|Budget Amount *help
¥2,200,000 (Direct Cost : ¥2,200,000)
Fiscal Year 1998 : ¥200,000 (Direct Cost : ¥200,000)
Fiscal Year 1997 : ¥500,000 (Direct Cost : ¥500,000)
Fiscal Year 1996 : ¥1,500,000 (Direct Cost : ¥1,500,000)
The purpose of this study was to evaluate the care of patients who were receiving a final stage medclal care at home from the side of the care receiver i.e. the dents and the family, and the care giver I.e. a nurse, visiting nurse, public health nurse, doctor, helper and MSW.The study was conducted during the period of academic year of 1996 - 1998. out of 31 samples, 13 samples satisfied all the informations needed for the evaluation. The samples were evaluated through the Noguchi and Syono QOL state tool. The results revealed as follw : The degree of agreement In between the nursing staff and the medical staff on the treatment was 53.8% and in between the family and the health care workers scored 61.5%. 7 Items out of 13 items of the tool that maintained expected QOL were emotional stability, rights to choose, sleep, pain, cleanliness, diet and elimination. The common characteristics of the cases that maintained QOL were resolution of problem situation, a good family support, use of adequate and timely social resources. In the view of the above, 1. The family should be Included In the assessment and care planning In order to facilitate common understanding of the care goal between family and the health care provider. Each health care workers should focus on their speciality for the provision of the care. 2. In order to provide effective and efficient care, the contact with the patient should begin prior to discharge from the hospital to home. 3. On the aspect where it is difficult to maintain QOL, the emphasis should be given on to the ability of patients, not on the inability. 4. In order to provide timely and necessary care, types, contents, methods, procedures, and starting point of services should be discussed.