本研究は、高齢者施設における災害(地震)時の対応、具体的な実践内容を把握することを目的とし、新潟県中越沖地震にて緊急的に避難者を受け入れた特別養護老人ホーム及び福祉避難所となった特別養護老人ホームの2ヶ所の施設管理者を対象に半構成インタビューによる面接調査を実施した。その結果、以下のことが明らかになった。1.利用者及び避難者へ対しては、安全な一時的待機場所へ避難・誘導し、ボランティアと共に日常生活支援を中心に行っていた。ボランティアについては受け入れニーズの把握とコーディネイターの必要性が示唆された。2.職員の勤務体制・緊急招集については、マニュアルの整備に加え状況に応じた判断が求められ、メールを活用した連絡が有効であった。3.状況に合わせた実践的な防災訓練が実施されており、訓練に当たっては施設の構造を踏まえた避難方法及び職員の配置の必要性が示唆された。4.災害時に介護者に必要とされる能力については「状況に合わせた創意工夫のあるケア」「利用者の話をよく聴く姿勢」があげられた。5.施設における災害対策の課題としては、「防災体制の整備と防災意識の向上」「被災経験及び実践内容の伝承」「情報の入手及び共有化の体制整備」「職員のケア」があげられた。福祉避難所の課題としては、「福祉系トリアージの確立」「コーディネイターの養成」「平時からの福祉避難所の選定」があげられた。The aim of this research is to understand the responses to and specific practical actions taken at the time of a disaster (earthquake) at facilities for the aged. This research conducted semi‑structured interviews of administrators in two separate facilities affected by the 2007 Chuetsu Offshore Earthquake in Niigata Prefecture, one of which is a special nursing home for the aged that was pressed to take in evacuees and the other is a special nursing home for the aged that became a welfare evacuation shelter. The following points were determined from the results of the interviews. 1. Evacuation and guidance to safe temporary shelters and working with volunteers to support living conditions were actions taken by facility users and evacuees. 2. Decisions made in response to situations in addition to providing manuals are required for an orderly emergency assembly of employees, and communication done by e‑mail was effective. 3. Practical disaster prevention drills to deal with situations were conducted, and during the drills, a need for evacuation methods and employee placement on the basis of the facility structure was suggested. 4. The answers suggesting "creative care to deal with the situation" and "listening carefully to facility users" were given as abilities needed by caregivers during a disaster. 5. The answers concerning "providing disaster prevention systems and raising disaster prevention knowledge," "relating past disaster experiences and the steps taken with others," "maintaining a system of obtaining and sharing information" and "care for employees" were given as issues regarding disaster measures taken at facilities. The answers addressing "establishing welfare system triages," "coordinator training" and "selection of welfare evacuation shelters in non‑disaster times" were also given as welfare evacuation shelter issues
