| Project/Area Number |
10470521
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
基礎・地域看護学
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| Research Institution | University of Tokyo |
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Principal Investigator |
MURASHIMA Sachiyo University of Tokyo, Graduate School of Medicine., 大学院・医学系研究科, 助教授 (60123204)
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| Co-Investigator(Kenkyū-buntansha) |
KANAGAWA Katsuko University of Tokyo, Graduate School of Medicine. Professor, 大学院・医学系研究科, 教授 (10019565)
KAWAGOE Hiromi St.Luke's College of Nursing. Faculty of Narsing, Professor, 看護学部, 教授 (50297066)
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| Project Period (FY) |
1998 – 1999
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| Project Status |
Completed (Fiscal Year 1999)
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| Budget Amount *help |
¥12,400,000 (Direct Cost: ¥12,400,000)
Fiscal Year 1999: ¥5,700,000 (Direct Cost: ¥5,700,000)
Fiscal Year 1998: ¥6,700,000 (Direct Cost: ¥6,700,000)
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| Keywords | home care / around-the-clock in-home care / total care plan / scale development / care work / visiting nurse service / Denmark / United States |
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| Research Abstract |
The purpose of this research is to clarify the meaning and the specialty of home nursing through classifying and arranging the needs of nursing care and home help. The research was done with two steps.
As the first step the records of the nursing visits and home help visits for 366 patients of 12 Visiting Nurse Service Stations in Japan based on the questionnaire for collecting the needs for nursing and home help services. By the multiple regression analyses the factors which affect the frequencies of visiting services, such as nurse visits and home help visits of both types of shorter visits and longer visits were investigated. Even though extracting the effects by other variables, the numbers of the nursing treatments and the numbers of visits of shorter type visits affected the frequencies of nursing visits. The factors that increase the frequencies by home helpers were the situation of living alone, lower ADL, and the limitation of the available time for caring by family members.
At the second step of this research ninety eight subjects of a visiting nurse service station which provides nurses' visits in day and night by three shifts. Content of provided care to the users were collected from the records of care plan as well as home visits. Based on the data collected, needs for care, the profession and time zone provided were described. Through the content of care provided in each time zone by nurses and home-helpers enabled the quick change of service use and nurses' correspond as well as providing medical treatment especially visiting at night time. As the Conclusion around-the-clock in-home nursing care enabled more clients stay at home through care for dying patients at home and quick response when clients get sick as well as providing medical treatment at home.
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