The purpose of the study was to identify and compare the ability of home helpere and visiting nurses in dealing with assessment information and recognizing the professional perspective for Elderly.
For that purpose, selfaddressed questionnaires were mailed to 400 randomly selected samples from a Home helper service station and a Visiting Nurse Station. Valid return rate was 56%.
The results of analysis of covariance showed that visiting nurse have higher ability of assessing information on need for “medical care”, for “family care load and social resources”, and for “terminal care”, but on the other hand, that home helpers have higher capability of assessing information on need for “individuals’ day-to-day activities and social environment” and for “eating habit and toilet activities”.
These results indicate the importance of the team approach between visiting nurses and home helpers. Vrisiting nurses should take more active advantage of home helper-originated information, such as “individual’ day-to-day activities and social environment”, thereby to provide better medical and terminal care. The results also suggest that home helpers have to be given information about points of safe care for the elderly with medical needs.
It is important for visiting nurses and helpers to promote team performance with the care managers under the long-term care insurance system.
"},{"@language":"ja","@value":"在宅高齢者ケアにおける価値認識とアセスメント情報把握に関して訪問看護と訪問介護の職種間比較を行い．両職種の特徴を明らかにするために自記式質問紙を用いた横断的調査を行った．共分散分析の結果，価値認識では「主体性の尊重」の因子において有意な差が認められなかったが，「人権の尊重」の因子において5％水準で訪問介護の調整平均値が有意に高く，アセスメント情報把握では「医療的ケアの必要性」「家族の介護状況と社会資源の利用状況」の因子において0.1％水準で，「ターミナルケアの必要性」の因子において1％水準で訪問看護の調整平均値が有意に高く，「地域社会との関係性と生活意向」「食事と排泄状況」の因子において0.1％水準で訪問介護の調整平均値が有意に高かった．アセスメント情報把握が異なるということは，チームアプローチの重要性を示しており，介護支援専門員関与のもと両職種の積極的なチームアブローチが求められる．
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