JaLCDOI 10.18926/15295
Title Alternative A study on actual conditions of care for the elderly in urban and rural areas of Okayama prefecture
FullText URL 007_2_149_157.pdf
Author Ohta, Niwa|
Abstract 高齢者の在宅ケアの必要性が増大している一方,女性の就労者の増加や核家族化は在宅でのケアを困難にしている。そこで,実際にどのような現状や問題があるのかを検討する必要があると考えた。今回,全国の高齢化率(14.1%)より高い高齢化率(16.9%)の岡山県で,在宅ケアの実態を1995年8月から9月にかけて調査した。都市部(岡山市)・農村部(高梁市・邑久町・久米南町)で比較すると,在宅ケアは都市部に比べ農村部が少なく,農村部では施設での介護の方が多いことを認めた。分析対象は140名で都市部が39名,農村部が101名である。在宅でケアを受ける75歳以上の高齢者は77.1%と多かった。農村部の方が高年齢で障害度も重く,特に過疎地域では介護期間も長く5年以上が過半数を占めていた。主たる介護者は都市部では配偶者が63%と多かった。過疎の農村部では息子の妻および孫の妻が多く,また70歳以上の高齢の介護者が3分の1を占めていた。入浴・更衣回数などのケア回数は県北の農村部では特に少なかった。また家族の介護時間は都市部は1日につき約7時間であったが,農村部では約3時間のみであった。保健婦・看護婦などの専門職者によるサービスは都市部に多く,ホームヘルパーによるサービスは農村部に多かった。民間のサービス利用率は都市部・農村部いづれも低かった。以上のごとく農村部における高齢者の介護がより問題が多く,深刻な状況であることが明らかになった。
Abstract Alternative The purpose of this study is to demonstrate the actual condition of care for the elderly, especially to make clear the difference between urban and rural areas of Okayama prefecture in which the rate of aging (16.9%) is higher than that of the whole country (14.1%). A survey distributed by municipal employees such as public health nurses and homehelpers, was done in the prefectural capital (Okayama) which was used for the urban aera study and one small city (Takahashi) and two towns (Oku and Kumenan) which were used for the rural areas study groups from August through September, 1995. The rate of persons cared for at home was low in the rural areas compared to that in the urban area, namely many persons were cared for at faclities for elderly or at hospitals. Date obtained from 140 families, 39 in the rural area and 101 in the urban areas respectively, were analysed. Persons cared for at home were generally old. 77.1% of them was older than 75 years of age and they suffered from many disorder. The period of care was quite long in the depopulated area, as 63% of them were cared for more than 5 years and one third of persons caring for them were more than 70 years of age. In the rural area, more than half of the elderly were cared for by their spouses. The time spent in helping them bathe and change their clothes was lower in the rural area than in the urban area. The time perdiem spent caring by each family was 3 hours in the rural area, while 7 hours in the urban area. The rate of persons who utilized visiting nurses was high in urban area, while homehelpers were high in the rural areas. The utilization of non-governmental services was low in both areas. The author concludes that care for the elderly in the rural areas is actually difficult and poor in quality compared to that in the rural aera.
Keywords 高齢者 (the elderly) 在宅ケア (home care) 都市部 (urban area) 農村部 (rural area) 岡山県 (Okayama prefecture)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 149
End Page 157
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307982
JaLCDOI 10.18926/15288
Title Alternative Nursing students' images of the elderly before and after a two-week nursing practice
FullText URL 008_1_085_090.pdf
Author Watanabe, Kumi| Kondo, Masuko| Ohta, Niwa| Ikeda, Toshiko| Maeda, Makiko| Ohta, Takeo|
Abstract 2週間の特別養護老人ホームの実習前及び実習後の学生の老人イメージを20項目の尺度を用いて調査した。その結果,以下のことが明らかになった。 1. 実習後のイメージの平均得点は,「ユーモアのない」から「ユーモアのある」へ,「生気のない」から「生気のある」へと好ましい方向へ上昇し,一方「経験に富む」,「穏やかな」,「現実的な」は好ましくない方向へ変化した。 2. 3分の1以上の学生が実習後に特にイメージが変化した項目として「ユーモアのない/ユーモアのある」の項目をあげた。 3. 老人像は全体として「暇な」,「弱い」,「孤独な」という否定的な老人イメージと「経験に富む」,「暖かい」という肯定的イメージで捉えられており,このイメージは実習前後で共通していた。実習前後では全体として老人像に大きな変化はなかったものの,実習によって,より活動的な老人イメージを抱き,より現実的に老人をとらえていることが明らかになり,A園での老人看護学実習は教育上意義のある実習であると評価した。
Abstract Alternative This study investigated how nursing students perceived the elderly living in a nursing home for the elderly. Testing was done both before and after they experienced a two-week nursing practice at the nursing home. Three findings were obtained. (1) The students regarded the elderly not only as more humorous and vital but also less experienced, peaceful, and realistic before than after experiencing the practice. (2) Over a third of the students named humorous/not humorous as an item for which they experienced a marked change in image of the elderly. (3) The students generally regarded the elderly as being experienced, warm, bored, weak, and lonely. The findings indicate that the nursing practice provided the students with an opportunity to form better and realistic images of the elderly.
