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[要旨]本研究の目的は，介護老人保健施設（以下，老健）入所者の誤嚥性肺炎（以下，肺炎）の包括的ケアを促す看護モデルを開発することである。予防医学の３段階と文献検討から導いた看護モデルの枠組みに，老健４施設の看護師８名のインタビューから得られた卓越した肺炎ケアの実践を統合し，文献による補完を経て看護モデル試案を作成した。老健の看護師は他職種と連携して収集した情報を活用して，入所者の状態をその後の変化も見通した上でアセスメントし，必要とされるケアを判断・実践していた。このことから，看護モデルでは入所者の状態・状況に応じてケアの目的と看護師が行う方策を設定し，さらに看護師の方策と連動して他職種や入所者・家族が行う方策を定めた。次に，専門家会議にて看護モデル試案の内容，構成概念妥当性を確認し，指摘に沿って修正した。看護モデルは全入所者の肺炎リスクの把握と入所者の状態･状況に応じた14個のケアの目的，入所者の状態・状況に関係なく実施するケアの目的３個，それぞれの目的を達成するために看護師，他職種，入所者・家族が実施する60個の方策で構成された｡本看護モデルは老健の看護師が全入所者の状態・状況を的確にアセスメントし，それに応じた肺炎ケアの実践を可能とすることで，老健入所者における誤嚥や誤嚥性肺炎の予防に有用であると考えられた。今後は看護モデルを使用し，その効果を明らかにする必要がある｡

[SUMMARY] This study aimed to develop a nursing model that promotes comprehensive care of aspiration pneumonia (hereafter pneumonia) in residents of a long-term healthcare facility for the elderly (hereafter healthcare facility). The provisional nursing model was created by integrating pneumonia best care practices of eight nurses at four healthcare facilities obtained from interviews with a nursing model derived from the three stages of preventive medicine, which was then supplemented with literature review. Nurses at the healthcare facilities utilized information obtained through collaboration with other healthcare professionals to assess the residents' condition and their subsequent changes, determined and implemented the necessary care accordingly. Therefore, the nursing model was created by setting objectives and care plans for nurses, other healthcare professionals, residents and their families to conduct depending on the residents’ condition. Next, the validity of the content and structural concepts of the provisional nursing model was confirmed by the expert panel and revised with respect to comments from the experts. The nursing model consisted of 14 care objectives based on the identification of risk of pneumonia for all residents, the residents’ condition, 3 care objectives to be implemented regardless of the residents’condition/situation, and 60 measures to be implemented by nurses, other healthcare professionals, residents and their families to achieve each respective objective. This nursing model was considered useful for the prevention of aspiration and aspiration pneumonia in residents of healthcare facilities by enabling nurses to accurately assess the condition/situations of all residents and to provide appropriate pneumonia care. In the future, there is a need to try out the nursing model and clarify its effect.