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Challenges in Home-Visit Nursing for Individuals with Mental Disorders and Physical Complications in Japan: A Focus
Natsuko Ogino1, Takahiro Kikkawa
1Faculty of Nursing, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. n-ogino@tokai.ac.jp.
Objective:
In Japan, many individuals with mental disorders require long-term hospitalization. However, to promote community integration and enable these individuals to live comfortably in their local areas, mental and physical care provided by nurses is essential. Therefore, this study aimed to examine the status of home-visiting health professionals and determine the challenges in providing support to patients with physical and mental health problems.
Methods:
Focus group interviews with 30 professionals from eight home-visit nursing stations were conducted and analyzed using thematic analysis.
Results:
The difficulties in providing physical care to patients with mental illness were categorized into three themes: (1) "fragmentation of healthcare, isolation, and adverse effects of long-term retention," arising from non-integrated medical care for individuals with mental disorders; (2) "background of patients that makes it difficult to participate in physical healthcare," stemming from mental symptoms or the patient's own perception; and (3) "loneliness of the patients concerned and lack of security in medical care".
Conclusion:
The results showed that Japanese home-visiting health professionals faced several challenges in providing physical care to individuals with mental disorders. To improve patient care, this study suggests that societal efforts addressing the identified challenges are necessary.
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