Permalink : 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

本研究は，地域精神保健福祉活動における保健師の慢性期の統合失調症者に対する訪問指導において訪問回数を決定する基準の実態を把握し，基準を作成することを目的とした。統合失調症者に対する訪問指導経験のある保健所保健師を対象に，郵送による無記名自記式質問紙法を実施した。結果，保健師が訪問回数を決定する時に，優先する判断項目は，病状全般，日常生活，家族のソーシャルサポートの順で、あった。訪問回数の頻度を3区分に設定し，訪問回数区分別に保健師が判断した病状の程度を基本にして，生活能力，ソーシヤルサポートの平均を算出し，在宅で生活する統合失調症者に対する訪問回数の判断基準を作成した。この基準は慢性期の統合失調症者へ関わる看護職が今後活用してくことができると考える。
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.