Keywords 老人 (elderly) イメージ (images) 看護学生 (nursing students) 看護実習 (nursing practice) 看護教育 (nursing education)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 85
End Page 90
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307362
JaLCDOI 10.18926/15287
Title Alternative Food intake and nutrients intake of nursing student.
FullText URL 008_1_077_084.pdf
Author Hoshina, Eiko| Ohta, Niwa| Ohta, Takeo|
Abstract 1993年及び1994年度の本短期大学部看護学科の2年次生145名を対象に, 1日の摂取食品調査を行い,摂取食品数,栄養摂取量,栄養素等充足率を求めた。これらの分析の結果,以下の結論を得た。1.全体の平均充足率のバランスは,食物繊維が低く,ビタミンA,ビタミンCが高い値を示した。2.摂取食品数と栄養素等との相関は低かったが,食品数を2群に分けて比較すると,食品数多群でエネルギー,鉄,ビタミンC,食塩の摂取量が有意に多かった。3.充足率の低かった食物繊維とビタミンAは相関があり,また食物繊維の充足率の低い学生は,カルシウム,鉄の充足率が低い傾向にあった。4.自宅生と下宿生の比較では,差は見られなかった。これらの改善には,栄養素等の不足を効果的に補える食品の選択や,若い世代の嗜好や生活にあった食習慣形成のための情報提供が必要である。
Abstract Alternative A questionnaire survey on daily food intake was conducted to assess the food intake,the nutritional intake and fulfilling rate of nutrients in 145 second-years students of School of Health Sciences, Okayama University, in 1993 and 1994. The following results were obtained. 1. The mean fulfilling rate was low for dietary fiber, while it was high for vitamin A and vitamin C. 2. There were low correlation between the number of foods and any specific nutrient. Intakes of energy,iron, Vitamin C and salt were significantly higher in students taking a large number of foods than those taking a small number of foods. 3. There was a correlation between the intake of dietary fiber and that of vitamin A. Students with a low fulfilling rate of dietary fiber tended to have low fulfilling rate of calcium and iron. 4. There were no differences between students living with their parents and those living alone. Food intake should be decided effectively to correct nutritional imbalance in students. It is necessary to inform young people how to form dietary habits corresponding to their taste and life-style.
Keywords 看護学生 (nursing students) 食品摂取量 (food intake) 栄養摂取量 (nutrients intake)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 77
End Page 84
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307669
JaLCDOI 10.18926/15273
Title Alternative The relation of Ikigai (the meaning of one's life) to one's behavioral pattern and belief, researched through the elderly persons at their discharge from hospital
FullText URL 009_1_033_039.pdf
Author Watanabe, Kumi| Nakanishi, Yoshiko| Ikeda, Toshiko| Takata, Setuko| Kondo, Masuko| Ohta, Niwa| Inoshita, Hikari|
Abstract 退院を控えた老人が,どの程度生きがいを持って退院していくのか,老人自身のどのような生き方が生きがいに影響しているのかについて知るため,それまでの健康状態や,生活信条,生活行動について,退院許可の出た70歳以上の患者92名を対象として,独自の調査用紙に基づき面接調査を行った。生きが いとこれまでの健康度,生活信条,生活行動の関連性を,分散分析及びt検定により解析した。生きがいの平均得点が高かった生活行動は「ボランティア」で,続いて「植物」であった。生きがいの平均得点が高かった生活信条は「その日を楽しく生きる」と回答した人が,回答しなかった人との間に有意差があり,老人の退院時の生きがいの得点が高い傾向を示すことが明らかとなった。
Abstract Alternative There have been few researches about Ikigai of the elderly at the time of leaving the hospital and about the ways of their home nursing care. The purpose of this study is to clarify the relation of Ikigai to one's behavioral pattern and belief. In three national university hospitals and a general hospital in Chugoku region and Shikoku region, ninety-two patients above the age of 70, ready to discharge, were interviewed and given a questionnaire. The questions were about their body condition, behavioral pattern, and belief, and their Ikigai. More than eighty percent of them seem to lead a life worth living at the time of leaving the hospital. The behavioral pattern scores on the "working as a volunteer" and "growing plants" are on a high level of Ikigai. The belief scores on the "enjoy every day" is also on a high level of Ikigai. In this paper the result of this interview is reported and a better nursing care for them is discussed.
