Seamless care guideline between community medicine and inpatient care performed in psychiatric outpatient department.

• Project/Area Number: 15K20775
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Gerontological nursing
• Research Institution: University of Kochi
• Principal Investigator: Makimoto Kaori 高知県立大学, 看護学部, 研究員 (00611972)
• Project Period (FY): 2015-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2018)
• Budget Amount: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000); Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
• Keywords: 精神科外来 / 地域医療 / 入院医療 / シームレスケア

Outline of Final Research Achievements

This study aims to clarify the Seamless care guideline between community medicine and inpatient care performed in psychiatric outpatient department. As a result of analysis, contents of nursing practice in 11 seamless cares were extracted. For example, [Monitoring of mental symptoms and self-care level], [Clarification of joint goals], [Give meaning to "connecting"], [Share according to the patient's questions and requests], [Connect to each profession according to need], etc

Academic Significance and Societal Importance of the Research Achievements

精神医療は社会的な動きとして入院医療から地域医療へとその転換が求められているが、長期入院患者の社会復帰や再入院率の高さなど、地域移行・地域定着においては様々な課題がある。本研究により、精神医療における地域医療と入院医療との連携をはかり、スムーズな在宅移行支援、および再発再燃の早期診断・入院治療への移行に貢献できるものと考える。これまで、精神科外来において入院医療との連携については、その重要性が述べられているが、研究の蓄積には至っておらず、これらに取り組むことで精神看護の質向上に貢献できるものと考える。