統合失調症者に対する保健師の訪問回数判断の困難要因

public health nurse

看護総合科学研究会誌

The purpose of this study was to clarify factors making it difficult that public health nurses (PHNs) decide how often they should visit schizophrenic patients. Subjects were PHNs working at ten health centers located in areas where were relatively affluent in social resources in Hokkaido, who made nursing home visits to schizophrenic patients. A self-administered and unsigned questionnaire was collected by mail. The questionnaire included demographics of the PHNs and each case, the frequency of visits, and the assessment of the frequency. What respondents freely wrote the reasons why they judged the frequency of visit 'not just' and 'no understandable', were analyzed by Berelson's contents analysis. 11 subcategories were obtained from the reasons of 'not just'. and were classified into 5 categories. 13 subcategories were obtained from the reason of 'no understandable' and classified into 4 categories. After comparing categories from reasons of 'not just' and of 'no understandable', two similar categories were obtained: the influence of a schizophrenic characteristic and lack of object understanding. In the case where the judgment of frequency of visits was difficult, the case should be examined by the entire team, and it was suggested that we should make a support system for improving judgment capabilities complete.