日本用户对精神科家庭访视护理的服务内容及康复导向的评价

Service contents and recovery orientation of psychiatric home-visit nursing evaluated by users in Japan.

作者信息

Kido Yoshifumi, Setoya Nozomi, Takasuna Hiroko, Kusachi Hitoshi, Hirahara Yumi, Katayama Shigemasa, Tachimori Hisateru, Funakoshi Akiko, Kayama Mami

机构信息

Hamamatsu University School of Medicine, Shizuoka, Japan.

St. Luke's International University, Tokyo, Japan.

出版信息

Glob Health Med. 2023 Jun 30;5(3):136-141. doi: 10.35772/ghm.2023.01041.

Abstract

The aim of this study was to clarify the differences perceived by users of home-visit nursing care between providers from medical institutions and services from independent home-visit nursing stations, as well as to examine the recovery orientation from the perspectives of the users. We conducted a questionnaire survey of 32 home-visit nursing stations and 18 medical institutions. From these facilities, 10 users of psychiatric home-visit nursing services who were being treated for schizophrenia and bipolar disorder were selected. With regard to the care that they thought was good, the home-visit nursing station users responded more often than users of home-visit nursing care provided by medical institutions regarding "help with hobbies and fun" and "support to empower you". Regarding what users wanted from home-visit nursing care, a statistically significant difference was found between users of home nursing stations who answered, "I want the same person to come", and users of home-visit nursing services provided by medical institutions, who answered, "I want various people to come". Brief INSPIRE-J score for study participants was 81.9 (standard deviation; SD 18.1) for users of home-visit nursing care services from medical institutions and 83.7 (SD 15.5) for home-visit nursing station users. It is conceivable that the care provided by psychiatric home-visit nursing services may have a greater potential for promoting recovery. However, since the characteristics of users and facilities may differ, future research is needed to clarify which recovery factors are effectively promoted by each service.

摘要

本研究的目的是阐明家庭访视护理服务使用者对医疗机构提供的服务与独立家庭访视护理站提供的服务的认知差异,并从使用者的角度审视康复导向。我们对32个家庭访视护理站和18个医疗机构进行了问卷调查。从这些机构中,选取了10名正在接受精神分裂症和双相情感障碍治疗的精神科家庭访视护理服务使用者。关于他们认为良好的护理,家庭访视护理站的使用者比医疗机构提供的家庭访视护理使用者更频繁地提到“兴趣爱好和娱乐方面的帮助”以及“增强自身能力的支持”。关于使用者对家庭访视护理的期望,回答“希望同一个人来”的家庭护理站使用者与回答“希望不同的人来”的医疗机构提供的家庭访视护理服务使用者之间存在统计学上的显著差异。研究参与者的INSPIRE-J简短评分,医疗机构家庭访视护理服务使用者为81.9(标准差;SD 18.1),家庭访视护理站使用者为83.7(SD 15.5)。可以想象,精神科家庭访视护理服务提供的护理在促进康复方面可能具有更大的潜力。然而,由于使用者和机构的特点可能不同,未来需要开展研究以明确每种服务能有效促进哪些康复因素。

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