在宅療養における日記使用の試み

The Use of a Diary in Homecare

要旨

　21世紀の医療は入院の短縮、在宅療養の増加、健康の自己管理による生活習慣病の予防が必至であり、在宅療養のQOLを図る上で記録は重要な課題と予想される。筆者らは在宅療養者が使用しやすい日記を考案作成し、無料で1,000名に配布した。1ヶ月後に日記の使用状況や有用性等についてアンケートを回収（204名）した結果、以下のような特徴が明らかになった。

　1）回答者は女性が80％を占め、年齢構成では50代から80代が76％を占めた。

　2）日記を使用する目的は自己管理用42％、高齢者の介護用28％が多数を占めた。

　3）日記使用の効用は、体調・病状の把握45％、備忘録22％、排泄の管理22％、連絡17％、食事の管理17％、反省7％、医療処置6％、精神的安定3％であった。

　4）回答時において日記を使用中86％、日記が役立った77％であった。

　5）過去における療養記録あり65％、記録の種類は大学ノート32％であった。

Abstract

　We designed a specific-styled diary that can be used by those who are sick or who care the sick. Free-copies of the diary were distributed to 1,000 people, for whom we sent a questionnaire one month later after the distribution. We received answers from 204 users. 80％ of the users were women and 76％ of them were aged 50 to 80.

　They used the diary with different purposes such as the self-care(42％), the care for old-age people (28％)and so on. They recognized the advantages of the use of the diary in various aspects: health care(44％), recording something important(22％), discharge care(19％), written communication with shared person(s) when caring the sick(17％), recording information on eating(17％) and so on. 86％ of all respondents to the questionnaire continued to record in the diary and 77％ appreciated the use of the diary because of its easily use. Moreover, 65％ had experienced the recording of some information about sickness, using several materials such as a notebook(32％). This study confirms the effectiveness of the use of a specific-styled diary for those who are sick and/or for those who have to care for the sick.