Keywords 老人 (the elderly) 生きがい (Ikigai) 生活信条 (belief) 生活行動 (behavioral pattern)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1998-09-30
Volume volume9
Issue issue1
Start Page 33
End Page 39
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307183
JaLCDOI 10.18926/15264
Title Alternative Evaluation of adult nursing practices using self-assessment form - analysis in 3rd and 5th weeks of practice -
FullText URL 008_2_147_155.pdf
Author Ohta, Niwa| Ikeda, Toshiko| Ohi, Nobuko| Kageyama, Jingo| Kanao, Naomi| Kobayashi, Yu| Hayashi, Yuko|
Abstract この研究目的は,実習目標の達成度に対する学生の自己評価を明らかにすることである。調査対象は短大の看護学科3年生74名である。調査は自記式の調査票により成人看護実習の3週後と終了時の5週後に行った。この自己評価は実習目標11項目について5件法で行った。その結果,患者理解,患者指導,自己の内面の気づきなど目標は,3週後より5週間の実習によってより評価が高くなった。最も自己評価が低いのは社会資源の活用の理解であった。悪性の患者を受け持った学生の方は良性の患者の受け持ち学生より,人間としての態度や死生観などに関して5週後有意に高値であった。今後の課題は,限られた実習期間内で,学生個々の経験をどのように共有させるかや患者の福祉について理解を深めることである。
Abstract Alternative The purpose of this study was to evaluate the adult nursing practices using a self-assessment form. Seventy-four third-grade nursing students assessed 11 items in the 3rd and 5th weeks of practice. The scores of all assessment items in the 5th week were significantly higher than these in the 3rd week. The lowest scoreing item at both 3rd and 5th weeks was understanding of the utility of social resources. The students assigned patients with malignant diseases reported higher scores on 3 assessment items. These findings suggest that students should share their experiences and learn about social resources during clinical practice.
Keywords 実習目標 (goal in practice) 自己評価 (self-assessment) 成人看護実習 (adult nursing practice) 看護学生 (nursing student) 実習期間 (period of practice)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1998-01-31
Volume volume8
Issue issue2
Start Page 147
End Page 155
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307395
JaLCDOI 10.18926/15232
Title Alternative Investigation of collaboration among community-based medical facilities and patient support system in centralcommunity hospitals in Okayama
FullText URL 012_2_123_129.pdf
Author Nagamune, Noriyo| Nakanishi, Yoshiko| Kawata, Chieko| Ohta, Niwa| Hayashi, Yuko| Yasukata, Fumiko|
Abstract 本研究の目的は, 1)県下中核病院の地域医療連携,患者支援活動の現状について面接調査を行い,その実態を明らかにすること, 2)その結果をもとに,今後の特定機能病院に求められる地域医療連携や患者支援のあり方を検討する上での参考にすること,の2点にあった。県下10か所の地域中核病院を対象に,地域医療連携業務やその他の患者支援活動に関する質問紙を作成し,面接調査を行った。その結果,医療連携部門の歴史や業務内容は様々であったが,どの病院も地域医療連携部門を設置することで,開業医との連携を強化し,紹介・逆紹介の円滑化を図ろうとしている状況がうかがえた。特に連携業務の中 でも,開業医からの紹介患者を病院にスムーズに受け入れる機能を重視している傾向が見られた。また,すべての対象病院が地域医療連携以外の患者支援活動を行う部門を有しており,医療相談や地域の医療保健施設との連携強化等の業務を主に行っていた。これらの調査結果をもとに,特定機能病院である大学病院に求められる地域医療連携・患者支援のあり方について考察した。
Abstract Alternative The purpose of this study was to investigate the current status of collaboration among community-based medical facilities and patient support system in ten central community hospitals in Okayama. Interviews were conducted using a questionnaire regarding the current status of collaboration among community-based medical facilities and patient support system in ten central community hospitals. It was revealed that although the size and position of the sections varied, all hospitals were trying to facilitate collaboration among other community-based medical facilities by developing stronger relationships with family doctors. They mainly focused on improving the quality of services for referred patients and referring physicians. Besides, all hospitals possessed another section providing patient support services such as patient education and counseling. Staffs in the sections were trying to build stronger relationship with other health-related and medical facilities in their communities. Finally, it is discussed regarding how to facilitate collaboration among community-based medical facilities and provide patient support system in a university hospital.
