Japanese

Title	要介護高齢者の安全を守る訪問看護実践 - 独居および日中独居高齢者に焦点をあてて -
Subtitle	研究報告
Authors	小枝美由紀
Authors (kana)
Organization	兵庫県立大学看護学部 在宅看護学
Journal	兵庫県立大学看護学部・地域ケア開発研究所紀要
Volume	23
Number
Page	131-140
Year/Month	2016 / 3
Article	報告
Publisher	兵庫県立大学看護学部・地域ケア開発研究所
Abstract	「要旨」【目的】本研究の目的は, 独居及び日中独居要介護高齢者に訪問看護師が訪問して直接かかわっていない間も含めた安全を守るための訪問看護実践の特徴を明らかにすることである. 【方法】訪問看護師13名に半構成的インタビューを実施し, 独居及び日中独居要介護高齢者の安全を守るための訪問看護実践について語りを得, データを質的に分析した. 【結果】インタビュー結果から, 独居及び日中独居要介護高齢者の安全を守る訪問看護実践について, 【安全を守る訪問看護実践】, 【安全に対する訪問看護師の意識】の2つの中核カテゴリーが抽出された. 【安全を守る訪問看護実践】では, 5つのカテゴリー, 25のサブカテゴリーが, 【安全に対する訪問看護師の意識】では, 2つのカテゴリー, 3つのサブカテゴリーがそれぞれ抽出された. 【考察】【安全を守る訪問看護実践】として訪問看護師は, 健康問題のみならず, 独居及び日中独居の日常的な生活の中で直面する可能性のあるリスクについても関わりをもっていることが明らかになった. 独居及び日中独居要介護高齢者が独りの時間に, できる限り問題が発生しないようにケアすること, 自己でできる限り対処できるように仕向けることを実践していた. また, フォーマル・インフォーマルサポートと連携すること, 訪問時間や回数の調整を行うことにより, 訪問時間内外を含めて安全が守られるようにしていた. 【安全に対する訪問看護師の意識】として訪問看護師は, 在宅では守ることのできる安全に限界があると意識しながらも本人, 家族に寄り添い関わりを続けていることが明らかになった.
Practice	看護学
Keywords	要介護高齢者, 訪問看護, 独居, 安全, Elderly who require care, Visiting nurse, Live alone, Safety

English

Title	Care to Ensure the Safety of Elderly Who Live Alone : With a Focus on Elderly Who Live Alone and Elderly Who Are Left Alone at Home During the Day
Subtitle	Reports
Authors	KOEDA Miyuki
Authors (kana)
Organization	Home Care Nursing, College of Nursing Art and Science, University of Hyogo
Journal	University of Hyogo College of Nursing Art and Science & Research Institute of Nursing Care for People and Community Bulletin
Volume	23
Number
Page	131-140
Year/Month	2016 / 3
Article	Report
Publisher	University of Hyogo College of Nursing Art and Science & Research Institute of Nursing Care for People and Community
Abstract	[Abstract] [Purpose] The aim of this study was to ascertain the characteristics of visiting care provided by visiting nurses including that beyond regular visits to ensure the safety of elderly who live alone and be left alone during the day and require care. [Methods] Semi-structured interviews were conducted with 13 visiting nurses. Nurses described visiting care they provided to ensure the safety of elderly clients who live alone and be left alone during the day and require care. Interview data were qualitatively analyzed. [Results] Interviews identified 2 core categories of visiting care to ensure the safety of elderly who live alone and be left alone during the day and require care: Visiting Care to Ensure Client Safety, and Visiting Nurses' Attitudes regarding Client Safety. Visiting Care to Ensure Client Safety fell into 5 categories and 25 subcategories. Visiting Nurses' Attitudes regarding Client Safety fell into 2 categories and 3 sub-categories. [Discussion] Visiting nurses provided Visiting Care to Ensure Client Safety. Visiting nurses dealt with client health problems as well as potential risks to their being at home alone. This care was intended to preclude problems from occurring while clients were alone at home and to encourage clients to be mindful of their own safety. Moreover, visiting nurses coordinated with sources of formal and informal support and they modified the duration and number of their visits. These efforts ensured client safety including that beyond regular visits. Visiting nurses exhibited certain Attitudes regarding Client Safety. Visiting nurses were aware that there were limits to the extent to which they could ensure client safety at home. Visiting nurses also continued to closely interact with clients and their family members.
Practice	Nursing
Keywords	Elderly who require care, Visiting nurse, Live alone, Safety

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