急性期病院におけるがん患者への退院支援—病棟看護師と退院調整看護師の協働との関連性

Discharge Support for Cancer Patients in Acute Care Hospitals: Relevance to Collaboration between Ward Nurses and Discharge Coordinators

要旨

目的：急性期病院病棟看護師のがん患者退院支援の実態を明らかにし，退院調整看護師との協働に焦点を当て関連性を検討すること．

方法：急性期がん診療連携拠点病院の病棟看護師645名に自記式質問紙で基本属性，退院支援システムや研修体制，がん患者退院支援尺度5件法52項目で退院支援の実態を調査．各項目の基本統計処理，がん患者退院支援尺度の因子分析，各因子と退院調整看護師との協働，就業背景との関連を分析した．

結果：因子分析後，最終43項目7因子構造の退院支援内容を得た．【退院調整看護師との協働】因子構成の9項目と他6因子との相関分析ですべてに相関がみられた．退院支援への興味・関心，研修会参加，カンファレンス実施は7因子と関連を示した．

結論：急性期病院病棟看護師のがん患者退院支援の実態が明らかとなり，これらは退院調整看護師との協働と関連を示したため，がん患者の退院支援推進のためには積極的な協働活動が必要である．

Objective: To clarify the actual situation of discharge support for cancer patients from ward nurses in acute care hospitals, and collaboration with the ward nurse and discharge coordinators relation.

Methods: A self-administered questionnaire survey was conducted, involving 645 nurses working on wards of designated hospitals for acute cancer care. The study items included: basic attributes, discharge support and training systems, and scores using an original 5-point scale, consisting of 52 subscales to evaluate discharge support for cancer patients. Basic statistical processing for each item and factor analysis of scores using the discharge support scale were performed. Subsequently, the associations of each factor with collaboration with discharge coordinators and professional backgrounds were examined.

Results: Through factor analysis, 43 items of 7 factors related to discharge support were created. On analyzing the associations among the 9 items of <collaboration with discharge coordinators> and the other 6 factors, a correlation was observed in all cases. Interest in discharge support, participation in training seminars, and the organization of conferences showed associations with all of the 7 factors.

Conclusion: Ward nurses in acute care hospitals for these shows and the discharge coordinators collaboration and related, realities of discharge support for cancer patients became clear, cancer patients discharge support for an active collaboration should be.