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A Study Related to Symptom Management for Cancer Patients

Research Project

Project/Area Number 10672249
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionCollege of Nursing Art & Science, Hyogo

Principal Investigator

UCHINUNO Atsuko  College of Nursing Art &Science, Hyogo, Fundamental Nursing II Associate Professor, 看護学部, 助教授 (20232861)

Co-Investigator(Kenkyū-buntansha) UNO Satsuki  College of Nursing Art & Science, Hyogo, Fundamental Nursing II, Instructor, 看護学部, 助手 (60326311)
SHIGENO Miyuki  College of Nursing Art & Science, Hyogo, Fundamental Nursing II, Instructor, 看護学部, 助手 (70305697)
ARAO Harue  College of Nursing Art & Science, Hyogo, Fundamental Nursing II Associate Instructor, 看護学部, 講師 (50326302)
OTSUKA Naoko  College of Nursing Art & Science, Hyogo, Fundamental Nursing II, Instructor, 看護学部, 助手 (30336838)
山本 真澄  兵庫県立看護大学, 看護学部, 助手 (80305698)
竹本 明子  兵庫県立看護大学, 看護学部, 助手 (70295757)
パトリシア J ラーソン (ラーソン ハ゜トリシア・J)  兵庫県立看護大学, 看護学部, 教授 (80295766)
Project Period (FY) 1998 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 2001: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2000: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1999: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1998: ¥1,000,000 (Direct Cost: ¥1,000,000)
Keywordscancer patient / cancer pain / symptom management / model / clinical application / self care abilities / Theory of Change / 症状緩和 / がん / 吐き気 / 化学療法 / 癌 / 介入 / 効果検証
Research Abstract

This study was conducted from 1998 to 2001. The purpose of this study was to test the validity of the "integrated Approach to Symptom Management" (IASM) model of symptom management. This model was originally developed as "MSM"(Model for Symptom Management) by the UCSF faculty group to deal with the various symptoms of cancer patients, and then modified as the IASM by Larson, Uchinuno, (1998) for clinical application. In 1998, the researchers developed a guidebook that covers an integrated approach to symptom management and nursing records for clinical application. The tools needed to measure the validity of the model and a method of analysis were also determined. In 1999, the researchers and clinical nurses who collaborated in this study applied the integrated approach to the symptom management of 15 ancer patients in an attempt to relieve their cancer related symptoms, including pain, nausea, vomiting, dyspnea, and fatigue. It was found that in most cases, the patients become better a … More ble to care for themselves, and as a result experienced some degree of relief from their cancer-related symptoms. However, it was also found that patients at the end stages of cancer had difficulty in improving their capacity for self care, which therefore made it difficult to achieve relief from their physical symptoms. In 2000, in order to validate the applicability of the model, the research team focused on patients with a performance status of 1-2. It was found that the effects of IASM were realized more easily for such patients, and that IASM was effective in improving the patients capacity for self care, and therefore, in relieving cancer-related symptoms.
The purpose for the final year of the study was to examine the effectiveness of IASM introduction to an entire hospital ward. The research team introduced the model to a hospital ward, and all of the nurses agreed to utilize the model and apply it to their patient care. The process of the introduction of the model was recorded and analyzed using the Theory of Change. The nurses who used this model found that it resulted in changes in the way they handled the symptom care of their patients. We found that it is important to apply the theory of change carefully when introducing a project to an organization.
Overall, this study has clarified the following : 1) IASM is a valid method for providing the patient with relief from symptoms. 2) IASM can be introduced into an entire hospital ward or unit simultaneously. 3) This model can also be used with the developed guidebook. Less

Report

(5 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • 1998 Annual Research Report

Research Products

(35 results)

All Other

All Publications (35 results)

