保健所保健師に求められる難病患者支援体制の検討
スポンサーリンク
概要
- 論文の詳細を見る
Objectives: This study aimed to clarify the current status and issues of the support system for patients with intractable diseases implemented by the public health nurses (PHNs) of public health centers (PHCs), and to discuss the future direction of the support.Methods: The survey was conducted by the following self-administered questionnaire by e-mail and postal mail. 1) The awareness and the actual condition of consultation for patients with intractable diseases among PHNs who belong to in Ibaraki, a prefecture in the central area of Japan. 2) The support system and the actual condition of support for patients with intractable diseases in 12 PHCs in Ibaraki.Results: 1) Percentage of PHNs who have concurrently served the consultation for patients with intractable diseases and other work was 100%, and 77.8% of them answered that the effort of consultation in their entire job was "less than 25%." The recognition of roles of PHCs notably differed among the PHNs; and the higher the effort of consultation, the significantly higher the mean score of the actual status of the regional support system. 2) The larger the number of jurisdictional population or the registered patients with intractable diseases in PHCs, the fewer the opportunities to ask for other PHNs' advice in the workplace, and the reason of insufficient support tended to be "too busy." Also, there were no actual performance of "home care support plan development evaluation business" in 9 PHCs, and there were no plans to organize a conference to construct a regional support network.Conclusion: It is necessary to clarify the positioning of the intractable diseases measures and the purpose and methods for each plan of consultation in PHCs, to develop a system in the workplace, and to implement the support of patients with intractable diseases by each of the PHNs. Also, it is necessary to clarify the role of relevant organizations, and to build a network of community support by PHCs playing a central role. And it is necessary to re-organize and to make PHNs' work, including the consultation, more efficient.
- 国立保健医療科学院の論文