Issues in the practice of home-visit nursing for patients with both mental and physical disorders in Japan.

2023 Fiscal Year Final Research Report

• Project/Area Number: 18K10327
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Tokai University
• Principal Investigator: Ogino Natsuko 東海大学, 医学部, 講師 (80266600)
• Co-Investigator(Kenkyū-buntansha): 吉川 隆博 東海大学, 医学部, 教授 (00433376) ; 北村 周美 東海大学, 医学部, 助教 (00631805)
• Project Period (FY): 2018-04-01 – 2024-03-31
• Keywords: 精神科看護 / 訪問看護 / 身体合併症 / 地域ケア / 精神障害者

Outline of Final Research Achievements

The number of reported physical illness diagnoses was 338 codes, with 47.2% for endocrine disorders and 25.1% for high cardiovascular disorders. Home care nurses needed a wide range of nursing care, with significantly more of them implementing medical procedures, family support, and emotional care as nursing care, especially with endocrine, nutritional, and metabolic diseases. Analysis of the free-text descriptions of coping difficulties suggested that the patients themselves may not be able to proactively address their health problems as well as solve their health problems. The interview survey revealed that the social background of inadequate care and the patients' own perceptions and medical conditions may prevent them from proactively addressing the physical health problems of the mentally disabled in home nursing.

Free Research Field

精神保健看護学

Academic Significance and Societal Importance of the Research Achievements

精神障害者が地域で健康な生活を送るためには、精神疾患とともに身体的な健康問題に取り組む必要がある。精神疾患と身体疾患の両方の健康問題を持つ人の特徴を明らかにし、実際に実施されている看護の特徴を明らかにした。訪問看護師の視点から、精神障害を持つ人は病状や生活基盤が整わないこと、医療への不信感などの様々な困難があり、主体的に自分の健康問題に取り組めない場合があることが、課題として明らかになった。