人工呼吸器装着中の在宅療養者と家族介護者が支援者と共同で備えるための「金沢高知式災害備えチェックシート」の開発

Development of the Kanazawa and Kochi Disaster Preparedness Check Sheet for ventilator-assisted homecare individuals and family caregivers to prepare for disasters with homecare medical staff

要約

　人工呼吸器装着中の在宅療養者と家族介護者が支援者と共同で備えるための「金沢高知式災害備えチェックシート」（シート）を開発することを目的とした。まず、先行研究を参考に、シートの項目案として①属性、家族介護者、キーパーソン、住環境、②病名、要介護区分、障害程度区分、ADL、医療処置、処方、③物的備え、④避難行動、⑤災害時の支援体制を挙げた。次に５組の在宅療養者と家族介護者と支援者が実際にシートを使用して現在の備えと必要な支援を話し合った結果、５組の家族は避難したくないと回答し、家屋の装備も備えていなかった。これらの結果より、シートの項目の物的備え、避難行動、災害時の支援体制の一部に、生活を支援している専門職、自治体や国からの支援の必要性について記載する欄と、避難行動に対する思いを記載する欄の追加が必要だった。

This study aimed to develop the Kanazawa and Kochi Disaster Preparedness Check Sheet, with which ventilator-assisted homecare individuals and family caregivers can prepare for disasters with homecare medical staff. First, the following items were selected from a preceding study for inclusion in the check sheet: 1. attributes, family caregivers, key person and living environment 2. disease name, care requirement category, disability level category, ADL, medical procedures and prescriptions, 3. material stockpile 4. evacuation behavior, and 5. disaster management support system. Then, 5 groups of homecare individuals, family caregivers, and homecare medical staff used the sheets and discussed what preparations they had made and what support they would need. The families in all 5 groups responded that they would never want to evacuate and that they had not prepared any equipment in their house. These results suggest that it might be necessary to add some blank space to write down whether they require assistance from professionals or from the local or the national government for support, and to describe how they feel about evacuation.