Keywords 地域医療連携 (collaboration among community-based medical facilities) 患者支援システム (patient support system)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2002-03-20
Volume volume12
Issue issue2
Start Page 123
End Page 129
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307287
JaLCDOI 10.18926/11908
Title Alternative Probrems and needs on elderly patients after discharge from hospital - Analysis from the interview records of their patients -
FullText URL 005_023_027.pdf
Author Ikeda, Toshiko| Nakanishi, Yoshiko| Takata, Setuko| Kondo, Masuko| Ohta, Niwa| Inoshita, Hikari| Kojima, Mishako|
Abstract 高齢者人口の増加に伴い慢性疾患をもつ老人が増え在宅医療の必要性が叫ばれているが、一旦入院すると症状が軽快しても自宅への退院は困難とする事例が多い。そこで、高齢者の在宅医療がスムーズに行われるための退院指導のあり方、継続看護の方向性を得るために患者が自宅退院を迎える時どのような問題を持ち、どのような援助を希望しているかを質問紙を用い面接調査した。70歳以上の患者が自宅へ退院する時の心配なこと、医療従事者に相談したいことは1、健康面で病気のこと、2、日常生活面で食事のことが多かった。退院後、困る事では1、健康面の事が多く、次いで2、日常生活面、3、精神面の順であった。援助の希望では1、日常生活面が最も多く次いで2、健康面、3、精神面であった。このような心配事、ニーズが退院後どのように変化しているのか調査中である。
Abstract Alternative The population of the aged people with the chronic disease is increasing. It produces demands for the home health care. We focused on the home health care for the aged above 70 and interviewed with a questionnaire to them who were ready to discharge. We also have been investigating every three months how problems and needs were changing after discharge. In this paper, we report on results of this interview and discuss problems and needs they have to provide our better nursing care for them.
Keywords 高齢者 退院指導 在宅看護 退院時心配事 退院時ニーズ
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1995-01-31
Volume volume5
Start Page 23
End Page 27
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313456
JaLCDOI 10.18926/11889
Title Alternative A practice for nursing students to understand a patient through his book of struggling against disabilities due to cervical injury
FullText URL 004_089_097.pdf
Author Ohta, Niwa| Furumai, Terue|
Abstract Thirty-nine nursing students in their third year were required to read a book written by a male patient struggling against disabilities due to cervical injury for nine years in the hospital and to report their impressions during their clinical practice. The contents of their reports were classified to four categories, that is understanding, helping care, nursing attitude for the patients and problems for the students themselves. The most frequent descriptions were made about understanding the patients, especially about his affliction caused by psychological feeling of his handicaps. The subsequent frequent descriptions were concerning the care of the patients such as importance to improve his residual function and necessity of team work care for the purpose. Doscriptions about nursing attitude were followed. This method was helpful for understanding the situation of a patient and for practicing nursing processes to respond to the patient's needs.
Keywords 身体障害 闘病記 患者理解
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1994-01-31
Volume volume4
Start Page 89
End Page 97
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313994
JaLCDOI 10.18926/11888
Title Alternative A new scale for student nurses to rate image of the elderly
FullText URL 004_083_087.pdf
Author Kondo, Masuko| Ohta, Niwa| Ikeda, Toshiko| Maeda, Makiko| Nagata, Hiroshi| Ohta, Takeo|
Abstract Our prior scale for student nurses to rate image of the elderly is inadequate both in number of items used and in exaustiveness of possible images they have. This study attempts to construct a new rating scale by decreasing the number of the previous items and by incorporrating pertinent novel items. A new scale reported here consisits of 20 items, with 15 items being determined through a factor analysisi of the previous 38 items and 5 items being selected after a survey of relevant studies.
Keywords 老人看護 学生実習 老人イメージ尺度 因子分析
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1994-01-31
Volume volume4
Start Page 83
End Page 87
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313451
JaLCDOI 10.18926/11851
Title Alternative Changes of Student Nurses' views and Images of the Elderly before and after Practicing at Nursing Homes
FullText URL 003_105_113.pdf
Author Kondo, Masuko| Ohta, Niwa| Ikeda, Toshiko| Maeda, Makiko| Ito, Hisae| Ohta, Takeo|
Abstract A questionnaire survey was done by 76 third year-students of the nursing course before and after practicing at the two nursing homes in 1989. The same questions about their views and images of the aged person were given twice and compared. Question to image consists of 38 paired items respectively opposed to be rated on a seven-point scale. The results showed that their views and images had changed from idealistic to realistic as a result of their practices. These were some differences found in these changes by the home and the period of practice.
