{"created":"2025-02-13T01:18:04.890765+00:00","id":2012542,"links":{},"metadata":{"_buckets":{"deposit":"646ca22f-aa3c-448f-9613-2c2d3567836f"},"_deposit":{"created_by":52,"id":"2012542","owner":"52","owners":[52],"pid":{"revision_id":0,"type":"depid","value":"2012542"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02012542","sets":["1713829974766:1713855006254:1738569860145:1738569911209","1713853213384:1713853295607"]},"author_link":["1258","1333","208"],"control_number":"2012542","item_10001_alternative_title_1":{"attribute_name":"タイトル別表記","attribute_value_mlt":[{"subitem_alternative_title":"Infection Control Challenges and Support Needs in Residential Elderly Facilities in Tokushima Prefecture : A Cross-Sectional Study","subitem_alternative_title_language":"en"},{"subitem_alternative_title":"徳島県内の高齢者施設における感染症対策上の課題と支援ニーズ","subitem_alternative_title_language":"ja"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-09-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"39","bibliographicPageStart":"31","bibliographicVolumeNumber":"22","bibliographic_titles":[{"bibliographic_title":"The Journal of Nursing Investigation","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"目的：高齢者施設における感染対策上の問題の解消に向けて，入所系高齢者施設の感染対策上の課題と支援ニーズを明らかにする．\n方法：本調査は，横断的研究であり，質問紙調査を郵送法で実施した．調査期間は2022年12月から2023年１月，対象は徳島県内の入所系高齢者施設，回答者は施設管理者であった．\n結果：133施設から有効回答が得られ，有効回答率は35．2％であった．COVID- 19について，職員からの発生があった施設は122施設（91.7％），利用者からの発生があった施設は75施設（56.4％），クラスター発生も48施設（36.1％）が経験していた．医療的ケア・身体介護依存度の高・低で施設を分け比較したところ，依存度の高い施設では有意にクラスターの発生が多かった（p=.017，Pearson's chi-squaretest）． BCP（Business Continuity Plan : BCP）の策定が行われていたのは78施設（58.6％）にとどまり，感染症対策に関する支援の中で最も要望の多かったのは訓練（シミュレーション）で65施設（48.9％）であった．\n考察：調査の結果，入所系高齢者施設の中でも医療的ケアや身体介護依存度の高い利用者が多い介護老人保健施設や特別養護老人ホームでのクラスター発生が多いこと，BCP 策定が進んでいないこと，クラスター発生時に備えた訓練（シミュレーション）のニーズも高いことがわかった．個々の施設の実情に即した支援が必要である．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Objective : To elucidate infection control challenges and support needs in residential elderly care facilities, aiming to address and resolve infection control issues in these facilities.\nMethods : This was a cross-sectional study, utilizing a questionnaire survey distributed by mail. The survey was conducted from December 2022 to January 2023. The target population comprised residential elderly care facilities in Tokushima Prefecture, with facility managers serving as respondents.\nResults : Valid responses were obtained from 133 facilities, yielding a valid response rate of 35.3%. COVID-19 cases were reported in 122 facilities（91.7%） among staff, 75 facilities（56.4%） among patients, and 48 facilities（36.1%） experienced clusters. Comparing facilities based on their level of dependence on medical care and nursing care, significantly more clusters occurred in facilities with higher levels of dependence（p=.017, Pearson's chi-square test）. Business Continuity Plans（BCP） were in place in 78 facilities（58.6%）, and the most frequently requested support for infection control was trainin（simulation） reported by 65 facilities（48.9%）.\nDiscussion : The results indicated many clusters occurred in geriatric health care facilities and special nursing homes for the elderly, where a significant number of patients are dependent on medical and physical care. Furthermore, the establishment of BCP was found to be lacking. The study also highlighted a high demand for training（simulation） to prepare for cluster occurrences. Support tailored to the specific conditions of individual facilities is necessary to effectively address these challenges.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島大学医学部","subitem_publisher_language":"ja"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"24342238","subitem_source_identifier_type":"EISSN"},{"subitem_source_identifier":"13483722","subitem_source_identifier_type":"PISSN"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open 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MB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://tokushima-u.repo.nii.ac.jp/record/2012542/files/jni_22_1_31.pdf"},"version_id":"98651686-4163-4105-92fc-ca5a3336758c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"入所系高齢者施設","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"新型コロナ感染症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"感染対策","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"業務継続計画","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Residential elderly care facilities","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"COVID-19","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Infectious disease control measures","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"BCP","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"徳島県内の入所系高齢者施設における感染対策上の課題と支援ニーズ : 横断的研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"徳島県内の入所系高齢者施設における感染対策上の課題と支援ニーズ : 横断的研究","subitem_title_language":"ja"}]},"item_type_id":"40001","owner":"52","path":["1713853295607","1738569911209"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2025-02-17"},"publish_date":"2025-02-17","publish_status":"0","recid":"2012542","relation_version_is_last":true,"title":["徳島県内の入所系高齢者施設における感染対策上の課題と支援ニーズ : 横断的研究"],"weko_creator_id":"52","weko_shared_id":-1},"updated":"2025-05-20T02:05:11.795833+00:00"}