山梨医科大学紀要 第14巻，031-036(1997)
地域ケアにおける保健婦の役割
山崎洋子
M町(人口15,000人,高齢化率21.3%)において事例把握経路の異なる4対象群別に保健婦として家庭訪問援助を行い,保健婦の援助行為と援助意図から保健婦の地域ケアにおける役割を調べた。その結果,地域ケアにおける保健婦の役割は,8つに大別され,各対象群の持つ援助ニードの特徴によって,重点の異なる役割があった。また,一事例の援助は,本人,家族,外部援助者に対する複数の援助意図を持った援助行為として行われていた。
キーワード：家庭訪問,援助行為,援助意図,地域ケア
The Update Role of Public Health Nurses (PHNs) in Rural Community Health Care.
Yoko YAMAZAKI
In order to analyze an update needs of home visiting care services,we examined to describe the need-dependent care-actions of PHNs in a rural town. In 1995 authors (PHNs) visited 58 homes one or three times a year, which included：@27 cases of the walking impairments aged over 65, all of them had not been examined the Annual Health Examination, A13 cases of the visiting home help services, B13 cases of the visiting nurse services of hospital, C5 cases of the visiting medical services of hospital.
749 care-actions we performed composed of 21 purposes/or intentions, that could be clarified following care-assessment categories；
(1) information services of social resources for the walking impairments and others,
(2) direct clinical nursing cares for various kinds of impairments,
(3) encouragement of the self-care activities in daily life,
(4) advices for the mutual supports and encouragement between family members,
(5) teachings for the self-assessment of health conditions,
(6) encouragement of the supportive visiting by neighborhoods,
(7) the cohesion role between official caregivers and volunteers,
(8) the messenger role for requiring the health services to the official agents.
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