特定機能病院の地域医療連携センターを利用した患者の追跡調査による在宅ケアの要因分析

　本研究は, 特定機能病院における地域医療連携センターの看護職が退院支援を行った患者の在宅支援に関連する要因を明らかにすることを目的とした｡57人を対象に, 退院時と退院後の状況を把握する質問紙を作成し, 郵送法によるアンケート調査と入院カルテから基本情報を収集した｡回収した有効調査票27人を分析した結果, 在宅療養へ移行した患者は48.0％,病院・施設への転院は52.0％であった｡退院支援の相談日までは入院後平均22.3日目に受けており, 利用した動機は｢主治医の勧め｣が60％であり, ｢看護師の勧め｣は4.0％であった｡在宅療養を可能にする要因には, ①入院時に紹介医がいた②医療器具の装着や医療処置が少ないことが示された｡
The purpose of this study was to identify relating factors to home care of patients who received discharge planning in The Regional Medical Cooperative Center at The University Hospital. We sent 57 patients a questionnaire to examine their conditions at discharge and post-discharge, and analyzed 27 effective responses. As a result, patients who received care at home were 48.0%, while those who transferred to other hospitals and institutions were 52.0 %. They received discharge planning in the 22.3nd day after hospitalization on average. Their motives of discharge planning were doctor recommendation (60.0%) and nurse recommendation (4.0%). Contributing factors to home care were suggested such as 1) having home doctor at hospitalization, and 2) having few medical instruments and medical procedures.