Kawamura Ai, Tanioka Tetsuya, Tada Toshiko, King Beth, Locsin Rozzano C
Hosogi Unity Hospital, Kochi, Japan.
J Med Invest. 2013;60(1-2):52-60. doi: 10.2152/jmi.60.52.
Long-term hospitalization is a problem for psychiatric care in Japan. The purpose of this research was to clarify the demands placed on public health nurses' (PHN) involved in the discharge of long-term inpatients (LIPs) with mental illness, and their lack of support. A questionnaire was mailed to 516 health centers, and 112 health centers replied. The response rate was 21.7 percent. The mail survey questionnaire was based on original questionnaire developed by the authors. Significant differences were found among collaborative agencies selected as essential for the discharge support project for the LIPs with mental illness. These differences were evident in the following question items on insufficiency of support: "Incompatibility with the policy of the public health center on discharge support"; "Opposition to discharge of a LIPs with mental illness by hospital staff"; and "Shortage of PHN in charge of the discharge support project for the LIPs with mental illness". It was clarified that the discharge support project required not only the involvement of health and medical welfare personnel but also the cooperation of local human resources such as local residents, neighbor associations, social workers, real-estate agencies and others.
长期住院是日本精神科护理面临的一个问题。本研究的目的是明确对参与患有精神疾病的长期住院患者（LIP）出院工作的公共卫生护士（PHN）的需求，以及他们所缺乏的支持。向516个保健中心邮寄了调查问卷，112个保健中心进行了回复。回复率为21.7%。邮寄调查问卷是基于作者编制的原始问卷。在被选为精神疾病LIP出院支持项目必不可少的协作机构之间发现了显著差异。这些差异在以下关于支持不足的问题项目中很明显：“与保健中心出院支持政策不兼容”；“医院工作人员反对精神疾病LIP出院”；以及“负责精神疾病LIP出院支持项目的公共卫生护士短缺”。结果表明，出院支持项目不仅需要卫生和医疗福利人员的参与，还需要当地居民、邻里协会、社会工作者、房地产机构等当地人力资源的合作。
