{"created":"2023-05-15T09:17:17.772898+00:00","id":16,"links":{},"metadata":{"_buckets":{"deposit":"b52428c4-e42c-4588-8614-b3643b392d51"},"_deposit":{"created_by":15,"id":"16","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"16"},"status":"published"},"_oai":{"id":"oai:iuhw.repo.nii.ac.jp:00000016","sets":["1:30"]},"author_link":["587","591","485","484","590","588"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-01-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"23","bibliographicPageStart":"13","bibliographicVolumeNumber":"15","bibliographic_titles":[{"bibliographic_title":"国際医療福祉大学紀要"},{"bibliographic_title":"Bulletin of International University of Health and Welfare","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"在宅において家族介護者の90%が排泄介護を行っており,介護負担の大きな要因となっている。特に,重度要介護高齢者の排泄介護における負担は大きい。\n本研究は,在宅で重度要介護高齢者の排泄介護を行っている家族介護者の身体的,心理的,社会・経済的3側面の負担を高める要因を明らかにすることを目的とした。\n家族介護者に自記式質問紙調査を行い,150人について分析を行った。身体的負担がある家族介護者が71%で最も多く,次に社会・経済的,心理的負担(それぞれ56%と50%)であった。3側面の負担の有無をそれぞれ従属変数とし,多変量解析を行った結果,下痢・便秘傾向は,社会・経済的負担(ORはそれぞれ6.89と3.69)を高めており,直接介護時間が長いことは身体的負担(OR=1.99)を高め,経済的に余裕がないことは心理的負担(OR=3.80)を高めた。\n介護にかかる時間や費用がかさむ下痢と便秘のような排便障害に対して,適切な対処ができるように訪問看護師が支援することは,介護者の身体的負担だけではなく,社会・経済的,心理的負担の軽減につながることが示唆された。","subitem_description_type":"Abstract"}]},"item_10002_description_6":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"Purpose: This study is to investigate the related factors of burden of excretion care for care-dependent elderly in Care Level 4 or 5 who utilize visiting nursing care services. The burdens are defined as \"physical,\" \"psychological\" and \"socio-economical.\"\nMethods: Subjects are 150 caregivers. Multiple logistic models have been applied in analyzing the related factors of burden of excretion care.\nResults: 1) Seventy-one percent of the caregivers have physical burden. It is significantly related to the factors of caregivers such as `care-time' (odds ratio:95%CI)( 2.0:1.1-3.6). \n2) Fifty percent of the caregivers have psychological burden. It is significantly related to the factors of caregivers such as `no affordability' (3.8:1.5-9.5). \n3) Fifty-six percent of the caregivers have socio-economical burden. It is significantly related to `male care-dependent'(14.3:3.3-61.7) , `constipation'(3.7:1.2-10.6),`looseness of bowel' (6.9:1.3-37.7), `no spouse'(12.6:2.3-69.9) and `no affordability' (2.5:1.0-6.2).\nConclusion: To effectively reduce the caregivers' burden of excretion care for care-dependent elderly, nurses need to focus on `constipation' and `looseness of bowel'.","subitem_description_type":"Other"}]},"item_10002_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"Kikuchi, Yuki"}]},{"nameIdentifiers":[{}],"names":[{"name":"Minai, Junko"}]},{"nameIdentifiers":[{}],"names":[{"name":"Shimanouchi, Setsu"}]}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"国際医療福祉大学"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13424661","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{},{}],"nameIdentifiers":[{}]},{"creatorNames":[{},{}],"nameIdentifiers":[{}]},{"creatorNames":[{},{}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-05-24"}],"displaytype":"detail","filename":"15-2(13-23p).pdf","filesize":[{"value":"752.6 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"本文(PDF)","url":"https://iuhw.repo.nii.ac.jp/record/16/files/15-2(13-23p).pdf"},"version_id":"d849d426-3ac5-46ca-9de4-828d3641ff99"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"訪問看護","subitem_subject_scheme":"Other"},{"subitem_subject":"介護負担","subitem_subject_scheme":"Other"},{"subitem_subject":"排泄介護","subitem_subject_scheme":"Other"},{"subitem_subject":"visiting nursing care","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"care burden","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"excretion care","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":"在宅重度要介護高齢者の排泄介護における家族介護者の負担に関連する要因","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"在宅重度要介護高齢者の排泄介護における家族介護者の負担に関連する要因"},{"subitem_title":"Factors of Caregiver Burden Related with Incontinence of the Dependent Elderly at Home","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"15","path":["30"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-05-07"},"publish_date":"2012-05-07","publish_status":"0","recid":"16","relation_version_is_last":true,"title":["在宅重度要介護高齢者の排泄介護における家族介護者の負担に関連する要因"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-05-15T09:45:37.547536+00:00"}