訪問看護とホームヘルプサービスの利用に影響を及ぼす要因  [in Japanese] FACTORS INFLUENCING THE UTILIZATION OF VISITING NURSING AND HOME-HELP SERVICES  [in Japanese]

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Abstract

<b>目的</b> 在宅ケアサービスの利用に関する従来の研究では,複数のサービスを一括して扱うことが多かった。本研究では,訪問看護と介護サービスについて,各々の利用者の特徴を明らかにすることを目的とした。<br/><b>方法</b> 人口36,000人の S 県 M 町における平成 9 年10月 1 日時点の訪問指導台帳より抽出した調査対象高齢者134人に対し,質問紙を用いた面接調査を行った。訪問看護,ホームヘルプの利用に関して,①利用の有無,および,② Andersen のモデルの 3 要因(属性要因,ニーズ要因,サービス利用促進/阻害要因)との関連性を明らかにした。<br/><b>結果および考察</b> 134人中,訪問看護は38.1%,ホームヘルプは36.6%の人が利用していた。<br/> 訪問看護は,高齢者の ADL が低下しているほど,過去 2 年間の入院経験があるほど家族の世話の仕方が少ないほど,介護者のサービス利用への抵抗感が少ないほど利用しており,ニーズ要因が最も影響していた。<br/> ホームヘルプは,家族の世話の仕方が少ないほど,訪問看護を利用しているほど,利用しており,属性要因と利用促進/阻害要因が影響していた。<br/> 訪問看護とホームヘルプの両方の利用者は,看護のみの利用者に比べて,家族がケアを提供するのが難しく,また,ヘルパーのみの利用者に比べて利用者の ADL 等身体状態が低い。<br/><b>結論</b> 訪問看護とホームヘルプの利用を推進する要因は異なっており,両者を併せて利用している者は,複合的ニーズを持っているという特徴が認められた。

<b>Purpose</b> To identify the respective characteristics of clients useing visiting nursing service and home-help service. Since the past, research on the utilization of in-home care services has usually focused on different services collectively.<br/><b>Methods</b> Interviews using structured questionnaires were carried out with 134 elderly individuals who were selected in October 1997 from the list for home visit of public health nurses in a town with a population of 36,000. With regard to the utilization of visiting nursing as well as home-help service, the relationship with three factors of the conceptual Andersen's model (predisposing factor, needs factor, enabling factor) were examined.<br/><b>Results and discussion</b> Of the 134 subjects, 38.1% utilized visiting nursing service and 36.6% used home-help services. Use of visiting nursing service was significantly associated with variables such as declining ADL in the elderly, hospitalization within the past two years, less care-giving by family members, and less resistance to service-use by caregivers. On the other hand, use of home help service was related to less caregiving by family members and resources of visiting nursing. The clients who used both visiting nursing and home-help service had more difficulty with care-giving by family members compared to those who used only nursing service, and the latter were inferior in thems of physical conditions, including ADL, to those who employed only home-helpers.<br/><b>Conclusion</b> The factors promoting the use of visiting nursing are different to some extent from those for home-help service. Clients using both are characterized by the presence of a broader variety needs.

Journal

  • Nihon Koshu Eisei Zasshi(JAPANESE JOURNAL OF PUBLIC HEALTH)

    Nihon Koshu Eisei Zasshi(JAPANESE JOURNAL OF PUBLIC HEALTH) 49(9), 948-958, 2002-09-15

    Japanese Society of Public Health

References:  27

Cited by:  4

Codes

  • NII Article ID (NAID)
    10010055235
  • NII NACSIS-CAT ID (NCID)
    AN00189323
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    05461766
  • NDL Article ID
    6322948
  • NDL Source Classification
    ZS17(科学技術--医学--衛生学・公衆衛生)
  • NDL Call No.
    Z19-216
  • Data Source
    CJP  CJPref  NDL  J-STAGE 
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