2026-03-09T23:57:33Z https://junshin.repo.nii.ac.jp/oai

oai:junshin.repo.nii.ac.jp:00000594 2025-03-06T08:25:14Z 1:6:82:99

【報告】Care Procedures Performed by Nurses during Long Home Visits as Respite Care Services - A Time Study of a Child with Medically-dependent Severe Motor and Intellectual Disabilities Requiring Home Mechanical Ventilation - 生田, まちよ イクタ, マチヨ Child with Medically-dependent Severe Motor and Intellectual Disabilities Home Mechanical Ventilation visiting nurse Respite Care Services Time Study Aim: The purpose of this study was to clarify the care procedures performed by visiting nurses for a medically-dependent severe motor and intellectual disabilities child using home mechanical ventilation in regular long home-visit nursing and the duration of each procedure. Methods: A time study was conducted by a visiting nurse for the families of a child undergoing home mechanical ventilation therapy, and the contents and durations were aggregated and analyzed. Results: Among all care procedures, [observation/monitoring] accounted for the largest part both at night and during the day (46.8 and 16.4%, respectively). The mean durations of [care to promote expectoration], such as tracheal suctioning, drug inhalation, and pulmonary physical therapy (night 11.4%; daytime 24.1%) and [mechanical ventilator management] (6.6 and 7.8%, respectively) were the second longest. [Playing with the child] also accounted for a large part (night 5.7%; daytime 16.9%). Conclusion: As nurses care for pediatric patients longer during long home-visit nursing than during standard services, it may be necessary for them to deepen their knowledge of child development and play, in order to enhance risk management and provide daily life support, including developmental support, in addition to improving the quality of medical care. 純真学園大学 2023-03-31 eng departmental bulletin paper VoR https://junshin.repo.nii.ac.jp/records/594 2186-6481 純真学園大学雑誌 Journal of Junshin Gakuen University 13 91 99 https://junshin.repo.nii.ac.jp/record/594/files/Care Procedures Performed by Nurses during Long Home Visits as Respite Care Services.pdf application/pdf 8.7 MB 2023-04-19