{"created":"2023-06-20T14:08:13.366314+00:00","id":1673,"links":{},"metadata":{"_buckets":{"deposit":"629c02c0-202d-47dd-b62e-78b218238892"},"_deposit":{"created_by":14,"id":"1673","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"1673"},"status":"published"},"_oai":{"id":"oai:nayoro.repo.nii.ac.jp:00001673","sets":["1:284"]},"author_link":["2112","2113"],"control_number":"1673","item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"86","bibliographicPageStart":"79","bibliographicVolumeNumber":"10","bibliographic_titles":[{"bibliographic_title":"紀要","bibliographic_titleLang":"ja"}]}]},"item_10002_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNames":[{"affiliationName":"Nayoro City University","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"KINOSHITA, Kazuo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"2113","nameIdentifierScheme":"WEKO"}]}]},"item_10002_description_12":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_description":"110010022549","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10002_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"経済協力開発機構(OECD)は,人口当たりの精神科病床数が,日本は加盟国平均の4倍と突出して多いとする報告書をまとめており,先進諸国では精神疾患の患者が病院ではなく地域で暮らしながら治療を受ける流れにあり,日本は脱施設化の傾向が遅れていると指摘を受けている状況が続いている。入院患者の年齢が,65歳以上の方の割合は,平成8年に29%だったが,平成20年には48%と大きく増加している。精神科病院の新たなる生き残り策のための切り札として,認知症患者を精神科病院に入院させ,そこから自らの関連する施設に入所させ,外来通院,訪問看護等につなげていく等の精神科病院の関係・関連施設内において患者を循環させていくシステムを構築して,精神科病院自体の規模を拡大させていく例も増加してきている。そのため,認知症における精神科医療支援の課題や支援体制を考察するためにアンケート調査を実施した。調査方法としては,入院1年以上経過している患者の家族20名を対象として精神科病院から退院を困難にさせている要因を自由記述方式で記入してもらった。調査結果として,入院継続するほどの状態ではないにも関わらず,退院できない様々な要因が示された。単に精神科病院の体制の問題だけではなく,認知症医療支援のあり方自体を考え直すことが重要であり,多面的視点で考えていく必要性がわかってきた。従来から言われている,精神科医療が認知症の人の地域生活支援に目を向け,自宅や介護施設等へのアウトリーチ(訪問支援)や外来機能の充実を図っていくことを進めていくためには,まず精神科病院が病院組織全体の利益向上の追求よりも患者の今後の利益につながっていくための脱・精神科病院のシステム構築体制の必要性が示唆された。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"The Organization for Economic Cooperation and Development (OECD) has compiled reports indicating that Japan hasmarkedly more Psychiatry beds per population, with 4 times as many as the average number of those beds in other members of theOECD. In advanced countries, patients with psychiatric disorders are primarily treated while living in the community rather than inhospital. According to observers, Japan continues to lag behind in efforts to deinstitutionalize patients with psychiatric disorders.The proportion of inpatients who were age 60 or older was 29% in 1996 but 48% in 2008, so the age of inpatients has risen markedly.In a bid to remain viable, psychiatric hospitals are accepting patients with dementia and placing those patients in affiliated facilities,and psychiatric hospitals have created a system featuring outpatient visits, visiting care, and other services that passes patients aroundto those facilities. Psychiatric hospitals themselves are also increasingly growing in scale. Thus the current study surveyed 20members of families with a member who had been in a psychiatric hospital for a year or longer regarding psychiatric care fordementia and support systems for families. Respondents answered open-ended questions about factors that hampered the familymember's discharge. Responses indicated that various factors preclude discharge even if a family member no longer needs to behospitalized. The issue is not simply the psychiatric hospital system. Instead, the nature of support for care of patients with dementianeeds to be reconsidered, and that care needs to be considered from multiple perspectives. Long-touted goals of psychiatric care wereto enhance outreach to patients' homes and outpatient services of nursing homes in order to provide community living assistance topeople with dementia. Survey results suggested that a system of deinstitutionalization needs to be created to benefit patients ratherthan benefitting psychiatric hospitals as organizations.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"名寄市立大学","subitem_publisher_language":"ja"}]},"item_10002_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"CiNii"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://ci.nii.ac.jp/naid/110010022549","subitem_relation_type_select":"URI"}}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12272535","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"18817440","subitem_source_identifier_type":"PISSN"}]},"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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNames":[{"affiliationName":"名寄市立大学","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"木下, 一雄","creatorNameLang":"ja"},{"creatorName":"キノシタ, カズオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"2112","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9000319544594","nameIdentifierScheme":"CiNii ID","nameIdentifierURI":"http://ci.nii.ac.jp/nrid/9000319544594"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2016-05-06"}],"displaytype":"detail","filename":"木下.pdf","filesize":[{"value":"5.0 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"精神科病院家族会アンケート調査から見えてきた 認知症患者家族の課題と支援体制","url":"https://nayoro.repo.nii.ac.jp/record/1673/files/木下.pdf"},"version_id":"b12673d1-7c87-4881-b2f0-ff0b8ba4802d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"脱精神科病院","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"精神科医療","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"認知症家族支援","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"アセスメント","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"deinstitutionalization","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"psychiatric care","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"support for families dealing with dementia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"assessment","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":"精神科病院家族会アンケート調査から見えてきた 認知症患者家族の課題と支援体制","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"精神科病院家族会アンケート調査から見えてきた 認知症患者家族の課題と支援体制","subitem_title_language":"ja"},{"subitem_title":"Issues facing families of patients with dementia and support systems for those families as revealed by a survey of members of families with a member in a psychiatric hospital","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"14","path":["284"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2016-05-06"},"publish_date":"2016-05-06","publish_status":"0","recid":"1673","relation_version_is_last":true,"title":["精神科病院家族会アンケート調査から見えてきた 認知症患者家族の課題と支援体制"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2024-03-23T05:59:28.900669+00:00"}