The Actual Situation of Support Conditions of Cases That Require Family Support from a Visiting Nurse and Related Factors of the Subjective Effect of the Nurse Concerned

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  • Kaji Mizuki
    Faculty of Nursing and Social Welfare Sciences, Fukui Prefectural University
  • Tsukasaki Keiko
    Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University
  • Kyota Kaoru
    Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University

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Other Title
  • 訪問看護師による家族支援を必要とする事例への支援実態と看護師の主観的効果の関連要因
  • ホウモン カンゴシ ニ ヨル カゾク シエン オ ヒツヨウ ト スル ジレイ エ ノ シエン ジッタイ ト カンゴシ ノ シュカンテキ コウカ ノ カンレン ヨウイン

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Abstract

<p>Purpose: The aims of this study are to categorize the characteristics of, and evaluate the support requirements of cases requiring family support from visiting nurses.</p><p>Method: An anonymous, self-reported questionnaire was conducted among all nurses working in 68 visiting nursing stations in Prefecture A. Questions included client and caregiver characteristics, visiting time and frequency, telephone consultation frequency, duration and contents of family support, and visiting nurses’ perceptions of the efficacy of their support. Responses are for a client family requiring the most support time over a period of one month.</p><p>Results: A total of 178 responses were obtained from 223 questionnaires（response rate 79.8%）distributed to the 40 stations which cooperated with this study. Responses indicated that 18.8% of clients had cerebrovascular disorders, 21.8% were in three-generation families, and 59.9% were in a stable home health care environment. In terms of family caregivers, 64.9% had health problems and 82.6% were highly devoted to caring for their family member. Family support comprised 20.4% of home visit time. Despite recognizing a need, approximately 50% of nurses could not provide families with support for finances, interpersonal relationship advice, and end-of-life care. 15.2% of caregivers thought family support could be improved. Related factors were telephone consultation frequency, family caregiver motivation and care type.</p><p>Discussion: The health problems and family backgrounds were different in cases that required family support from a visiting nurse. Family support was estimated to comprise approximately 20% of home visit time. Inability to provide much required support suggests the need for better training and systems for family support.</p>

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