不起的身体或精神问题及其家人。First（1995-1997）进行了为期3年的随访（1995- 1997年），该样本较早地养成了51个卧床不起的人，他们曾经接受过全国保健服务的护理人员和护理人员，他们曾经接受过家庭保健护理人员和护理人员。根据卫生和福利部的标准，它们在ADL中的独立性水平为B或C。访谈由较早的状况，ADL，资源数量和照料组成。结果，在3岁时，仍有34名仍在家里，14个（级别B = 6，rankc = 8）死亡，3个被制度化。在家中的2个ADL级别（从B等级到a等级）和3级降低（从B等级C到C）。在个人资源利用，家庭访问服务的数量和强度和家庭访问服务和家庭助人服务的情况下，更多的恶习增加了。最年长的人通过3名健康和福利护理人员获得了服务，其中的利用人数增加了3年，并增加了Dugin。在其他资源上，使用最多的服务是浴室服务，接下来是短期和日间服务/日间护理。这些服务的利用量增加了，但是一些基础停止接收它们，因为几十年来他们的机构服务不满意。在护理食品资源上，除1个小学外，他们购买或租用了护理床，床垫。一些小学开始使用轮椅，助理沐浴用品和便携式厕所，其中一些人停下来使用它们。第二，物理治疗师和广岛县的职业治疗师与他们的活动和作品有关的自我报告问题一致。他们中的大多数都从事医院的康复计划或日托。他们的主要问题是如何与其他机构和其他专业员工协调。较少的