サービス利用者による訪問看護師への暴力と訪問看護ステーションの地域連携との関連

Relationship between Violence to Visiting Nurses by Service Users and Community Cooperation of Visiting Nursing Station

要旨

目的：訪問看護ステーション（以下，訪看ST）で，管理者が把握する訪問看護師（以下，訪問Ns）に暴力行為のある利用者の有無と，地域連携の関連を検討する．

方法：訪看ST管理者を対象とした無記名自記式質問紙郵送調査．調査項目は訪看ST管理者個人属性，所属先状況，訪問Nsに暴力行為のある利用者数，在宅医療介護従事者における顔の見える関係評価尺度（以下，地域連携）で，地域連携を独立変数，暴力の有無を従属変数とし，ロジスティック回帰分析をした．

結果：回収805名（回収率27.3％）．各暴力行為の利用者ありとした訪看ST数は，身体的暴力240件（29.8％），言葉の暴力296件（36.8％），セクシャルハラスメント（以下，セクハラ）251件（31.2％）．個人属性，所属先状況と各暴力に関連が示され，地域連携の低得点群は高得点群より言葉の暴力，セクハラのある利用者割合が多かった．

結論：本結果より訪看STの地域連携の低さと言葉の暴力，セクハラの発生が関連していることが示唆された．

Purpose: The association between the presence or absence of clients who are known to use violence against visiting nurses (VN) by the administrator of the visiting nursing station (VNST) and community cooperation is investigated.

Method: Anonymous self-administered questionnaire mail survey for VNST administrators. Survey questions included the personal attributes of VNST administrators, affiliation, the number of clients acting violently against VN, and the Identifiable Relation Rating Scale score in home care providers (community cooperation). Logistic regression analysis was performed using community cooperation as the independent variable and the presence of abusive clients as the dependent variable.

Result: A total of 805 responses were collected (response rate 27.3%). The numbers of ST having abusive clients were 240 for physical violence (29.8%), 296 for verbal abuse (36.8%), and 251 for sexual harassment (31.2%). Each type of violence was associated with personal attributes and affiliation. The percentage of verbally abusive or sexually harassing clients was higher in the ST group which scored low in community cooperation compared with other groups with a high cooperation score.

Conclusion: It was suggested that the lowness of community cooperation of VNST were related to the verbal aggression and occurrence of sexual harassment.