This study aims to contribute to visiting nurses' education by analyzing the nursing care provided to home-visit service users based on their disease. For data collection, questionnaires were distributed by postal mail to 68 home-visit nursing stations in Prefecture A Japan in September 2018. The response rate was 54.5%. In total, 1,872 home-visit nursing care users were recruited. Approximately 21% of all respondents had cerebrovascular disease, and about 15% had cardiovascular disease or cancer. The most common type of additional nursing care that needed to be provided by home-visit nurses and specialist care teams was prescription drug management, followed by the monitoring of living conditions and the maintenance of a healthy physical condition. Home-visit nursing users with cancer, intractable neurological diseases, or cerebrovascular disease required substantially more nursing care. In addition, patients with comorbidities such as dementia required the measurement of urine volume. Those with psychiatric disorders required additional nursing care for the treatment of pressure ulcers, the prevention of disuse syndrome, and the carrying out of daily activities. The results of this study clarified the characteristics of pedagogical content based on the medical needs of home-visit nursing service users and identified factors that could contribute to improving the curriculum of home-visit nursing education.
"},{"@language":"ja","@value":"本研究は訪問看護師教育に寄与すべく，A 県の訪問看護利用の現況と利用者の傷病別に必要な看護内容を明らかにする目的で 68 事業所の利用者について看護師に質問紙調査した．利用者に多い傷病は順に脳血管疾患，循環器疾患，悪性新生物だった．神経難病，脳血管疾患，悪性新生物は必要な看護内容が有意に多かった．利用者への看護で最多は与薬と管理，次は生活状況の把握と療養維持支援で多職種連携や身体状況の判断だった．併存疾患がある認知症は尿量測定，精神疾患は生活援助や褥瘡・廃用症候群ケアが有意に多かった．本研究により，訪問看護利用者の傷病別に必要となる看護内容の特徴および訪問看護師教育に寄与する情報が明らかとなった．
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