Examination of nursing support for the acquisition of eye drop self-instillation skills by the elderly from an ergonomic perspective

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K23211
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Mukogawa Women's University
• Principal Investigator: KUDO Daisuke 武庫川女子大学, 看護学部, 助教 (10880271)
• Project Period (FY): 2020-09-11 – 2023-03-31
• Keywords: 高齢者 / 点眼姿勢 / 点眼動作 / 点眼法 / 動作解析

Outline of Final Research Achievements

Nurses support patients via eye drop guidance, but it was found that elderly people were unable to instill eye drops accurately. In this study, we aimed to analyze the success or failure of eye drop instillation from three perspectives, namely, the posture while instilling eye drops, the eye drops instillation movements, and the method of instilling eye drops, and to clarify the factors of success or failure.
In the “first study,” we conducted a questionnaire for nurses engaged in ophthalmic nursing in order to investigate the patient's posture, eye drop instillation method, and evaluation viewpoint when providing instructions on how to instill eye drops. Questionnaires were mailed to 438 facilities, and responses were received from 159 nurses. In the “second study,” nine healthy elderly women in their 70s were analyzed for eye drop instillation postures and methods depending on the presence or absence of a chair backrest.

Free Research Field

老年看護学

Academic Significance and Societal Importance of the Research Achievements

高齢者が的確に点眼をおこなうための支援を検討するため、全国の眼科診療科のある病院に勤務する看護師を対象に点眼指導、点眼指導での困難に関して質問紙調査を行った。結果、点眼姿勢は、「ベッドに端座位」や「背もたれの椅子を使用した座位」、「仰臥位」で行っていること、点眼指導時に看護師が困難と感じていることには、退院後の在宅での点眼管理に関して困難感を抱いており、高齢者の状態に即した指導を行う必要性を明らかにした。また、70歳代の高齢女性9名を対象に実際に点眼を行ってもらい、椅子の背もたれの有無の違いでの点眼姿勢や点眼動作の分析を行った。