Joint Study on Stress and Coping of Chronic Patients and Families

• Project/Area Number: 06045008
• Research Category: Grant-in-Aid for international Scientific Research
• Allocation Type: Single-year Grants
• Section: University-to-University Cooperative Research
• Research Institution: CHIBA UNIVERSITY
• Principal Investigator: KANEMATSU Yuriko Chiba University, School of Nursing, Professor, 看護学部, 教授 (20091671)
• Co-Investigator(Kenkyū-buntansha): BOOTH Rachel アラバマ大学バーミングハム校, 看護学部, 教授 学部長 ; GASKINS Susa アラバマ大学タスカルーサ校, 看護学部, 助教授 ; MARU Mitsue Chiba University, 看護学部, 助手 (50241980) ; KUDO Yoshiko Chiba University, 看護学部, 助手 (40234455) ; UCHIDA Masayo Chiba University Mitch, Shelton・UAT・, 看護学部, 助手 (70125938) ; FURUYA Kayuri Chiba University Ayda, Nambayan・UAB・, 看護学部, 助手 (90222877) ; YUASA Michiyo Chiba University Judy, Holcome・UAB・, 看護学部, 助手 (70237494) ; YAMAMOTO Yuka Chiba University Madeline, Harris・UAB・, 看護学部, 助手 (20272338) ; OLIVET Linda アラバマ大学タスカルーサ校, 看護学部, 準教授 ; HENSON Anne アラバマ大学バーミングハム校, 看護学部, 準教授 ; SATO Hiromi Chiba University Penelope B.Paul・UAB・, 看護学部, 助手 (80199603) ; SATO Mayumi Chiba University Debra, Novak・UAT・, 看護学部, 助手 (10251191) ; MIZUNO Terumi Chiba University Carol, Dashiff・UAB・, 看護学部, 助手 (90261932) ; OZAWA Keiko Chiba University Penny, Wright・UAB・, 看護学部, 助手 (80261931) ; 正木 治恵 千葉大学, 看護学部, 講師 (90190339) ; TAKEDA Junko Chiba University Carolyne, Crow・UAT・, 看護学部, 講師 (50157450) ; INOUE Tomoko Chiba University Ann Tuener-Henson・UAB・, 看護学部, 助教授 (20151615) ; SATO Reiko Chiba University Linda W.Olivet・UAT・, 看護学部, 教授 (90132240) ; SAITO Kazuko Chiba University Susan Gaskins・University of Alabama at Tuscaloosa (UAT)・, 看護学部, 教授 (70106219) ; NOGUCHI Miwako Chiba University Rachel, Booth・University of Alabama at Birmingham (UAB)・, 看護学部, 教授 (10070682) ; PAUL Penelop アラバマ大学バーミングハム校, 看護学部, 準教授 ; HOLCOME Judy アラバマ大学バーミングハム校, 看護学部, 準教授 ; HORRIS Madel アラバマ大学バーミングハム校, 看護学部, 助教授 ; SHEITON Mitc アラバマ大学タスカルーサ校, 看護学部, 助教授 ; KELTNER Bett アラバマ大学バーミングハム校, 看護学部, 教授 ; WRIGHT Penny アラバマ大学バーミングハム校, 看護学部, 教授 ; DASHIFF Caro アラバマ大学バーミングハム校, 看護学部, 教授 ; NOVAK Debra アラバマ大学タスカルーサ校, 看護学部, 助教授 ; NAMBAYAN Ayd アラバマ大学バーミングハム校, 看護学部, 助教授 ; CROW Carolyn アラバマ大学タスカルーサ校, 看護学部, 助教授 ; HARUE Masaki Chiba University Bette, Keltner・UAB・ ; 黒田 久美子 千葉大学, 看護学部, 助手 (20241979) ; HOLCOMBE Jud アラバマ大学, バーミングハム校・看護学部, 助教授 ; HARRIS Madel アラバマ大学, バーミングハム校・看護学部, 助教授 ; SHELTON Mitc アラバマ大学, タスカルーサ校・看護学部, 助教授 ; SKIPWITH Del アラバマ大学, バーミングハム校・看護学部, 教授
• Project Period (FY): 1994 – 1995
• Project Status: Completed (Fiscal Year 1995)
• Budget Amount: ¥4,200,000 (Direct Cost: ¥4,200,000); Fiscal Year 1995: ¥2,000,000 (Direct Cost: ¥2,000,000); Fiscal Year 1994: ¥2,200,000 (Direct Cost: ¥2,200,000)
• Keywords: Demented Elder / Family Caregiver / Stress / Cancer Patient / Coping Behavior / Mothers of Chronically-ill Children / Parenting Stress / Cross-cultural Comparison / 痴呆老人 / ソーシャルサポート

