Ugai Chizuru, Hata Kiyomi
Dept. of Nursing, Faculty of Health Sciences, Kobe Tokiwa University.
Gan To Kagaku Ryoho. 2015 Dec;42 Suppl 1:39-41.
In order to improve the quality of life of patients with moderate to severe symptoms who are highly dependent on medical care and to reduce the physical and psychological burden on family members, at medical day care facilities, care and services, such as functional training, is provided to improve daily life for patients in need of significant care who have intractable diseases under the Long-Term Care Insurance Act; home care patients, such as those in the final stages of cancer; and severely mentally and physically handicapped children under the Child Welfare Act. This study conducted semi-structured interviews with 15 nurses working in medical day care facilities with the objective of clarifying the reality of inter-professional cooperation of nurses working in these facilities and contributing to delivery of high-quality care. The results of the study revealed that the level of inter-professional cooperation of nurses at medical day care facilities was high and that professions that are involved in cooperation include visiting nurses, doctors, medical staff, such as physical therapists, caregivers, and welfare professions, such as care managers. The study also showed that the contents of cooperation include information exchange, information sharing, continuation of care, implementation of care that respects the intentions of the patient, care proposals, and guidance and control regarding care.
为了提高对医疗护理高度依赖的中重度症状患者的生活质量，并减轻其家庭成员的身心负担，在日间医疗护理机构，针对根据《长期护理保险法》患有疑难疾病、需要大量护理的患者，如癌症晚期的居家护理患者，以及根据《儿童福利法》认定的重度身心残疾儿童，提供功能训练等护理和服务，以改善他们的日常生活。本研究对在日间医疗护理机构工作的15名护士进行了半结构化访谈，目的是阐明这些机构中护士跨专业合作的实际情况，并为提供高质量护理做出贡献。研究结果显示，日间医疗护理机构中护士的跨专业合作水平较高，参与合作的专业人员包括访视护士、医生、物理治疗师等医护人员、护理员以及护理经理等福利专业人员。研究还表明，合作内容包括信息交流、信息共享、护理延续、尊重患者意愿的护理实施、护理建议以及护理方面的指导和管控。
