Shinohara Kaoru, Ono Tomoko, Terauchi Sanae, Nakayama Miyuki
Higashi Yamato Home Nursing Center.
Gan To Kagaku Ryoho. 2006 Dec;33 Suppl 2:332-4.
The city of Higashi Yamato is located in the northern part of Tama, Suburbs of Tokyo, and the population of Higashi Yamato is approximately 80,000. The Higashi Yamato visiting nursing station was opened in April 1998. As of April 2006, we have over 100 patients, and the aggregate visiting nursing services have provided more than 600 cases. Our station's uniqueness is that forty percent of the patients have malignant neurological disorders and are terminal stage patients, and that they are all covered by medical care insurance. We also provide nursing services to patients who are expected to be dying peacefully at home averaging 4 patients per month. Higashi Yamato Hospital, attached to the visiting nursing station, is an acute phase hospital and has 274 beds. The average hospital stay for our patients was 13 days in 2005. We promote an early discharge from the hospital for patients who have a high need of medical and nursing care and for the patients who are at the terminal stage. However, there were many cases where visiting nursing care services were provided because of a local care manager's request rather than a visiting nursing care need for patients who will be discharged soon from the hospital and for those expecting to have the service. In reality, we have observed a family being felt that his or her patient was pushed out from the hospital, a family who has no confidence in taking a nursing task at home, and a family who could not cope with the patient's changing condition. Therefore, we wanted resolve these observed problems urgently to create close cooperation with the hospital in order to provide continued nursing care after a patient is discharged from the hospital and to have home medical care safely. As a result, we planned a visit to the ward on a weekly basis starting on February 2006. We report here because we had a good result.
东大和市位于东京郊区多摩的北部，人口约8万。东大和访视护理站于1998年4月开业。截至2006年4月，我们有100多名患者，累计访视护理服务已提供600多例。我们护理站的独特之处在于，40%的患者患有恶性神经系统疾病且处于晚期，并且他们都享有医疗保险。我们还为预计在家中安详离世的患者提供护理服务，平均每月4名患者。附属于访视护理站的东大和医院是一家急性期医院，有274张床位。2005年我们患者的平均住院天数为13天。我们鼓励对有高度医疗和护理需求的患者以及晚期患者尽早出院。然而，有许多情况是应当地护理管理人员的要求提供访视护理服务，而不是针对即将出院的患者和期望获得该服务的患者的访视护理需求。实际上，我们观察到有家庭感觉其患者被医院推出，有家庭对在家承担护理任务没有信心，还有家庭无法应对患者病情的变化。因此，我们希望紧急解决这些观察到的问题，与医院建立密切合作，以便在患者出院后提供持续护理并安全地进行家庭医疗护理。结果，我们从2006年2月开始每周安排一次病房探访。我们在此报告是因为取得了良好的效果。
