The research was done in order to clarity the patterns of social support giving and receiving in the everyday lives of elderly persons at home with disabilities, and to obtain information on elderly support by examining the viewpoint of giving and receiving support with the main focus on the influential factors to QOL. We used a questionnaire form to interview 253 elderly persons, users town and village day care services and functional training services, to find the following results.

1. The giving and receiving of support was mostly done in the order of spouse, child residing with the elderly person, child not residing with the elderly person, and friend.

2. The differences between men and women in the frequency and patterns of giving and receiving support were remarkable.

3. QOL was strongly related to activity competence.

4. QOL was low in the group with low support, and high in the group with high support.

5. Persons giving and receiving support to and from spouses and friends has a high QOL.

6. A quantitative 1-type analysis indicated that in regard to the influential factors to QOL (activity competence， household situation, age, housing situation, support received), QOL was strongly raised when the elderly person had a high activity competence, lived together with family, was between ages 75 and 84, had his / her own home, and received an adequate amount of support, whereas QOL lowered with the opposite factors.

In the effort to create an effective network information system of nursing care case summaries, we focused on the information categories that provide the fundamental framework for the case summaries, surveying how the information categories are compiled and how those categories are then interpreted, and then designed a database which could be used to implement an effective information system.

We compared the categories of information in the case summaries currently used in hospitals to the categories proposed by a study entitled, “The Necessary Components of Nursing Care Case Summaries for Continuing Home-Based Nursing Care after Hospitalization,” by the Committee for a Network of Nursing Care Case Summaries, organized under the auspices of the Japan Association for Medical informatics. From this research we discovered that the case summaries compiled in most hospitals merely address matters pertaining to the hospitalization period itself, and that very few. hospitals use a case summary format that addresses the information needs of field stations for proper home-based patient care by their staff of visiting nurses. In addition, we conducted a survey to determine whether there were differences among the nurses in how they interpreted any of the category headings required in the nursing care case summaries. The results of the survey showed that there were differences in interpretation for each of the forty-four case summary category headings surveyed. Based on these results, in order to promote consistency in the compilation and interpretation of nursing care case summaries, we modified the case summary category headings and designed a standardized format which defines the categories to be compiled, creating a database for our information system of nursing care case summaries.

We have introduced instant senior programs as quasi-experience in Applied Nursing Science (Home Care). In order to see the learning outcomes, we conducted a questionnaire survey in 79 nursing students before and after the instant senior programs in 1999. Seventy-two students responded of all 79. The questionnaire included changes in awareness and attitudes to the elderly, and usefulness in understanding of the elderly and provision of the care.

The results were obtained as follows:

1. All the respondents (100%) reported the program was useful for them as a nursing student and also as a care provider in understanding of the elderly.

2. It can be a clue to understand the needs of the elderly, to provide the practical care, and to provide the best care considering the physical condition.

3. Although changes after the program varied, there was a tendency to shift their awareness and attitudes to the elderly to positive, sharing and supportive direction.

This research field purpose announces whether the nursing occupation and care occupation are demonstrating original speciality nature while collaborating how. Methodology caught 9 cases of the being home life person to the object and carried out the survey and examined the way of collaboration centering around the thinking process / deed process of the nursing occupation and care oocupation.

Analysis makes “a standard attainment standard” as the reference, and the representative text book of the nursing occupation and care occupation it announced the similarity and difference of the thinking / deed process of the nursing occupation and care occupation as the analysis guideline.

As a result, the similarity of the thinking / deed process of the nursing occupation and care occupation were always considering a healthy obstacle even what kind of time it is case. Safe the base as, the difference was practicing the care that the nursing occupation considered the maintenance / increase of the health of the being home medical treatment person and family care person comfortably. As for the care occupation the healthy obstacle of the being home medical treatment person was doing the offer of care while observing, on the basis of whether there is not an obstruction in the life of from day to day.

Recently, home telecare system using multimedia begins to be recognized as an effective system for the elderly care. In the conventional exercise, the care-stuffs at the care center seem to need any qualification such as a medical doctor, a nurse and so on. The purpose of this research is how volunteers with no qualification can care the elderly. A center PC system for volunteers and a terminal for the elderly are developed for the communication using videophone technology. Although it was pointed out that the interfaces for the elderly and for volunteers were not perfect, it was proved that volunteers were also to be a great power for the elderly in their mental health, interest in social communication, good feel of safety and others after daily call. An automatic call system was also developed so as to assist volunteers who were difficult to work early morning. The system included an automatic morning call and simple questions of health and life. It seemed to be helpful not only for volunteers but also the elderly, too.

Objectives: Targeting 17 healthy male and female college students, the study was intended to measure changes in their safety and comfort resulting from changes in physical position. It compared the differences between subjects whose positions were changed by an automated device, (the automated group) and those whose positions were manually changed (the manual group).

Results: The systolic blood pressure of both men and women in the manual group decreased more than those the automated group when changing from recumbent to lateral position. While there was little difference in pulse rate between men in the automated and manual groups, women in the manual group showed a significant decrease in pulse rate when their position changed from recumbent to lateral. In addition, the study found that the pulmonary capacity of men and women in both groups decreased more when they moved from the recumbent position to either the left or right lateral position, than when they changed to the standing position. It was especially remarkable that the pulmonary capacity of women in the automated group decreased when they moved from the recumbent to the left or right lateral position. The automated group reported more valid symptoms than the manual group. ln terms of comfort, the manual group reported better results. However, on the safety side, the manual group showed a greater effect on circulatory system than the automated group. This demonstrates the importance of observation when changing a patients physical position.

The purpose of this study is to clarify the role of assessment in family nursing practices in community nursing. This study is based on family nursing casereports obtained from 20 expert public health nurses, using semi-structured interview as suggested in the theoretical literature.

Assessment items were divided into those concerning the family and those focusing on the individual. The data was analyzed and divided into two groups; problems initially expressed by the family, and potential problems.

The public health nurses felt that intervention in potential problem as identified by analysis of family assessment data, was the key to building trust by the family.