訪問看護ステーションにおける災害対策の実態と相互支援ネットワークについての意向

The Current State of Disaster Countermeasures at Visiting Nursing Stations and the Demand for a Mutual Support Network

要約

目的：本研究の目的は災害対策の実態、災害時の相互支援のための訪問看護ステーション間のネットワークについての意向を明らかにすることである。

方法：新潟県の全訪問看護ステーションの管理者に無記名自記式質問紙を郵送した。基本統計量を算出し、ネットワーク構築についての意向と施設特性等との関係をχ²検定、Fisherの正確確率検定及びMann-WhitneyのＵ検定を用いて分析した。

結果：60施設より回答があった(回収率62.5％)。職員間の緊急連絡網の作成・更新は57施設(95.0％) で行われる一方、停電時の医療機器管理の準備等の実施は半数以下であった。39施設(65.0％) の管理者がネットワークが構築されれば参加したいと希望し、規模が大きく、多機関の支援を希望する施設で参加意向を示す割合が高かった(p＜.05)。

結論：自助としての災害対策には限界があり、相互支援ネットワークの構築が求められている。

Aim: This study was conducted to clarify the current state of disaster countermeasures at visiting nursing stations and the demand for a mutual support network for use in the event of a disaster.

Method: A self-report questionnaire survey was mailed out to the administrators of all visiting nursing stations in Niigata Prefecture. Basic statistics were calculated and data were analyzed using chi-squared testing, Fisher's exact testing and Mann-Whitney U testing to determine the relationship between the characteristics of a facility and the desire expressed to participate in a proposed mutual support network.

Results: Among the 60 facilities (62.5%) that responded, 57 (95.0%) reported the formation and upkeep of an emergency contact network among staff. However, less than half of the facilities reported contingencies for medical equipment management during a power failure. A total of 39 facilities (65.0%) indicated a desire to participate in a mutual support network. The proportion of large-scale facilities hoping for support from various institutions and indicating a wish to participate in a mutual support network was high (p＜.05).

Conclusion: There is a limit to the disaster countermeasures a single facility can organize, and there is demand for the formation of a mutual support network.