特定機能病院における病棟看護師の判断を基にした退院支援スクリーニング項目の検討

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  • A Study on a Screening Questionnaire to Support Early Discharge at Special Functioning Hospitals
  • トクテイ キノウ ビョウイン ニオケル ビョウトウ カンゴシ ノ ハンダン オ モト ニシタ タイイン シエン スクリーニング コウモク ノ ケントウ

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Abstract : 　Purpose : To establish an effective screening method for early discharge at special functioning hospitals.　Methods : The targets of the study were hospital patients over the age of sixty years. The patients were subjected to screening performed by nurses.　Results and Discussion : A total of 210 patients were subjected to screening, and 168 of them were selected for analysis. Ninety-nine were determined to be at risk according to prescribed criteria, while 42 were considered to be at risk based upon the judgment of nurse. Twenty-one patients actually received post discharge support at a cooperative section with community.　The determinations of risk based upon the judgment of nurses were analyzed with logistic regression analyses. The results showed that those patients considered to be at risk in several categories, namely ''family capacity for care'', ”approval for Long-Term Care Insurance”, ”residence prior to hospitalization”, ”degree of excretion independence” and ”dementia” had more needs of post discharge support from specialists than those who were not considered to be at risk in those categories.　Conclusion : ”Family capacity for care”, ”approval for Long-Term Care Insurance”, ''residence prior to hospitalization'', ''degree of excretion independence'' and ''dementia'' are five important categories for screening performed by nurses.　　Key words : screening questionnaires, support for early discharge, special functioning hospital, cooperative section with community, judgment of nurses

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