特別養護老人ホームにおける看取りケア実施状況と関連要因  [in Japanese] End-of-life care in nursing homes and related institutional factors  [in Japanese]

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Abstract

<p> 特別養護老人ホームで,看取りケア実施状況と体制上の関連要因を明らかにするため,施設内での療養後死亡の実態とスタッフ・ケア体制,意向確認・説明の実施状況,連携の仕組み,ケアに対する自己評価との関連を検討した.全国老人福祉施設協議会加盟施設1,200か所を抽出し,各施設長あてに調査票を郵送して看護職リーダーによる記入と返送を求めた.回収率は35.9%であった.退所者の死亡の内訳から,施設を3群;施設内死亡なし群(<i>n</i> = 79),療養後死亡低群(<i>n</i> = 231),療養後死亡高群(<i>n</i> = 79)に分類し分析した.療養後死亡高群は,夜間死亡時の医師の往診,および終末期ケアの意向確認の実施の割合が他2群に比べて高かった.利用者・家族とコミュニケーションを図り,施設職員のケアの技術を向上させることを通じて,看取りケアが安定的に実施できる体制につながることが示唆された.</p>

<p>  The objective of this study is to explore what institutional factors are related to end of life care provided in nursing homes in Japan. Questionnaires were sent to head nurses in nursing homes in Japan. Data were obtained from 389 (32.4%) facilities. The nursing homes were divided into 3 groups: no deaths in the facility (<i>n</i>=79: group 1), a small number of expected deaths in the facility (<i>n</i>=231: group 2), and a large number of expected deaths in the facility (<i>n</i>=79 : group 3). In nursing homes in group 3, end-of-life decisions of residents and their family members were more supported, and there were more night visits by physicians, compared to the other 2 groups. The results suggest that it is important to organize an end of life care system based on care skill improvement of staff and communication with family members.</p>

Journal

  • Japanese Journal of Gerontology

    Japanese Journal of Gerontology 34(4), 500-509, 2013

    Japan Socio-Gerontological Society

Codes

  • NII Article ID (NAID)
    130007792227
  • NII NACSIS-CAT ID (NCID)
    AN00334819
  • Text Lang
    JPN
  • ISSN
    0388-2446
  • NDL Article ID
    024240977
  • NDL Call No.
    Z6-1322
  • Data Source
    NDL  J-STAGE 
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