Kusumoto Yasuaki, Makita Hiroko, Nagai Kuniyoshi, Yamane Tomoe
Department of Physical Therapy, Division of Health Science, Tokyo University of Technology: 5-23-22 Nishikamata, Ohta-ku, Tokyo 144-8635, Japan.
Department of Nursing, School of Health Science, Toyohashi Sozo University, Japan.
J Phys Ther Sci. 2018 Jun;30(6):800-803. doi: 10.1589/jpts.30.800. Epub 2018 Jun 12.
[Purpose] To support home care patients through specialist teams, it is important that home-visiting specialists recognize the roles of other professionals. The present study aimed to determine whether home-visiting specialists recognized the roles of various other professionals. [Subjects and Methods] The study population comprised 400 nurses, 400 rehabilitation specialists, and 122 managerial dieticians providing home medical care. A questionnaire examining whether the home-visiting specialists recognize the roles of various other professionals was mailed to the participants. Returned questionnaires indicated agreement for participation in this study. Based on the responses to the questionnaire, 49 nurses (response rate: 12.3%), 74 rehabilitation specialists (18.5%), and 42 managerial dieticians (34.4%) were included in the study. [Results] Among all the professionals, the recognition of roles of their own profession was greater than that of other professions, as indicated by their response to the question "to explain possible changes in symptoms and how to deal with possible changes in symptoms." Unlike in case of other professionals, role recognition among managerial dieticians was less than 70% for all items. [Conclusion] Home medical care teams do not always comprise the most suitable professionals. An understanding of how to compensate for gaps in professional roles is therefore important. Good physical assessment skills and an understanding of symptoms of various disorders is important, regardless of the profession.
[目的] 为了通过专业团队支持居家护理患者，家访专家认识其他专业人员的角色非常重要。本研究旨在确定家访专家是否认识到其他各类专业人员的角色。[对象与方法] 研究对象包括400名护士、400名康复专家和122名提供居家医疗护理的管理营养师。向参与者邮寄了一份调查问卷，询问家访专家是否认识到其他各类专业人员的角色。返回的问卷表明同意参与本研究。根据问卷回复，49名护士（回复率：12.3%）、74名康复专家（18.5%）和42名管理营养师（34.4%）被纳入研究。[结果] 在所有专业人员中，对于“解释症状可能的变化以及如何应对症状可能的变化”这一问题的回答表明，他们对自己专业角色的认知高于对其他专业的认知。与其他专业人员不同，管理营养师对所有项目的角色认知均低于70%。[结论] 居家医疗团队并不总是由最合适的专业人员组成。因此，了解如何弥补专业角色的差距很重要。无论专业如何，良好的身体评估技能和对各种疾病症状的了解都很重要。