Keywords 老人看護 学生実習 老人観 老人イメージ
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1993-01-31
Volume volume3
Start Page 105
End Page 113
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313390
JaLCDOI 10.18926/11842
Title Alternative Efficacy of a check list and a video tape in learning the aseptic method
FullText URL 003_075_079.pdf
Author Ikeda, Toshiko| Kondo, Masuko| Ohta, Niwa| Tokunaga, Junko| Nakanishi, Yoshiko| Takata, Setuko| Nanba, Jun|
Abstract Basic nursing care includes many kinds of techniques. The aseptic method is especially very important technique among them. We gave students check lists and video tapes in order to master the method by themselves and obtained following results. 1) Students can properly assess their techniques of nursing care by using a check list and watching a video. 2) Students can assess by themselves more effectively in a simple and easy action. 3) Even for a complicated action, students can make better their self-assessments by watching a video.
Keywords 自己評価 無菌操作 VTR チェックリスト
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1993-01-31
Volume volume3
Start Page 75
End Page 79
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313357
JaLCDOI 10.18926/11837
Title Alternative The influence on the family of mother's staying away from home in order to take care her child who is suffering from a disease at a hospital -Psychosomatic changes in children left at home-
FullText URL 003_055_061.pdf
Author Ohta, Niwa| Ono, Tsuruko| Ohta, Takeo| Matsui, Yumiko|
Abstract The self administered questionnaire survey by mail was done by 135 mothers having been away from their home in order to take care of their children treated at the university hospital and having left her other children at home. Data on the psychosomatic changes of 172 children cared for by persans other than their mothers during their mothers' absence were obtained. The relationship between psychosomatic influences on these children and the situation they were put in was statitically analysed by X(2) test and multivariate analysis with Hayashi's type 2 quantification. The results showed that whether there was an influence on children or not was affected by some factors such as their age, who took care of them and the duration of the mothers' absence. According to their ages, a variety of different psychosomatic influences was found. The most frequent influences are emotional ones (69.1%), followed by behavioral ones (18.6%) including 8 cases of children refusing to go to school or nursery school. These findings are instructive for nurses who give advice to mothers in such situation.
Keywords 家族 付き添い 同胞 精神的影響
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1993-01-31
Volume volume3
Start Page 55
End Page 61
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313661
JaLCDOI 10.18926/11815
Title Alternative The research on the problems of health care and living of the aged (Pursuing the cases of home treatment given to the elderly patients for one year after their discharge)
FullText URL 007_2_181_188.pdf
Author Nakanishi, Yoshiko| Kondo, Masuko| Ohta, Niwa| Inoshita, Hikari| Ikeda, Toshiko| Watanabe, Kumi| Sato, Yoshie| Takata, Setuko| Kojima, Misako|
Abstract 退院後の生活に目を向けた適切な退院指導がなされることは、高齢患者が安心して在宅療養を送る上で、重要な意味を持つ。そこで病院から在宅療養に移行した70歳以上の高齢者の抱える問題を4回に渡って1年間調査し、これまでに退院時、3ヵ月後、6ヵ月後の調査結果を報告した。本稿では1年を通じて回答のあった53名について健康と生活上の問題の変化を分析し、考察した。在宅療養に移行した高齢者の健康状態と生活上の問題は、ほぼ一致して退院後6ヵ月から1年後までに変化を認め、特に日常生活上の問題は著しく増加した。その原因として病状の悪化との関連が考えられた。また、高齢者の問題についての意識は、研究者の専門的な問題意識に比べて低かった。従って入院中に退院後の生活を予測することには限界があり、今後は退院指導の充実と伴に在宅サービスとの連携が重要であることを認めた。
Abstract Alternative We planned to make emerge the problems felt by the elderly patients of 70 years and over given home treatment. As a means of our research, four times a year we sent a questinnaire to the aged who had been discharged. After collecting the answers of the questionnaires, we decided to focus on the 53 elderly patients who answered all four questionnaires, and then tried to make their problems emerge. The contents of the questionnaires were about their health care in a year and how their daily life changed. We can see that the condition of the elderly patients under home treatment and their living problems have changed almost without exceptions six months to a year after their discharge. Especially the number of the problems in their daily life increased remarkably. These results might be considered to be caused by the aggravation of their diseases. In addition, the elderly patients are not as conscious of their own problems as a specialist with a critical mind. Therefore, there is a limit to estimating the change in lifestyle of a discharged patient while they remain hospitalized. We consider it essential to get full discharge-care closely connected with home service for elderly patients.
