Japanese

Title	訪問看護を利用している小児の利用者数と医療的ケアの実態
Subtitle	原著
Authors	沢口恵*1, 山路野百合*2, 大田えりか*3, 田村正徳*4
Authors (kana)
Organization	*1東京女子医科大学看護学部小児看護学, *2聖路加国際大学大学院看護学研究科博士後期過程, *3聖路加国際大学大学院看護学研究科, *4埼玉医科大学総合医療センター
Journal	日本在宅ケア学会誌
Volume	23
Number	1
Page	47-53
Year/Month	2019 / 9
Article	原著
Publisher	日本在宅ケア学会
Abstract	「要旨」: 医療的ケアを必要としている小児(以下, 医療的ケア児)の数や医療的ケアの内容を明らかにすることで, 医療的ケア児に必要な支援について示唆を得るため, 訪問看護事業所4,972か所にFAXによるアンケート調査を行った. 返信数は2,023か所(回収率40.7%)であり, 小児の訪問看護を実施している事業所数は882か所(43.6%)であった. 小児の訪問看護利用者数は4,272人で, 0〜6歳未満が55.1%, 6〜18歳未満が44.9%であった. 訪問看護利用者数を都道府県別にみると, 神奈川県, 東京都, 愛知県の順で多かった. 訪問看護利用者のうち医療的ケア児は72.4%であり, うち運動機能が座位までの小児は88.9%, 歩行可能な小児は11.1%であった. 医療的ケアを必要としない小児は27.6%であった. 医療的ケアの内容は, 経管栄養, 吸引, 気管切開の順で多く, その他では機械による排痰ケア, 浣腸, 人工肛門管理があった. 医療的ケア児への支援として地域や学校との間での健康に関する情報共有といった連携が求められる.
Practice	公衆衛生学
Keywords	小児, 医療的ケア, 訪問看護, children, medical care need, home-visit nursing

English

Title	Survey on the Use of Home-visit Nursing Care Services for Children
Subtitle	Original Articles
Authors	Megumi Sawaguchi*1, Noyuri Yamaji*2, Erika Ota*3, Masanori Tamura*4
Authors (kana)
Organization	*1Tokyo Women's Medical University, School of Nursing, Department of Child Health Nursing, *2St.Luke's International University, Graduate School of Nursing Sciences, Doctoral Program, *3St.Luke's International University, Graduate School of Nursing Sciences, *4Saitama Medical Center, Saitama Medical University
Journal	Journal of Japan Academy of Home Care
Volume	23
Number	1
Page	47-53
Year/Month	2019 / 9
Article	Original article
Publisher	The Japan Academy of Home Care
Abstract	[Abstract] The number of children with medical care needs at home have increased. However, the exact number of these children and the type of medical care are unknown. The purpose of this survey was to determine the nature of support for children with medical care needs at home in Japan. We distributed by fax machine questionnaires to 4,972 home-visit nursing care stations throughout the country. The return rate was 2,023 (40.7%). The number of home-visit nursing care stations serving children was 882 (43.6%). The number of children who used home-visit nursing care was 4,272, 55.1% of which were 0-6 years old and the rest were 6-18 years old. Of these children, only 72.4% had been receiving actual medical care. Eighty-eight point nine percent (88.9%) of these children were bedridden although some were able to sit up on their own. The remaining 11.1% were ambulatory. Among the surveyed districts, Kanagawa, Tokyo and Osaka had the highest number of children who used home-visit nursing care services. The visiting nurse provides medical care for children such as tube feeding, suctioning, and management of the tracheostomy tube and respirator. Other medical care includes providing insufflationexsufflation mechanical device that assists coughing, administration of enemas, and colostomy care. These findings should enhance the cooperation among local schools, nursery schools and home-visit nursing care stations to support the medical care needs of children.
Practice	Public Health
Keywords	children, medical care need, home-visit nursing

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