Support Over Time by Visiting Nurses for Older Adults and their Caregivers in the Transition Period to Home Care

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  • 訪問看護師による高齢の療養者と介護者双方への在宅移行期における経時的な支援
  • ホウモン カンゴシ ニ ヨル コウレイ ノ リョウヨウシャ ト カイゴシャ ソウホウ エ ノ ザイタク イコウキ ニ オケル ケイジテキ ナ シエン

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<p>Objective: To elucidate support over time by visiting nurses for older adults and caregivers in the transition period to home-care.</p><p>Methods: We conducted semi-structured interviews of seven visiting nurses, and qualitatively analyzed the responses by an inductive approach.</p><p>Results: Before discharge, visiting nurses “coordinated multidisciplinary care to accommodate　the patient’s and caregiver’s intents” and “shared information with ward nurses regarding guidance for the patient and caregiver pertaining to homecare life;” from immediately after discharge to two weeks thereafter, visiting nurses “assessed the care environment and shared it with multidisciplinary staff,” “educated the patient and caregiver to become competent in self-health management,” “established a system for caregiver emergency responses,” and “provided assistance to improve the caregiver’s and patient’s care ability;” and from three weeks to one month after discharge, visiting nurses “cooperated with other professions to help the patient continue health management,” “encouraged patients and caregivers to acquire new care methods,” and “provided ongoing intervention for patients and caregivers to achieve their wishes and intentions in convalescence.”</p><p>Conclusion: Repeated support by visiting nurses for older adults and caregivers according to the timing of the home-care transition period is recommended.</p>

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