JaLCDOI 10.18926/11906
Title Alternative Research of the problems on the elderly patients at discharge from the hospital concerning their health and daily life at home
FullText URL 005_017_021.pdf
Author Nakanishi, Yoshiko| Takata, Setuko| Kondo, Masuko| Ota, Niwa| Inoshita, Hikari| Ikeda, Toshiko| Kojima, Misako|
Abstract 高齢者の退院指導及び在宅看護の在り方を検討した研究は少ない。そこで、高齢者の自宅院時に持つ健康上及び生活上の問題を明らかにすることを目的に、面接調査を行った。対象は、中・四国の3国立大学付属病院と1総合病院で退院許可のあった70歳以上の患者78名とした。調査内容は、退院時の患者の身体状態・日常生活動作・退院時の患者の状況・家族の状況・健康に対する意識や取り組みについてとした。その結果、(1)高齢の自宅退院患者の23.1%は、身体状態上継続看護が必要であった。(2)退院患者の20.5%が、退院後生活を自立する為に介助が必要であるとしていた。(3)退院患者の57.7%は心配事を持ち、50%は相談・指導を希望していた。(4)患者の世話人の42.3%は職業を持ち、27.3%は健康を害していた。(5)退院患者の73.1%は何らかの健康管理がなされ、84.7%は生きがいを持っていた。
Abstract Alternative Now there are few researehes into the guidance which be done for the elderly patients at the time of leaving the hospital and into the ways of their home nursing care. Therefore, we did interview the elderly patients in order to make it clear what problems they have about their health and their life. In the three national university hospitals in Chugoku District and Shikoku District and one general hospial, we focussed on the 78 patients more than seventy years old who were allowed to leave the hospital. The purpose of our research is to know body condition and the situation of the patients leaving the hospital, activities of their daily life, the situation of their family and their consciousness and care about their health. After having done this research we conclude as follows, (1) 23.1 percent of all the patients need continuing nursing care from the viewpoint of their body condition after leaving the hospital. (2) 20.5 percent of all the patients need help from their family or others to support themselves at home. (3) 57.7 percent of all the patients have worries and 50 percent of them have a wish to consult with the doctors or the nurses and to be guided by them. (4) 42.3 percent of people who take care of patients have their own job and suffer from poor health. (5) 73.1 percent of all the patients who leaves the hospital were given some health care before entering the hospital and 84.7 percent of them seem to lead a life worth living.
Keywords 高齢者 (the aged people home nursing care) 継続看護 (continuing nursing care) 生活の自立 (self-support for living) 退院時指導 在宅看護 consciousness about health
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 17
End Page 21
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002314025
JaLCDOI 10.18926/11748
Title Alternative Dietary treatment for the aged (A study on dietary treatments for the aged conducted at the time of leaving hospital and on the results of interviews with discharged patients)
FullText URL 006_041_045.pdf
Author Nakanishi, Yoshiko| Kondo, Masuko| Ota, Niwa| Inoshita, Hikari| Ikeda, Toshiko| Takata, Setuko|
Abstract 高齢者を対象とした退院指導の評価を行う目的で、70歳以上の外来通院患者を対象として、患者が受けた退院指導の内容、理解度、実践状況の3つの要素について分析を行った。その中から、特に食事指導に焦点をあて在宅療養の視点から退院指導の問題点を考察した。食事指導を受けて退院した患者の約半数は更に指導を希望していた。指示された指導が実践できない患者の理由は、(1)指導不足、(2)意欲の喚起不足、(3)協力者の知識不足が上げられた。患者が希望している指導の内容は、食事療法の指導だけでなく、治療食や老人に適した食事についてであった。特に、栄養価の高い食事への関心が高く、具体的な指導を希望していた。また、看護婦による、社会資源を活用すべきかどうか、訪問看護を適応すべきかどうかの判断が、退院に向けてのアセスメントの内容として問題となった。
Abstract Alternative With the purpose of estimating the quality of care given to elderly patients who are about be discharged, we made an analysis of three main factors. The first is the details of discharge-care, secondly the degree to which the patient underdtands the type of care, and thirdly the care practice situation ; focusing on outpatients who are more than 70 years of age. Bringing meal treatment into focus, we examined the problems of discharge-care from the viewpoint of home treatment. About half of the discharged patients who were given meal treatment in the hospital hope to have further personal medical direction about their meals after being discharged. The reasons why the directed treatments couldn't be practiced by the patients were given as follows ; (a) deficiency of medical guidance, (b) insufficient encouragement of practice, (c) cooperator's having lack of knowledge about care of the aged. The details of medical treatments which the elderly patients want to be given are not only what is called meal treatment but also knowledge about food for patients and about appropriate meals for the aged. The patients seem to be highly interested in nutritious food and hope to have concrete advice for following a nutritious diet. Additionally, what is important in deciding the question of discharging is how to make good use of social resources by nurses and how to apply visiting nursing to be aged.
Keywords 高齢者 (the aged) 在宅療養 (home treatment) 退院指導 (discharge-care) 食事指導 (dietary treatment)
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 41
End Page 45
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002313691
JaLCDOI 10.18926/11712
Title Alternative The process of establishment of the Faculty of Health Sciences, Okayama University Medical School and the construction of nursing curriculum in the department of nursing
FullText URL 010_2_123_133.pdf
Author Hayashi, Yuko| Ikeda, Toshiko| Kato, Kumiko| Ota, Niwa|
Keywords 看護学教育 (nursing education) 看護学専攻カリキュラム (nursing curriculum) ヒューマンナーシング (human nursing) ヘルスプロモーション (health promotion)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2000-03-24
Volume volume10
Issue issue2
Start Page 123
End Page 133
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002313604