{"created":"2023-06-19T08:49:44.928047+00:00","id":2237,"links":{},"metadata":{"_buckets":{"deposit":"5bd5622f-afc1-4d96-a473-8d05c0a5a8cb"},"_deposit":{"created_by":3,"id":"2237","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2237"},"status":"published"},"_oai":{"id":"oai:u-shizuoka-ken.repo.nii.ac.jp:00002237","sets":["7:280:374"]},"author_link":["1479","1480","1478"],"item_3_alternative_title_3":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Comparison between caring time per category of care in in-home settings and in out-of home settings － Focusing on care provided during night shift －"}]},"item_3_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-03-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"54","bibliographicPageStart":"47","bibliographicVolumeNumber":"25","bibliographic_titles":[{"bibliographic_title":"経営と情報 : 静岡県立大学・経営情報学部/学報"}]}]},"item_3_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"本研究では、施設と在宅における深夜帯のケア提供の実態について、タイムスタディ調査による実証的データを基礎として明らかにした。分析の結果、施設利用者の深夜帯のケア発生を判別していたのは、ケア提供において「排泄」 0.723、「移動（施設内）」0.529 、「寝具・リネン」0.360の３項目であり、判別的中率は83.5%であった。一方、在宅データでは、「排泄」 0.581、「食事・栄養・補液」0.376、「コミュニケーション」0.308、「呼吸器系の処置」0.279、 「清潔・整容」0.252、 の5項目が抽出され、 判別的中率は68.9%であった。施設、在宅共に深夜帯にケアが発生していた利用者の判別に高い影響を与えていたのは、排泄に係るケアの提供であった。また、これらの利用者は、深夜帯だけでなく、 昼間の時間帯でも深夜帯にケアが発生していない利用者に比較すると、多様なケアを長時間にわたって提供されていた。さらに、施設と在宅での深夜帯のケアの違いとして、在宅のみに「呼吸器系の処置」といった医療的ケアが抽出された。国は、地域包括ケアシステムの構築にあたって、24時間の「定期巡回・随時対応サービス」の導入をしてきた。以上の結果からは、在宅での24時間のケア提供を支える地域包括ケアシステムの構築にあたっては、医療的ケアを提供することができる訪問看護や医療との連携が重要であることが示唆された。\\\\nUsing experimental data, we compared how care is provided during night shifts in in-home settings and in out-of home settings. Results show that, in out-of homes settings, three items were discriminated (hit ratio of 83.5%): \"elimination\" (0.723), \"Transfer (within facility)\"(0.529),\"Bed clothing and linen\"(0.360). In in-home settings data, five items were extracted (hit ration of 68.9%): \"Elimination\"(0.581), \"Meal and rehydration\"(0.376), \"Communication\"(0.308), \"Respiratory procedures\"(0.279), \"Hygiene and cosmetics\"(0.252). Care involved with \"Elimination\" had a strong influence on the discrimination of users provided with care at night, regardless of whether they are in an in-home setting or in an out-of-home setting. Those users, compared to users who were not provided with care at night, were provided with various care for a longer time not only at night but also during daytime. Moreover, looking at the difference between care provided at night in in-home and out-of-home settings, \"Respiratory procedures\", involving medical, was extracted. Along with the community-based integrated care system, Japan has implemented \"need-based routine visit\" services. Results above show that, in order to enable the provision of around-the-clock services in in-home settings, it is important to reinforce the cooperation with the medical field and to enable nurses to provide this type of medical care at home.","subitem_description_type":"Abstract"}]},"item_3_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_3_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_3_publisher_14":{"attribute_name":"出版者 名前","attribute_value_mlt":[{"subitem_publisher":"静岡県立大学経営情報学部"}]},"item_3_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"09188215","subitem_source_identifier_type":"ISSN"}]},"item_3_text_12":{"attribute_name":"版","attribute_value_mlt":[{"subitem_text_value":"publisher"}]},"item_3_text_13":{"attribute_name":"出版地","attribute_value_mlt":[{"subitem_text_value":"静岡"}]},"item_3_text_17":{"attribute_name":"出版年(from)","attribute_value_mlt":[{"subitem_text_value":"2013"}]},"item_3_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Masaaki,Otaga"},{"subitem_text_value":"Sadanori,Higashino"},{"subitem_text_value":"Takako,Tsutsui"}]},"item_3_text_8":{"attribute_name":"著者 所属","attribute_value_mlt":[{"subitem_text_value":"国立障害者リハビリテーション研究所"},{"subitem_text_value":"静岡県立大学経営情報学部"},{"subitem_text_value":"国立保健医療科学院"}]},"item_3_text_9":{"attribute_name":"著者所属(翻訳)","attribute_value_mlt":[{"subitem_text_value":"Research Institute, National Rehabilitation Center for Persons With Disabilities"},{"subitem_text_value":"School of Management & Information, University of Shizuoka"},{"subitem_text_value":"National Institute of Public Health, Japan"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大夛賀, 政昭"},{"creatorName":"オオタガ, マサアキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1478","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"東野, 定律"},{"creatorName":"ヒガシノ, サダノリ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1479","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"筒井, 孝子"},{"creatorName":"ツツイ, タカコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"1480","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":"2016-03-23"}],"displaytype":"detail","filename":"AN10118525201303001040.pdf","filesize":[{"value":"781.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AN10118525201303001040.pdf","url":"https://u-shizuoka-ken.repo.nii.ac.jp/record/2237/files/AN10118525201303001040.pdf"},"version_id":"eab22f98-2fab-443a-beb3-fdba5b7a0283"}]},"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":"在宅と施設におけるケア内容別時間の比較に関する研究 －深夜帯のケア内容別ケア時間に着目して－","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"在宅と施設におけるケア内容別時間の比較に関する研究 －深夜帯のケア内容別ケア時間に着目して－"}]},"item_type_id":"3","owner":"3","path":["374"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-09-20"},"publish_date":"2013-09-20","publish_status":"0","recid":"2237","relation_version_is_last":true,"title":["在宅と施設におけるケア内容別時間の比較に関する研究 －深夜帯のケア内容別ケア時間に着目して－"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-19T09:36:53.430972+00:00"}