Keywords 高齢者 (the aged) 在宅療養 (home treatment) 退院指導 (discharge-care) 健康問題 (health) 日常生活 (daily-life problems)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 181
End Page 188
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313372
JaLCDOI 10.18926/11811
Title Alternative The health and daily-life problem of the aged at homes for three months after discharge from the hospital
FullText URL 007_2_165_170.pdf
Author Inoshita, Hikari| Takata, Setuko| Kondo, Masuko| Ohta, Niwa| Ikeda, Toshiko| Nakanishi, Yoshiko| Kojima, Misako|
Abstract 今後の継続看護・在宅看護を考えてゆく際の参考にするために、医療施設から自宅へ退院した高齢患者が3カ月経過後に、どのような健康上や日常生活上の問題点をもち、家庭や地域でどのような援助や支援を受けて生活しているかについて報告をする。総合病院に入院していた70歳以上の高齢者で自宅に退院する患者92名のうち、退院後3カ月経過後の時点で回答を得た70名(76.0%)について分析を行った。病状については約8割の者は特に問題を持っていない、しかし約2割の者は病状に悪化が見られた。現在困っていることは「健康上の問題」とした者は約3割であった。日常生活の自立状況では「仕事もできる」とする者が退院時の18.6%より、3カ月後は40.0%に増加しており、「生きがいがかなりある」とする者は退院時の34.3%より、3カ月後は45.7%に増加していた。しかし、回答が得られなかった22名(24.0%)の高齢者は、より重要な問題を包含している可能性があり、追跡をする必要がある。
Abstract Alternative We report that for the guidance to consider future continuing-nursing and home-nursing, the elderly patient who living in homes for three months after discharged from the hospital, have what problems in their health and daily lives and what sort of supports they are receiving in their homes and from the vicinities. Analysis was done on the health and daily-life problems of 70 elderly who responded to a survey which was mailed, three months after discharged from the hospital, among 92 elderly more than 70 years old. 80% of them had no problems in their conditions, but in 20% conditions got worse. About 30% of them complained of the problem of health with respect to independence of daily life. Patients who were able to work increased from 18.6% to 40.0%, and the ptients who felt worth living increased from 34.3% to 45.7%. 22 elderly who hadn't answer seemed to have more severe problems however, further surveys are needed.
Keywords 高齢患者 (the aged) 自宅への退院 (pations at home) 3カ月経過後の問題 (problems) 在宅看護 (home treatment) 継続看護 (continuing-nursing)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 165
End Page 170
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313404
JaLCDOI 10.18926/11810
Title Alternative The Effects of the Introduction of the Video-tape Recorder to Basic Nursing Care Education - The Use of Video-tapes taken at the Practice of Aseptic Handling Technique by Students -
FullText URL 002_089_095.pdf
Author Ohta, Niwa| Kondo, Masuko| Ikeda, Toshiko| Tokunaga, Junko| Nakanishi, Yoshiko| Nanba, Jun| Takata, Setuko|
Abstract The Video-tape recorder was introduced to tape the scene of a preliminary test of students' practice to aseptically handle syringes. These video-tapes taken were released to students to watch and to refer back to for their self-study. Students were consequently divided into four groups on how to utilize the video-tapes. The scores of the preliminary and final test and their differences were statistically compared by the groups. The results suggested that the use of video-tapes is effective for the achievement of skills in delicate techniques of nursing care and especially the utilization upon their own initiative leads to a more successful result.
Keywords 無菌操作 VTR 学習効果
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1992-02-05
Volume volume2
Start Page 89
End Page 95
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313319
JaLCDOI 10.18926/11809
Title Alternative The effective nursing educational plan for the elderly at hospital discharge. - through the questionnaires for the nurses and the elderly patients -
FullText URL 007_2_159_164.pdf
Author Ikeda, Toshiko| Nakanishi, Yoshiko| Kondo, Masuko| Ohta, Niwa| Inoshita, Hikari| Sato, Yoshie| Watanabe, Kumi| Kato, Kumiko| Takata, Setuko|
Abstract 近年の急速な高齢化社会にともない複数の疾病や種々の障害をもちながら自宅で療養する高齢者が増加してきている。このような状況でいったん入院療養した高齢者が自宅へ帰り生活をしていくにはかなりの困難が予測される。高齢者が退院し自宅での生活にスムーズに適応できるか否かは看護婦の退院指導の良否に関わってくる。そこで指導側の看護婦の指導計画や指導方法、内容について調査すると共に受け手の患者の指導希望内容との比較を行い有効な退院指導のあり方を検討した。患者の心配事や援助や相談の希望内容と看護婦の重要とする指導内容はほぼ同様の内容であった。その内容は日常生活に関すること、病気や健康に関することが多かった。看護婦の退院指導の計画でカンファレンスをしている看護婦はしていない看護婦に比べ指導内容の経済的なこと、趣味や生きがいに関する事、生活環境、家族の協力に関することを重要とすると回答したものが有意に多かった。
Abstract Alternative The elderly with chronic disease or handicaps who receive nursing home care is currently increasing. They may have some difficulties in their daily life after hospital discharge. The proper nursing educational plan may determine their post-hospital life without anxiety. The purpose of this study is to find out the effective nursing educational plan for them. Therefore, we investigated the contents of the nursing educational plan for their hospital discharge and what elderly patients need in their post-hospital life. As a result, both contents were similar. Those were about their daily life, disease, health. And there were significantly defferences between well-discussed plan and no discussed plan in the items of economy, hobbies, purpose of life, home environment, family cooperation. Results from this study suggest that more detailed discussion among nurses at hospital discharge is necessary to determine the individual nursing educational plan of elderly patients in their post-hospital life.
