{"created":"2023-06-20T14:26:26.788273+00:00","id":1972,"links":{},"metadata":{"_buckets":{"deposit":"0e547fba-a46d-4689-ba3e-b50a09c3e59e"},"_deposit":{"created_by":14,"id":"1972","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"1972"},"status":"published"},"_oai":{"id":"oai:dmu.repo.nii.ac.jp:00001972","sets":["159:162"]},"author_link":["9160","9155","9158","9156","9159","9157"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"42","bibliographicPageStart":"35","bibliographicVolumeNumber":"3","bibliographic_titles":[{"bibliographic_title":"獨協医科大学看護学部紀要"},{"bibliographic_title":"Bulletin of Dokkyo Medical University School of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_24":{"attribute_name":"要旨","attribute_value_mlt":[{"subitem_description":"　本研究は，居宅介護支援事業所のケアマネージャーを対象とし，高齢者の在宅ターミナル期の支援状況，在宅サービスの充足状況，介護保険制度上の問題点を明らかにすることを目的とし，平成18年10月～ 11月に無作為抽出した居宅介護支援事業所のケアマネージャー200名に対し郵送法による質問紙調査を行った．その結果，①ケアマネージャーのターミナル期の支援状況は，「療養場所選択の支援」「医師の紹介」「訪問看護導入」「緊急時の受け入れ先の紹介」「ターミナル期に利用できるサービスの紹介」「訪問回数の増やす」「急変時の訪問」「死亡後の訪問」の8項目において，約9割のケアマネージャーは意識的に支援を行っていた．②ターミナル期に利用可能なサービスの充足状況では，『充足している』が訪問入浴では約5割，訪問看護，訪問介護では約3割，通所介護，短期入所，往診医では2割以下であった．③在宅ターミナル期を支援するための在宅サービスや制度についての自由記載から，「在宅ターミナルに対応する医師の不足」，「家族へのレスパイトケアや精神的サポート体制が必要」，「在宅サービスの24時間体制や量的整備が不十分」，「在宅サービス提供者のターミナルケアに対する意識や知識」，「サービス事業者のターミナル期の利用者の受け入れが困難」，「在宅ターミナルに向けての入院中の説明や退院支援の不足」，「本人・家族と医療者の意志の不一致」，「介護保険制度上の問題」，「医師との連携が困難」の9 つのカテゴリーが抽出された．今回の調査結果から在宅でのターミナルケアを支援するサービスが量的にも質的にも十分でないことが示唆された．今後さらに，詳細な調査を行い，在宅ターミナル期の支援状況，サービス充足状況を明らかにしていく必要がある．","subitem_description_type":"Other"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"獨協医科大学看護学部"}]},"item_10002_relation_12":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"40017238689","subitem_relation_type_select":"NAID"}}]},"item_10002_relation_26":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"2011226098","subitem_relation_type_select":"ICHUSHI"}}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00629581","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"18830005","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"須佐, 公子"}],"nameIdentifiers":[{"nameIdentifier":"9155","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"坂哉, 繁子"}],"nameIdentifiers":[{"nameIdentifier":"9156","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"村田, ひとみ"}],"nameIdentifiers":[{"nameIdentifier":"9157","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kimiko, Susa","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9158","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sigeko, Sakaya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9159","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Hitomi, Murata","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9160","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-12-20"}],"displaytype":"detail","filename":"BDMUSN-3-5.pdf","filesize":[{"value":"797.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"BDMUSN-3-須佐-本文","url":"https://dmu.repo.nii.ac.jp/record/1972/files/BDMUSN-3-5.pdf"},"version_id":"8a6d12fe-f741-4ccf-b89b-f055ab64379c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"高齢者","subitem_subject_scheme":"Other"},{"subitem_subject":"在宅ターミナルケア","subitem_subject_scheme":"Other"},{"subitem_subject":"ケアマネージャー","subitem_subject_scheme":"Other"},{"subitem_subject":"elderly","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"terminal home care","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"care manager","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"ケアマネージャーから見た在宅高齢者のターミナルケア体制の現状と課題","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ケアマネージャーから見た在宅高齢者のターミナルケア体制の現状と課題"},{"subitem_title":"Care Manager’s Consideration of Terminal Care System Issue for Home Elderly","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"14","path":["162"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-01-10"},"publish_date":"2019-01-10","publish_status":"0","recid":"1972","relation_version_is_last":true,"title":["ケアマネージャーから見た在宅高齢者のターミナルケア体制の現状と課題"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-06-20T15:38:17.785289+00:00"}