全国調査によるユニットケア実施施設の実態に関する考察

摘要

ユニット型施設の整備状況は、補助金制度や国の整備方針に影響されていた。ユニット数は夜間の職員配置の配慮などにより偶数のユニットが多く、施設規模としては6ユニット以上が好まれていた。一方で、低所得者向けの補助制度が設けてあるにも関わらず、8割以上の施設で生活保護受給者がいない状況が伺えた。%This paper aims to clarify the present conditions and problems of the unit type nursing home throughout Japan. The results of the analysis are as follow: 1. The number of the staffs and the fixed placement affected care and the making of living environment. Fixed placement was in particular indispensable to bathing care and excretion care, an atmosphere built on living room. 2. Since staff placement less than two people is necessary to perform fixed placement smoothly, the review of the current standard related to staff placement is necessary. 3. In the private room, dementia can have lived with one's life rhythm and a family can be easy to visit. In other words, the private room is effective for improvement of the quality of life of the elderly. 4. In private room, the occupancy rate of the low-income person is low, then an effort to meet the demand of the low-income person is necessary.