Clarifying Problems with Emergency Healthcare Systems in Japanese Long-Term Care Facilities for Older People

Background: Long-term care facilities for older people play an important role as alternatives to family care in an aging society. This study aimed to assess staffing problems linked to emergency healthcare for residents of these facilities, and to investigate the relationship between these problems and the characteristics of the facilities. Methods: The study surveyed managers of long-term care facilities for older people in a Japanese urban area between September and December 2014. The type of care facility, the number of staff and any problems providing or accessing emergency healthcare for the residents were evaluated. Multiple logistic regression analysis was used to explore the factors common to facilities reporting staffing problems linked to emergency healthcare of residents. Results: In total, 321 long-term care facilities were eligible for this study and 226 (70%) returned the questionnaire. We compared the characteristics of facilities reporting and not reporting staffing problems in emergency healthcare of residents. The type of care facility was significantly associated with staffing problems in emergency healthcare of residents both during the day (p < 0.01) and at night (p = 0.04). The facilities most likely to report problems were group homes for older people with dementia, because of staffing shortages. Conclusions: Problems in emergency healthcare systems in Japanese long-term care facilities for older people varied by type of care facility. Our data underscore the need for telemedicine and consideration of mergers between smaller facilities such as group homes for older people with dementia.

长期卧床老年人功能性护理服的设计研发

随着人口老龄化的加剧,长期卧床老年人的护理问题成为社会关注的焦点,有效提升老年人的生活质量、减轻其护理负担势在必行。基于此,文章从长期卧床老年人功能性护理服的设计需求出发,对护理服制作材料、款式、功能设计进行深入探寻,采取科技手段,为长期卧床老年人提供更加个性化、高效的护理方案,提升其舒适感。

延续护理在预防居家长期卧床老人压疮中的应用进展

居家长期卧床老人压疮发生率逐年增加,严重影响卧床老人的生活质量。延续护理的管理模式能有效防止居家长期卧床老人压疮的发生率,从而使卧床老人及家属受益,给社会减轻负担。

针对性护理干预对老年卧床患者便秘的影响

目的探讨针对性护理干预对老年卧床患者便秘的影响。方法 80例老年便秘患者随机分为观察组和对照组,各40例。对照组给予常规护理,观察组在对照组的基础上给予针对性护理干预。比较2组患者排便的平均间歇时间。结果干预3个月后2组排便平均间歇时间均较干预前缩短,观察组较对照组缩短明显,差异有统计学意义(P<0.01)。结论针对性护理干预可有效缓解卧床老年患者便秘症状,提高生活质量。

针对长期卧床失能人群的功能性服装设计研究

长期卧床失能人群普遍存在服装穿脱不便、护理困难,易患压疮等问题。文章梳理了长期卧床失能人群的基本特征,调研并归纳该类人群的服装需求与市场现状、产品不足,进一步设计出更加适合该类人群的功能性服装。

OH压疮评估表在社区卧床老年人中的应用效果评价

目的:研究OH压疮评估表在社区卧床老年患者中的压疮危险程度预测效果。方法:选择2021年1月—2021年8月卧床老年人80例,采用OH压疮评估表和改良Braden评分表进行压疮危险评估。结果:OH压疮评估表的复测信度为0.975;改良的Braden复测信度为0.945。OH评分量表调查结果与压疮发生的符合率、敏感度高于改良Braden评分表;护士使用OH压疮评估表的一致性较改良Braden评分表好。结论:OH压疮评估表预测社区卧床老年患者压疮危险程度的能力优于改良Braden评分表。

鞣酸软膏预防老年卧床患者失禁性皮炎的效果

目的：探讨鞣酸软膏在预防老年卧床大便失禁患者失禁性皮炎（ IAD ）中的应用效果。方法选择老年卧床皮肤完好大便失禁的患者80例，按照随机数字表法分为观察组与对照组各40例，对照组采用常规护理方法，观察组在常规护理的基础上预防性涂抹鞣酸软膏，观察两组患者IAD的发生例数及发生时间。结果观察组IAD发生8例，对照组IAD发生30例，两组比较差异有统计学意义（P〈0.01）；观察组IAD发生时间晚于对照组，差异有统计学意义（P〈0.01）。结论鞣酸软膏能明显降低老年卧床便失禁患者IAD的发生率，并能延迟老年便失禁患者IAD的发生时间。