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2000 Fiscal Year Final Research Report Summary

Care Plan and Evaluation for Supporting Independence of Basic ADL in Home Care

Research Project

Project/Area Number 10470522
Research Category

Grant-in-Aid for Scientific Research (B).

Allocation TypeSingle-year Grants
Section一般
Research Field 基礎・地域看護学
Research InstitutionTOKYO MEDICAL AND DENTAL UNIVERSITY

Principal Investigator

SHIMANOUCHI Setsu  Tokyo Medical and Dental University, Faculty of Medicine, Professor, 医学部, 教授 (70124401)

Co-Investigator(Kenkyū-buntansha) SHIMIZU Yoko  The Japanese Red Cross College of Nursing, School of Nursing, Lecturer, 看護学部, 講師 (90288069)
FUKUSHIMA Michiko  The Japanese Red Cross College of Nursing, School of Nursing, Professor, 看護学部, 教授 (40201743)
SASAKI Akiko  Saitama Prefectural University, School of Health and Social Service, Associate professor, 保健医療福祉学部, 助教授 (20167430)
NAKATANI Hisae  Shimane Medical University, School of Medicine, Associate professor, 医学部, 助教授 (90280130)
KONO Ayumi  Tokyo Medical and Dental University, Faculty of Medicine, Lecturer, 医学部, 講師 (00313255)
Project Period (FY) 1998 – 2000
KeywordsHome Care / ADL / IADL / Satisfaction / Care Plan / Assessment / Outcome / Evaluation
Research Abstract

We conducted research on "Care Plan and Evaluation for Supporting Independence of Basic ADL in Home Care" from 1998 to 2000.
In 1998, we analyzed conditions which enabled independence of ADL.Result was that items, which could be improved in two months, were cloth changing, medication, pain, and mental and/or physical fatigue of caregiver. In the same year, we analyzed solution of needs or problems, depending on whether or not care plan was implemented and by amending plan. As a result, the other of highly-rated need solution was (1) implementation of care plan after amending in accordance with needs, (2) imp1ementation of care plan, (3) no implementation. The order of factor for amendment was client condition, service providing condition and care manager.
In 1999, we conducted home care evaluation using outcome items of ADL change, centering on OASIS (The Outcome Assessment Information Set) which was compulsory to Medicare home care agencies in U.S.A.combining with Japanese version of home care assessment sheet which we developed. Then based on these, we implemented care plan in five agencies (visiting nursing stations).
In 2000, we finalized outcome items evaluated contents and satisfaction degree of dependence change and care process, developed the method to make plan and evaluate outcome and plan again after implementation, developed method to evaluate ability development of service provider and organizational ability improvement of these agencies, then manualized them.
In addition, regarding client outcome, we conducted collaboration with Finland.

  • Research Products

    (22 results)

All Other

All Publications (22 results)

  • [Publications] 島内節,季羽倭文子: "在宅ケアのアウトカム研究-ケアの質管理プログラムの開発"看護研究. 30(5). 377-394 (1998)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 島内節,中谷久恵: "高齢者在宅ケアプランの実施状況とニーズ解決に関する研究"日本在宅ケア学会誌. 3(1). 46-57 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 島内節,中谷芳美: "在宅における日常生活自立度の変化からみた寝たきりの要因分析と予防的ケア-脳卒中を中心として痴呆、難病、転倒・骨折との比較から"日本地域看護学会誌. 1(1). 16-23 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Setsu Shimanouchi,Tomoko Kamei: "Risk Factors for Falls and Care in the Elderly at Home"International Medical Journal. 6(3). 215-218 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 島内節,中谷久恵: "利用者満足度による在宅ケアマネジメントの評価に関する研究"日本在宅ケア学会誌. 4(1). 39-46 (2000)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Setsu Shimanouchi,Emiko Uchida: "Development of Assessment Sheet for Home Care"International Journal of Nursing Practice. 7(3). 42-45 (2001)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Setsu Shimanouchi,Tomoko Kamei,Masayuki Hayashi: "Home Care for the Frail Elderly Based on Based on Urinary Incontinence Level"Public Health Nursing. 17(6). 468-473 (2000)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 島内節,内田陽子: "在宅ケア効果の評価方法とケアの質改善方法-アメリカ合衆国のメディケアで義務化されているケア効果の評価方法(OASIS)とケアの質改善(OBQI)"訪問看護と介護. 6(1). 49-56 (2001)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 島内節,大賀英史,山口亜幸子,赤塚寮子: "利用者のケア効果からみた在宅ケア機関の評価方法-利用者条件の調整による標準値と機関比較-"日本地域看護学会誌. 3(1). 76-85 (2001)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 島内節,内田恵美子 他: "自立を支えるケアマネジメント事例集"中央法規出版株式会社. 219 (1999)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 島内節,内田恵美子: "日本版成人・高齢者用アセスメントとケアプラン 第3版"財団法人日本訪問看護振興財団. 348 (2001)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Setsu Shimanouchi, Shizuko Kiba: "Research on Outcome of Home Care-Development of Quality Management Program of Care"Japanese Journal of Nursing Research. 30(5). 377-394 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Setsu Shimanouchi, Hisae Nakatani: "Research on Implementation of Home Care Plan and Need Solution for Elderly"Journal of Japanese Academy of Home Care. 3(1). 46-57

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Setsu Shimanouchi, Yoshimi Nakatani: "Factor Analysis of Bedridden from the View Point of ADL Chnange in home-Compared with Dementia, Incurable Disease, Fail and Fracture, Focused on Stroke"Journal of Japanese Academy of Home Care. 3(1). 46-57 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Setsi Shimanouchi, Tomoko Kamei: "Risk Factors for Falls and Care in the Elderly at Home"International Medical Journal. 6(3). 215-218 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Setsu Shimanouchi, Hisae Nakatani: "Research on Evaluation of Care Management by Clients' Satisfaction"Journal of Japanese Academy of Home Care. 4(1). 39-46 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Setsu Shimanouchi, Emiko Uchida: "Development of Assessment Sheet for Home Care"International Journal of Nursing Practice (in press). 7(3). 42-45 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Setsu Shimanouchi, Tomoko Kamei, Masayuki Hayashi: "Home Care for the Frial Elderly Based on Urinary Incontinence Level"Public Health Nursing. 17(6). 468-473 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Setsu Shimanouchi, Yoko Uchida: "Evaluation Method of Clients' Outcome and Quality Improvement in Home Care-OASIS (The Outcome Assessment Information Set) and OBQI (Outcome Based Quality Improvement)"The Japanese Journal of Home Care Nursing. 6(1). 49-56 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Setsu Shimanouchi, Hidefumi Oga, Asako Yamaguchi, Tomoko Akatsuka: "Evaluation Method of Home Care Agency from Care Effectiveness for Clients' Condition-Comparative Study of Standard Value and Agency Based on Adjustment of Clients' Background-"Journal of Japan Academy of Community Health Nursing. 3(1). 76-85 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Setsu Shimanouchi, Emiko Uchida: "Chuou Houki"Cases of Care Management Which Support Independence. 219 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Setsu Shimanouchi Emiko Uchida: "Japanese Visiting Nursing Foundation"Japanese Version of Assessment and Care Plan for Adult and Elderly, (third edition). 348 (2001)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 2002-03-26  

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