Research Abstract

This is a cross-cultural study on stress and coping of chronically-ill patients and their families in Chiba Prefecture, Japan, and the State of Alabama in the Unite States. Demented elders, cancer patients, and chronically-ill children and their families were chosen for the study. Suggestions for excellence of nursing care from different xultural perspectives were expected.
Study on demented elders In 1994, a questionnaire for measuring stress and related variables of family caregivers of demented elders was developed with mutual agreement of the researchers from both countries. In 1995,58 family caregivers in each country were interviewed at home using the questionnaire. Comparative analyzes showed the differences in patient's and family caregiver's attributes, and decision making processes for the care of demented elders. Correlates between problem behaviors of demented elders and feelings of burden of caregivers were found in both countries.
Study on cancer patients Coping Inventory f or Stressful Situations (CISS) was used in both countries. In 1994,103 cancer patients hospitalized for surgery were investigated by using Japanese version of CISS in Chiba city. In 1995,3 months after discharge, they were asked again to fill CISS with some questions at home and 63 replied. To compare the results with healthy population, 300 healthy adults over 20 years of age were investigated using CISS.Data analyzes are continued. Cross-cultural analyzes will be done to make conclusions.
Study on chronically-ill children In 1994, parenting stress and family situations of 38 mothers of chronically-ill children aged 3 to 24 months were investigated in each country by using Abidin's Parenting Stress Index (PSI). In Japan 38 mothers of healthy children matched by age, sex, and birth order with chronically-ill children were also investigated. Cross-cultural analyzes revealed that parenting stress of American mothers were significantly higher than Japanese mothers both in Child Domain and Parent Domain. In comparison of Japanese mothers, Child Domain of PSI in mothers of chronically-ill children was significantly higher than those of healthy children. In 1995, the Japanese version of PSI with 78 items and 15 subscales was developed by analyzing the responses of 1114 mothers with healthy children in three prefectures.

Research Products

• [Publications] Turner-Henson,A.,Heladay,B.,Kanematsu,Y.,Maru,M,Nakamura,M.: "Stress experienced by mothers of young chronically-ill children : A cross-cultural comparison" JANS 2nd International Nursing Research Conference Proceedings. 142 (1995)
  • Description: 「研究成果報告書概要(和文)」より
• [Publications] Nakashima,M.,Kanematsu,Y.,Nakamura,M.,Kudo,Y.,Takeda,J.,Uchida,M.,Furuya,K.: "Deferminants of stress experienced by Japanese mothors of young chronically-ill Children : The comparison with healthy children" JANS 2nd International Nursing Research Conference Proceedings. 144-145 (1995)
  • Description: 「研究成果報告書概要(和文)」より
• [Publications] 中村美保,兼松百合子,丸光恵,工藤美子,武田淳子,内田雅代,古谷佳由理,白畑花子: "日本版Parenting Stress Index (PSI)の信頼性・妥当性の検討" 日本看護科学会誌. 15(3). 43 (1995)
  • Description: 「研究成果報告書概要(和文)」より
• [Publications] 正木治恵他: "痴呆性老人の家族介護者のストレスならびに影響要因" 第2回日本老年看護学会. (予定). (1996)
  • Description: 「研究成果報告書概要(和文)」より
• [Publications] Turner-Henson, A., Holaday, B., Kanematsu, Y., Maru, M., & Nakamura, M.: "Stress experienced by mothers of young chronically-ill children : A cross-cultural comparison" JANS 2nd International Nursing Research Conference Proceedings. 142 (1995)
  • Description: 「研究成果報告書概要(欧文)」より
• [Publications] Nakashima, M., Kanematsu, Y., Nakamura, M., Kudo, Y., Takeda, J., Uchida, M., & Furuya, K.: "Determinants of stress experienced by Japanese mothers of young chronically-ill children : The comparison with healthy children" JANS 2nd International Nursing Research Conference Proceedings. 144-145 (1995)
  • Description: 「研究成果報告書概要(欧文)」より
• [Publications] Nakamura, M., Kanematsu, Y., Maru, M., Kudo, Y., Takeda, J., Uchida, M., Furuya, K.& Shirahata, N.: "Reliability and validity of the Japanese Version of Parenting Stress Index (PSI)" Journal of Japan Academy of Nursing Science. 15 (3). 43 (1995)
  • Description: 「研究成果報告書概要(欧文)」より
• [Publications] Masaki, H.et al.: "Stress and effective variables of family caregivers of demented elders" 2nd Japanese Gerontological Nursing Conference. (in press). (1996)
  • Description: 「研究成果報告書概要(欧文)」より
• [Publications] M.Nakashima,Y.Kanematsu,J.Takeda et al.: "determinants of Stress Experienced by Mothers of Young Chronically-Ill Children." Proceedings of the 2nd International Nursing Research Conference. (予定). (1995)
• [Publications] A.Turner-Henson,Y.Kanematsu,M.Nakashima et al.: "Stress Experienced by Mothers of Young Chronically Ill Children: A Cross-Cultural Comparison" Proceedings of the 2nd International Nursing Research Conference. (予定). (1995)