Research on the Development of the Model of Case Management for Mental Disorders in the Community

社区精神障碍个案管理模式发展研究

• 批准号: 07672534
• 负责人: CHIKAZAWA Noriko
• 金额: $ 1.41万
• 依托单位: College of Nursing Art & Science, Hyogo
• 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
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07672534/
• 关键词: Mental Disorders; Self-regulation; Case Management; 地域ケア

The purpose of this study was to develop the case management model, which was for reinforcement of self-regulation among mental disorders who were living in the community. There were 3 steps in this study. On the first step, in 1995,8 mental disorders were interviewed and analyzed qualitatively. Then on the second step of this study in 1996,10 care takers, who were physicians, public health nurses, home-visit nurse, and advisor at work-training house, were interviewed and analyzed by grounded-theory approach. On the third step in 1997, the results of the previous studies were compared with literature, and case management model for reinforcement of self-regulation among mental disorders, who were living in the community, was developed.The results of these studies were as foolws :1)Self-regulation of mental disorders who were living in the community consisted of 4 components, which were <learning to keep company with illness and symptoms><learning to interact with others><learning to have rtythm of daily-living><expanding the place to spend in the day>.2)There were 5 function of care-takers to mental disorders who were living in the community, which were reinforcement of <self-determination ><grasp sense of illness><coping with symptoms><arrangement rhythm of daily-living>having the place to spend in the day>.3)Care takers had special competent to develop the relation-ship between them and mental disorders.These results were discussed from the view point of function of case-manager and coordination system. It was discussed that there was no case-manager to coodinate service along with needs of mental disoders and no system to cooperate with each professionals.

本研究的目的是开发案例管理模式，以加强社区精神障碍患者的自我调节。这项研究分为 3 个步骤。第一步，1995年，对8名精神障碍患者进行了访谈和定性分析。然后，在1996年的第二步研究中，通过扎根理论方法对10名护理人员（包括医生、公共卫生护士、家访护士和工作培训中心的顾问）进行了访谈和分析。第三步，1997年，将前人的研究结果与文献进行比较，建立了加强社区精神障碍患者自我调节的个案管理模式。这些研究的结果是： ：1）社区精神障碍患者的自我调节由4个部分组成，分别是<学会与疾病和症状相处><学会与他人交往><学会有节奏日常生活><扩大一天中度过的场所>.2)对于生活在社区中的精神障碍者，看护者有5种功能，即强化<自我决定><掌握疾病感> <应对症状><日常生活的安排节奏>白天有地方度过>.3)看护者具有特殊的能力来发展它们与精神障碍之间的关系。从以下角度对这些结果进行了讨论的函数的案件经理和协调系统。有人讨论说，没有个案经理来协调服务和精神障碍患者的需求，也没有与每个专业人员合作的系统。