{"title":"Challenges in Home-Visit Nursing for Individuals with Mental Disorders and Physical Complications in Japan: A Focus Group Study.","authors":"Natsuko Ogino, Takahiro Kikkawa","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>Focus group interviews with 30 professionals from eight home-visit nursing stations were conducted and analyzed using thematic analysis.</p><p><strong>Results: </strong>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\".</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":38819,"journal":{"name":"Tokai Journal of Experimental and Clinical Medicine","volume":"51 1","pages":"45-51"},"PeriodicalIF":0.0000,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tokai Journal of Experimental and Clinical Medicine","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
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.
期刊介绍：
The Tokai Journal of Experimental and Clinical Medicine, also referred to as Tokai Journal, is an official quarterly publication of the Tokai Medical Association. Tokai Journal publishes original articles that deal with issues of clinical, experimental, socioeconomic, cultural and/or historical importance to medical science and related fields. Manuscripts may be submitted as full-length Original Articles or Brief Communications. Tokai Journal also publishes reviews and symposium proceedings. Articles accepted for publication in Tokai Journal cannot be reproduced elsewhere without written permission from the Tokai Medical Association. In addition, Tokai Journal will not be held responsible for the opinions of the authors expressed in the published articles.
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