Keywords 高齢者 (The elderly) 退院指導 (discharge) 自宅療養 (nursing home care) nursing educational plan
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-01-31
Volume volume7
Issue issue2
Start Page 159
End Page 164
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313478
JaLCDOI 10.18926/11774
Title Alternative The health and daily-life problems of the elderly living in their own homes for six months after being discharged from the hospital
FullText URL 007_1_041_047.pdf
Author Ohta, Niwa| Inoshita, Hikari| Ikeda, Toshiko| Nakanishi, Yoshiko| Kondo, Masuko| Takata, Setuko| Kojima, Mishako|
Abstract 病院を退院した高齢者の療養上の問題を把握することは、退院指導や継続看護を進める上でも重要である。著者らは退院時、退院後3か月、6か月、1年のそれぞれの時点で、在宅での看護上の問題について調査研究を行い、すでにこれらの一部は報告した。今回は退院後6ヵ月を経過した高齢者の在宅療養時の健康及び日常生活の問題について報告する。総合病院に入院していた70歳以上の高齢者で、退院時に調査を行った93名のうち、退院後6ヵ月の時点で回答を得た60名(64.5%)について分析した。調査は郵送法により、調査内容は健康状態、自立度、困っていること等で、結果は退院時の状態と比較・検討した。退院6か月後の日常生活の自立度がよい者の割合は退院時より8.4%増加し、体の調子が「良くなった」とする者は50%を越えた。しかし、困っていることとして「健康面」の問題をあげた者は23.3%と高く、退院時の2倍になっていた。また退院時の問題点の70%はなお持続しており、食事療法・移動動作・下肢痛・視聴覚障害・排泄障害・気管支炎等の順に多かった。6ヶ月後の新たな問題として注目すべきものとしては人間関係やコミュニケションの障害が認められた。
Abstract Alternative The purpose of this study is to investigate the medical care problems of the elderly living in their own homes for six months after being discharged from the hospital. Analysis was done on the health and daily-life problems of 60 elderly people who responded to a survey which was mailed. The results are as follows ; 34 persons (56.7%) answered that their health had improved compared to the time of their discharge and the health condition of 16 persons (26.7%) had improved to the point where they were able to work. Nevertheless, 14 persons (23.3%) had health problems and 4 persons had problems in their daily life, 3 persons had mental problems and 2 persons had economic problems. Some of them still had problems such as diet, disability in moving, arthralgia and low back pain.
Keywords 高齢者 (the elderly) 自宅退院 6か月後 (six months after discharge from the hospital) 健康問題 (health) 日常生活 (daily-life problems)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1996-09-30
Volume volume7
Issue issue1
Start Page 41
End Page 47
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313479
JaLCDOI 10.18926/11772
Title Alternative The influence on the family caused by the mother staying away from home in order to take care of a sick child being hospitalized -six cases of siblings left at home who refused to go to school because of this situation-
FullText URL 007_1_035_039.pdf
Author Ohta, Niwa|
Abstract 母親が病気の子どもに1か月以上付き添う場合の家に残されている同胞への影響について研究を行ってきた。今回、その同胞172ケースのうちで登校拒否があった6ケースについて子どもの特徴、家族構成、家族状況等を検討した。その結果、6ケースのうち3ケースが9歳の女児であった。同居家族は1ケースで、他は核家族であった。この同胞たちは、「笑顔がなくなる」、「寂しそうな表情をする」など何らかの精神的不安を表していた。登校拒否の始まった時期は全て入院後1か月未満の時であった。登校拒否が一時的でなく、退院後にも長びいたケースは父親と女児のみが家に残されていた。このような結果から核家族が多い現在小児看護を行う場合、残された同胞への配慮を早期から行いながら病児や母親の援助を行うことが重要である。
Abstract Alternative In this study, we investigated six cases in which students refused to go to school after their mothers'staying in a hospital in order to take care of a sick brother or sister. Analysis was done mainly on the sibling's characteristics family structures and family conditions. Three of the six cases involved nine year old girls. One case involved an extended family and the others involved nuclear families. The siblings showed mental anxiety such as no longer being able to smile and/or to express loneliness. The duration of refusing to go to school had appeared within one month after the mother began to stay in the hospital and almost all of the cases were transient, having recovered before the mother came back to live at home, but one case continued even after her mother returned home. These results suggest that nurses should give appropriate advices and suggestions to the mother of a sick child being hospitalised about the care of a sibling left at home.
