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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/5326

 
Title :回復期リハビリテーション病棟看護師の在宅復帰支援についての認識と役割
Title alternative :Role and awareness of nurses on recovery and rehabilitation wards in supporting elders to return home
Authors :佐久川, 政吉
大湾, 明美
呉地, 祥友里
宮城, 重二
Authors alternative :Sakugawa, Masayoshi
Ohwan, Akemi
Kurechi, Sayuri
Miyagi, Shigeji
Authors affiliation :沖縄県立看護大学
女子栄養大学
Okinawa Prefectural College of Nursing
Kagawa Nutrition University
Issue Date :Mar-2009
Publisher :沖縄県立看護大学
Type Local :紀要論文
Type (NII) :Departmental Bulletin Paper
ISSN :1345-5133
Abstract :【研究目的】回復期リハビリ病棟看護師の概要と脳血管障害高齢者の在宅復帰支援についての認識と役割について明らかにすることである。【研究方法】対象はAリハビリ専門病院(200床)の回復期リハビリ病棟に勤務する全看護師で、管理者を除いた52人である。データは、無記名自記式質問紙により収集した(回収率100%)。調査項目は、(1)看護師の概要:1.基本属性、2.看護の専門性、3.自己効力感。(2)脳血管障害高齢者の在宅復帰支援についての認識と役割:1.本人への意思の確認、2.退院指導、3.在宅訪問の認識と役割とした。これらのデータの基礎統計量を集計し、分析した。【結果及び考察】回復期リハビリ病棟看護師は、脳血管障害高齢者や家族に対し、リハビリや回復への動機づけを行い、「活動」を重視し、直接ケア及び教育機能を中核としたケアを提供していた。一方、相談及び調整機能への認識は高くないことが推察された。看護師は、カンファレンスへの脳血管障害高齢者の参加の必要性を認識し、合併症やADLに関する退院指導を重視していた。在宅訪問の必要性は「ぜひ必要」(25.0%)と認識し、実際の在宅訪問が38.5%であった。看護師が捉えている脳血管障害高齢者の在宅復帰阻害要因は、「家族の精神面」、「本人の社会面」、「本人の身体面」が主だった。一方、「本人の精神面」や、「フォーマルサービス」、「インフォーマルサポート」への着目は弱いことが推察された。今後のケアの方向性として、自助機能(本人,家族)に加え、公助機能(フォーマルサービス)や互助機能(インフォーマルサポート)も強化する必要があると考える。
【Objective】This study aimed to identify the background of nurses working on recovery and rehabilitation wards as well as their awareness of and role in supporting elders with cerebrovascular disorders to return home. 【Methods】Subjects were 52 staff nurses who worked on recovery and rehabilitation wards in a 200-bed rehabilitation hospital. Subjects completed an anonymous 22-item questionnaire (100% response rate) and frequency distribution of the responses was analyzed. The examination items concerned (1) the background of the nurses with respect to (i)fundamental attributes, (ii) nursing specialty, and (iii) self-efficacy, and (2) their awareness of and the role they play in supporting elders with cerebrovascular disorders to return home with respect to (i) confirming the patient’s needs, (ii) providing discharge advice, and (iii) awareness of the patient’s needs for home visits and the nurse’s role in making these visits. 【Results and Discussion】The nurses encouraged elders with cerebrovascular disorders and their family to undertake rehabilitation activities and work toward recovery. Moreover, they were aware of the importance of “activities”, as well as the need for providing both direct nursing care and care with an educational function of nursing. On the other hand, subjects appeared not to have a high level of awareness of their role in consultation and management. They did recognize the necessity of participation of patients in their own case conferences and the need for nurses to give for discharge advice in relation to complications and activities of daily living. 25.0% of nurses recognized that home visits were “definitely needed” and 38.5% of nurses did home visits. The factors hindering a return home mainly concerned “the emotional state of the family”, “the social ability of the elder” and “the physical state of the elder”. From these results, we infer that the nurses paid little attention to “the emotional state of the elder” with cerebrovascular disorder, “formal services” and “informal support”. Therefore, we need to enforce the power of “self-help” (of the elders themselves and of the family), “the function of public help” and “the function of mutual help” as the direction of care provision in the future.
Rights :沖縄県立看護大学
URI :http://hdl.handle.net/20.500.12001/5326
Citation :沖縄県立看護大学紀要 = Journal of Okinawa Prefectural College of Nursing no.10 p.35 -43
Appears in Collections:Journal of Okinawa Prefectural College of Nursing

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