地域精神保健福祉活動における慢性期の統合失調症者に対する訪問回数の判断基準 : 保健師の訪問回数判断の実態調査から
上田, 泉;佐伯, 和子;河原田, まり子;平野, 美千代;高波, 澄子
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http://hdl.handle.net/2115/35622
JaLCDOI : 10.14943/34137
KEYWORDS : public health nurse; visit number; visit judgment; schizophrenic patient; 保健師; 訪問回数; 判断基準; 統合失調症
Abstract
In this study, the judgment index for the number of visits to schizophrenic patients that are undertaken by public health nurses (PHNs), as a part of the community mental health service, was determined using the result of actual conditions of judging. Subjects included PHNs working at health centers who were experienced in providing home visits to schizophrenic patients. Self-administered unsigned questionnaires were mailed to the subjects. The primary factors determining the judgment index were disease condition, daily living activities, and social support from the patients' family The judgment index for the number of visits was calculated based on the average performance of the daily living activities and requirement of social support according to the level of the disease condition observed during each section of visit number. Therefore, the nurses who provided care for chronic schizophrenic patients can use this judgment index to maxlmlze their services. In brief, this study presents the importance of using the judgment index for determining the number of home visits for schizophrenic patients, which in turn would help in improving their clinical judgment.
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