  • [Publications] 内布敦子他: "The Integrated Approach to Symptom Managementを応用した看護ガイドブック"別冊ナーシング・トウデイ. 12. 173-184 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子: "Symptom Management症状管理の新たな手法"Nursing Today. 14(1). 11 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子他: "Integrated Aprwoach to Symptom Management (IASM)について(1)IASMのための記録用紙、分析スタンダードの開発"がん看護. 4(5). 414-417 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 竹本明子他: "Integrated Approach to Symptom Management (IASM)について(2)IASMを概念枠組みとして行った事例分析"がん看護. 4(5). 418-424 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Larson, P. J.他: "An Integrated Approach to Symptom Management"Nursing and Health Science. 1. 203-210 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子他: "癌患者の症状緩和技術に関する研究"平成10年度科学研究費補助金(基盤研究c(2))研究成果発表報告書. 1-23 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子他: "癌患者の症状緩和技術に関する研究"平成11年度科学研究費補助金〔基盤研究C(2)〕研究成果報告書〕. 1-42 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子他: "The Integrated Approach to Symptom Management看護活動ガイドブック改定版ver.2001"1-8 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子他: "癌患者の症状緩和技術に関する研究"平成12年度科学研究費補助金〔基盤研究C(2)〕研究成果報告書〕. 1-66 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子: "特集症状体験をきく-患者のパワーを引き出すために患者の症状体験とは-看護への生かし方"Nursing Today. 15(5). 20-21 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子: "がん看護学研究において生ずる研究対象者へのリスクとその配慮"看護研究. 34(2). 153-159 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 荒尾晴恵他: "終末期がん患者の症状マネジメントに関する研究"財団法人笹川医学医療研究財団,研究業績年報. 16(1). 135-141 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子: "癌患者の症状緩和技術に関する研究"平成13年度科学研究費補助金(基盤研究c(2))研究成果発表報告書. (印刷中). (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子: "患者の症状マネジメントに関するセルフケア能力を高める技術看護のコツと落とし穴7 がん看護・ターミナルケア"中山書店. 2 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Larson P. J. et al: "An Integrated Approach to symptom Management"Nursing and Health Science. 1. 203-210 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Uchinuno Atsuko et al: "A Study Related to Symptom Management for Cancer Patients 1999 Nursing and Health Science"Grant-in-Aid for Scientific Research (C (2)). 1-23 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Uchinuno Atsuko et al: "A Study Related to Symptom Management for cancer patients 2000"Grant-in-Aid for Scientific Research C (2). 1-42 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Uchinuno Atsuko et al: "The Integrated Approach to Symptom Management Guidebook, version 2001"(2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Uchinuno Atsuko et al: "A Study Related to Symptom Management for Cancer Patients 2001"Grant-in-Aid for Scientific Research (C (2)). 1-42 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Uchinuno Atsuko et at: "A Study Related to Symptom Management for cancer Patients 2002"Grant-in-Aid for Scientific Research (C (2)). (printing). (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 内布敦子: "がん看護学研究において生ずる研究対象者へのリスクとその配慮"看護研究. 34(2). 153-159 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 内布敦子: "Quality Improvement (QI)の考え方とターミナルケアへの応用 Concept and Implementation of Quality Improvement to Terminal Care"ターミナルケア. 11(5). 341-347 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 内布敦子: "ターミナルケアにおけるリスクマネジメント:事例にそって"ターミナルケア. 11(5). 367-369 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 荒尾晴惠, 宇野さつき, 内田香織, 大塚由華子, 山本真澄, 滋野みゆき, 内布敦子: "終末期がん患者の症状マネジメントに関する研究"財団法人笹川医学医療研究財団,研究業績年報. 16(1). 135-141 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 内布敦子, 荒尾晴惠, 滋野みゆき, 山本真澄, 宇野さつき, 内田香織, 泉本由華子: "癌患者の症状緩和技術に関する研究"平成12年度科学研究費補助金(基盤研究c(2))研究成果発表報告書. (添付). (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 内布敦子 他: "癌患者の症状緩和技術に関する研究"1999年度科学研究費補助金〔基盤研究C(2)〕研究成果報告書〕. (添付). (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 内布敦子 他: "The Integrated Approach to Symptom Management看護活動ガイドブック改定版ver.2001"1-8 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 内布敦子 他: "癌患者の症状緩和技術に関する研究"2000年度 科学研究費補助金〔基盤研究C(2)〕研究成果報告書〕. (現在編集中).

    • Related Report
      2000 Annual Research Report
  • [Publications] 内布敦子: "特集症状体験をきく-患者のパワーを引き出すために患者の症状体験とは-看護への生かし方"Nursing Today. 15(5). 20-21 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 内布敦子: "患者の症状マネジメントに関するセルフケア能力を高める技術看護のコツと落とした穴7がん看護・ターミナルケア"中山書店. 2 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 内布 敦子: "Symptom Management 症状管理の新たな手法"Nursing Today. 14(1). 11 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 内布敦子,竹本明子,山本真澄,滋野みゆき,パトリシア・J・ラーソン,吉田智美: "Integrated Approach to Symptom Management(IASM)について(1)IASMのための記録用紙,分析スタンダードの開発"がん看護. 4(5). 414-417 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 竹本明子,内布敦子,山本真澄,滋野みゆき,パトリシア・J・ラーソン,吉田智美: "Integrated Approach to Symptom Management(IASM)について(2)IASMを概念枠組みとして行った事例分析"がん看護. 4(5). 418-424 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Larson,P.J.,Uchinuno,A.,Izumi,S.,Kawano,A.,Takemoto,A.,Shigeno,M.,Yamamoto,M.,Shibata,S.,: "An integrated approach to symptom management"Nursing and Health Science. 2. (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] 内布敦子 他 癌患者の症状緩和技術の開発に関する研究班: "The Integrated Approach to Symptom Managementを応用した看護ガイドブック" 別冊「ナーシング・トゥデイ」. 12. 173-184 (1998)

    • Related Report
      1998 Annual Research Report

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Published: 1998-03-31   Modified: 2016-04-21  

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