Keywords 付き添い 長期入院 (hospitalization) 家族状況 (mother, family) 同胞 登校拒否 (refusing to go to school)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1996-09-30
Volume volume7
Issue issue1
Start Page 35
End Page 39
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313617
JaLCDOI 10.18926/11771
Title Alternative Factors Affecting Home Care of Elders Report 1. Support Expected by the Elderly and Family
FullText URL 001_061_068.pdf
Author Ono, Tsuruko| Arakawa, Yasuko| Ohta, Niwa| Nanba, Jun| Ohta, Takeo| Shimizu, Masako| Ishii, Kiyoko|
Abstract For the rapid increase of the elders in population in Japan after the 2nd world war, the arrangement of medical care for aged persons, both therapeutic and preventive, has become the serious social problem. To estimate the possibility of care at home and needs of elders and their family for public and volunteer services, questionnaire survey was carried out at Konko town in Okayama prefecture, Japan, in August 1990. More than half of the 105 elders older than 65 years and living alone (group A, 9 males and 96 females) replied to want to be cared for at home and 178 families with elders (group B) wanted to care for them at home. As for services they would wish to be offered when they would become bedridden at home, while group A wished to be visited and cared for by 'physician', 'home helper' and 'neighbor' in order of high rate group B 'physician', 'public health nurse' and 'nurse'. As for facility or assistance services, the former wanted 'purchasing, sweeping and washing', food delivery' and 'calling on' and the latter 'care consultation', 'assist of body bath' and 'economic aid'. Other supports or cares were also hopefully expected by both groups. The results shows that well-arrangement and promotion of a variety of constitional and personal support for home cares for elders in the community must be urged.
Keywords Home Care Family Care the Elderly Support
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1991-03-25
Volume volume1
Start Page 61
End Page 68
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313467
JaLCDOI 10.18926/11751
Title Alternative Nursing students' perception of their acquired basic skills in nursing practices : a comparison between a new and an old curriculum
FullText URL 006_047_053.pdf
Author Maeda, Makiko| Kondo, Masuko| Ohta, Niwa| Ikeda, Toshiko| Nakanishi, Yoshiko| Takabatake, Harumi| Ohi, Nobuko| Takata, Setuko|
Abstract 平成2年度改正の新カリキュラムで学んだ学生と旧カリキュラムで学んで学生間に、卒業時の基礎看護技術の到達度に違いがあるかを明らかにするために、看護技術の基本的要素、日常生活の援助技術、診療時の援助技術の49項目の到達度について、3年制課程の3年生に質問紙調査を行った。対象者全体では、到達度の上位10位以内に日常生活の援助技術項目の37%が含まれ、到達度の下位10位以内に診療時の援助技術項目の37%が含まれていた。新カリキュラム群と旧カリキュラム群の比較では、21項目に有意差があった。新カリキュラム群の高い15項目は日常生活の援助技術と看護技術の基本的要素に関するものが多く、旧カリキュラム群が高い6項目は診療時の援助技術が多かった。カリキュラム改正に関係なく、日常生活の援助技術の到達度は高く診療時の援助技術は低い傾向にあったが、カリキュラム改正後はその傾向が強まり、さらに看護技術の基本的要素の到達度はカリキュラム改正後に比較的高くなっていることが明らかになった。新カリキュラムでは臨地実習時間を削減しているが、基礎教育で重視する日常生活の援助技術と看護技術の基本的要素は習得できていると考えられる。
Abstract Alternative A revision was made in a nursing curriculum in 1990. This study examined nursing students' perceived level of acquired 49 basic skills in nursing practices consisting of 11 basal elements of nursing skill, 19 skills in helping patients' daily activities, and 19 skills required in medical situations, comparing students receiving a new curriculum with those receiving an old one. Findings showed that in the rank ordering of all items from the best acquired to the least, collapsed across the two groups of students, 37% of the upper 10 items cocerned the skills in helping patients' daily activities, while 37% of the bottom 10 items concerned the skills required in medical situation. The students receiving the new curriculum perceived themselves better than those reseiving the old one for 15 items that were related with the basal elements of nursing skill and the skills in helping patients' daily activities, while the 6 items in the skills required in medical situations were perceived to be better acquired for the latter than the former students. The finding suggest that the new curriculum produced students who perceive themselves to be better achievers in the basic skills in nursing practices.
Keywords 基礎看護技術 (the basic skills in nursing practices) 到達度の学生評価 (students' perception of their acquirement) カリキュラム改正 (curriculum revision)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1996-02-29
Volume volume6
Start Page 47
End Page 53
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313682