Study of difficulty of home care ostomy patients who are using visiting nurse system

家庭护理造口患者使用上门护士制度的困难研究

基本信息

批准号：
12672269
负责人：
MAEKAWA Atsuko
金额：
$ 1.28万
依托单位：
Nagoya University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2000
资助国家：
日本
起止时间：
2000 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-12672269/
关键词：
stoma visiting nursing home care stoma care skill stoma clinic

项目摘要

This study was conducted to find difficulty of home care and needs of ostomy patientsAim : To identify the issue for better care system of hospital and home care for ostomy patients Information collected through patient groups and stoma care nurses.Methods: In research 1, patient groups (Japan Ostomy Association and IBD patient groups),investigation using questionnaire. In research2, investigation using questionnaire' which consisted of nursing career and demographic data, ostomy care related factor, health care problem of ostomy patients. In researchS, investigation stoma care continuous system in Japan using questionnaire which consisted ofstoma clinic starting period, background of staff, type of patients etc In research4, investigated current health status of ostomy patients receiving home care.Results: In research1, data analyzed of 205 ostomy Association members and 685 IBD patients : In research.2, 1115 questionnaires distributed to stoma care nurses, 1034 valid answers returned (92 7%) Educational needs of higher-skilled nursing were l) stoma site marking, 2) selection of ostomy equipment 3) self-care education. High ratio of health care problems of ostomy patients in actual practice, 1) recurrence of cancer, 2) aged caring for aged problem, 3) cancer pain management 4) nutritional management, 5) diabetes mellitus, 6) live alone, 7) coordination when moving to elderly facilities or hospitals. In research^, 222 stoma clinics returned valid answers from 538 facilities 1096 patients who had varying health problems visited their stoma clinic on nearest stoma clinic day; 47 (4.3%) used visiting nurse system. In research4. 25 patients receiving home care, analyzed their stoma management factors.Conclusion: l) Support of patient group and promotion of education for home stoma care management are essential. 2) Feed back of the care management from community home care staff to hospital nurses is important, to achieve best results.

进行了这项研究是为了找到造口术患者的家庭护理和需求的困难：为通过患者组和造口护理护士收集的造口术患者提供更好的医院和家庭护理的问题。方法：在研究1中，患者组（日本造摩术协会和IBD患者组），使用问卷调查。在Research2中，使用问卷调查的调查包括护理职业和人口统计数据，造口护理相关因素，造口术患者的医疗保健问题。在研究中，日本的调查使用问卷调查，该调查表由stoma诊所的起点组成，研究人员的背景，研究中的患者类型等。 7％）高技能护理的教育需求是l）造口现场标记，2）选择造口术设备3）自我保健教育。造口术患者在实际实践中的医疗保健问题的高比例，1）癌症复发，2）老年护理老年问题，3）癌症疼痛管理4）营养管理，5）5）糖尿病，6）单独生活，7）搬到老年人设施或医院时的协调。在研究^中，222个凹室诊所从538个设施的有效答案中回答了1096例健康问题的患者，他们在最近的造口诊所访问了其造口诊所； 47（4.3％）使用了来访的护士系统。在研究4。 25例接受家庭护理的患者，分析了他们的造口管理因素。判断：l）对患者组的支持和促进家庭造口护理管理的教育至关重要。 2）从社区家庭护理人员到医院护士的护理管理供给，对于取得最佳成果很重要。