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Development of the Support System for Elderly Cancer Patients to Informed Concent

Research Project

Project/Area Number 07457574
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Nursing
Research InstitutionTokyo Metropolitan Institute of Gerontology

Principal Investigator

UEDA Keiji  Tokyo Metropolitan Inst.of Gerontology, Neurophysiology, Researcher, 神経生理部門, 研究員 (60271574)

Co-Investigator(Kenkyū-buntansha) NAGATA Kumiko  Tokyo Metropolitan Inst.of Gerontology, Nursing, Research Assistant, 看護学部門, 研究助手 (80228022)
SHICHITA Keiko  Tokai University, School of Health Sciences, Dept.of Nursing, Professor, 健康科学部, 教授 (80072990)
中村 順子  (財)東京都老人総合研究所, 看護学部門, 研究助手 (10250193)
高野 優子  (財)東京都老人総合研究所, 看護学部門, 研究員
村井 善郎  (財)東京都老人総合研究所, 酵素生化学部門, 研究員
Project Period (FY) 1995 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥7,100,000 (Direct Cost: ¥7,100,000)
Fiscal Year 1997: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 1996: ¥2,300,000 (Direct Cost: ¥2,300,000)
Fiscal Year 1995: ¥3,600,000 (Direct Cost: ¥3,600,000)
KeywordsELDERLY / CANCER / INFORMED CONSENT / ROLE OF NURSING / THE SUPPORT SYSTEM / 癌患者 / インフォームド・コンセント(IC) / ICと看護婦の役割 / IC支援システム / ICモニターシステム / IC支援ガイドライン
Research Abstract

The Purpose of this study was to develope the support system for elderly cancer patients to informed concent (IC), toward the best treatament and their own QOL.We investigated following four phases to develope the support system and verify it, in a geriatric hospital in Tokyo :
1) Characteristics of experiences and needs of elderly cancer parients about IC
We interviewed 51 elderly cancer patients and analyzed qualitative data. We identified characteristics of elderly experiences such as that Doctor's explanation was not enough, that patients couldn't agree to treatment plans of doctors, the type of IC,possibility of the case which a self was able to decide, and various needs and ideas about IC.
2) Clarification of role and subject of nursing to support elderly cancer patients to IC
6 focused group interviews with 10 expert nurses were organized. We clarified 4 function 21 items as role function, 4 domains of role, 21 items of role contents and 5 subjects on role accomplishment to support elderly cancer patients to IC.
3) Analysis of important mattes and structure pursued in the support system, and trial produce of the support system
We enforced investigation same as above. 6 important mattes and Structure to consist of core system and backup system were needed for the support system. On the basis of the result, we produced the support system on trial which consisted of five subsystems.
4) Verification of the support system of elderly cancer patients to IC
We enforced the support to 21 elderly cancer patients using the support system, and investigated about 3 side of the system, structure, process and outcome. The propriety and the effectiveness were almost verified, and Some improvement points became clear.

Report

(4 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report
  • 1995 Annual Research Report
  • Research Products

    (20 results)

All Other

All Publications (20 results)

  • [Publications] 柴田 宮子, 永田 久美子 他: "高齢がん患者のインフォーム・ドコンセントに関する看護の課題の検討" 東京都養育院老年学会誌. 3. 172-174 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 高野 優子, 七田 恵子 他: "高齢がん患者の告知体験と看護のあり方について" 東京都養育院老年学会誌. 2. 210-212 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 永田 久美子: "痴呆のある高齢の人々の自己決定を支える看護" 老年看護学. 2(1). 17-24 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 村井 善郎 他: "高齢者悪性腫瘍患者に対する病名告知" 第38回 日本老年医学会総会. 17-13 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] S.Kawakami et al: "INFORMED CONSENTIN THE ELDERLY CANCER PATIENTS" 5th Asis/oceania Regional Congress of Gerontology. 19 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Junko Nakamura et al: "AN EXPLORATORY STUDY ON NURSING CARE OF ELDERLY PATIENTS WITII CANCER.PART 1.ANALYSIS OF THE PRESENT WAYS OF INFORMING OF CANCERS,AS OBSERVED BY NURSES IN A GERIATRIC HOSPITAL." Second International Nursing Research Conference. 378-379 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Kumiko Nagata et al.: "AN EXPLORATORY STUDY ON NURSING CARE OF ELDERLY PATIENTS WITII CANCER.PART 2.ANALYSIS OF NURSES WORRES IN CONJUCTION WITH INFORMING OF CANCER TO THE ELDERLY PATIENTS." Second International Norsing Research Conference. 380-381 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Shibata, M.et al.: "Clarification of role and subject of nursing to support elderly cancer patients to IC" Journal of YOIKUIN gerontology. 3. 172-174 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Takano, Y.et al.: "Characteristics of experiences and needs of elderly cancer patients about IC" Journal of YOIKUIN gerontology. 2. 210-212 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Nagata, K.: "Clarification of role and subject of nursing to support for demented elderly to decide self" Journal of Japan Academy of Gerontological Nursing. 2 (1). 17-24 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Murai, Y.et al.: "The disclosure of cancer to elderly patients" the 38th congress of the Japanese Geriatrics Society. 11-13 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Kawakami, S.et al.: "Informed consent in the elderly cancer patients" the 5th Asia/oceania Regional Congress of Gerontology. 19 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Nakamura, J.et al.: "An exploratpry study on nursing care of elderly with cancer, part1. Analysis of the present ways of informing of cancer as observed by nurses in a geriatric hospital" The 2nd International Nursing Research Conference. 378-379 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Kumiko, N.et al.: "An exploratopry study on nursing care of elderly with cancer, part2. Analysis of nurses' worries in conjuction with informing of cancer to elderly patients" The 2nd International Nursing Research Conference. 380-381 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 森眞由美他: "血液科病棟における高齢者を対象とした告知の状況" 日本老年医学会雑誌. 34・10. 789-792 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 永田久美子: "痴呆のある高齢の人々の自己決定を支える看護" 老年看護学. 2・1. 17-24 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 村井善郎,他: "高齢者悪性腫瘍患者に対する病名告知" 日本老年医学会雑誌. 33. 107- (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 柴田宮子,他: "高齢がん患者のインフォームド・コンセントに関する看護の課題の検討" 東京都養育院老年学会誌. 3(近日刊). (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] Junko Nakamura et al.: "AN EXPLORATORY STUDY ON NURSING CARE OF ELDERLY PATIENTS WITH CANCER. PART 1. ANALYSIS OF THE PRESENT WAYS OF INFORMING OF CANCERS, AS OBSERVED BY NURSES IN A GERIATRIC HOSPITAL." Second International Nursing Research Conference. 378-379 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Kumiko Nagata et al.: "AN EXPLORATORY STUDY ON NURSING CARE OF ELDERLY PATIENTS WITH CANCER. PART 2. ANALYSIS OF NURSES WORRIES IN CONJUCTION WITH INFORMINIG OF CANCER TO THE ELDERLY PATIENTS." Second International Nursing Research Conference. 380-381 (1995)

    • Related Report
      1995 Annual Research Report

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Published: 1995-04-01   Modified: 2016-04-21  

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