介護老人福祉施設の介護業務における介護労働時間とその負担度と達成度の関連性に関する研究  [in Japanese] RESEARCH IN RELATION WITH THE CARE WORKING HOUR OF LONG TERM CARE WORKS IN WELFARE INSTITUTE FOR ELEDERLY, THEIR LEVEL OF BURDEN AND LEVEL OF ACHIEVEMENT  [in Japanese]

Abstract

目的:本研究では、介護職員の負担度と達成度について介護業務との関連性を明らかにする。さらに介護業務ごとの負担度と達成度が、介護労働時間や要介護度とも関連性があるのかについて検討する。方法:介護老人福祉施設6施設の介護職員209人を対象に、入所者に対して何の介護業務を何分間、実施したかについて記録する自計式タイムスタディ調査を実施した。同時にその負担度と達成度について、主観的に5段階の評価で介護職員に記載してもらった。結果:介護業務の中で、負担度が強いのは行動上の問題への介護であり、達成度が強いのは機能訓練であった。またSpearmanの相関により、介護労働時間の増加と対象者に直接関わらない業務の負担度のみに中程度の相関が認められた。負担度と達成度では、10項目の介護業務の内、7項目の入浴清潔保持整容更衣、医療、移動移乗体位変換、食事、機能訓練、対象者に直接関わらない業務、社会生活支援において中程度の相関が認められた。なお、負担度と達成度と要介護度には相関が認められなかった。結論:介護職員は、介護業務に負担を感じながらも、提供したサービスに対して仕事の達成を感じている。しかし、認知症高齢者への介護の負担は強く、専門的知識の向上による達成感が求められる。

(Objective) In this research, the relation of care worker' burden and achievement level to the long-term care works was clarified. In addition, we examined whether there is a relation among care work time, stage of long term care need and the burden and the achievement level on each long-term care works. (Methods) This research targeted 209 care worker in six facilities in the welfare institute on long-term care for the aged. It employed theirelf-measured time study research that recorded what type of long-term care work was provided and how long it was caregiven to the residents admitted in the facilities. At the same time, we asked care worker to subjectively evaluate burden level and achievement level in 5 stages. (Results) The burden level on care worker was stronger to the care work for the behavioral disorder, and achievement was stronger to the care works for functional training. Moreover, the moderate correlation between care work time and burden level could be found only in the indirect care works by the Spearman rank correlation. The moderate correlation between the burden and the achievement level could be found in seven categories of care works out of ten, among which consisted of keeping sanitary, medical treatment, movement-transfer-change of position, meal, function training, indirect care works to the residents, and social life support. There was few correlation among the burden level, the achievement level, and stage of long-term care need. (Conclusion) The care worker have both moderate feelings to their achievement for the care service they provide and burden for the care works at the same time. However the burden of nuring to the demented elderly is strong, and the achievement feeling through improvement of the expertise is expected.

Journal

Japanese journal of human sciences of health-social services   [List of Volumes]

Japanese journal of human sciences of health-social services 17(1), 1-8, 2011-01-10  [Table of Contents]

Japanese Society of Human Science of Health-Social Services

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Codes

  • NII Article ID (NAID) :
    110008712109
  • NII NACSIS-CAT ID (NCID) :
    AN1052650X
  • Text Lang :
    JPN
  • ISSN :
    13408194
  • NDL Article ID :
    11014892
  • NDL Source Classification :
    ZE5(社会・労働--社会問題・社会保障)
  • NDL Call No. :
    Z6-B481
  • Databases :
    NDL  NII-ELS 

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