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Nursing Consultation Functions, a Regional Liaison System and Development of Outpatient Nursing Education Methods in a Wide-Medical-Zone Core Hospital

Research Project

Project/Area Number 14572206
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 基礎・地域看護学
Research InstitutionGunma University

Principal Investigator

USHIGOME Miwako  GUNMA UNIVERSITY, FACULTY of MEDICINE, PROFESSOR, 医学部, 教授 (10176654)

Co-Investigator(Kenkyū-buntansha) SAITOH Yayoi  GUNMA UNIVERSITY, FACULTY of MEDICINE, PROFESSOR, 医学部, 教授 (40242200)
USHIKUBO Mitsuko  GUNMA UNIVERSITY, FACULTY of MEDICINE, PROFESSOR, 医学部, 教授 (90213412)
SASAKI Kyoko  GUNMA UNIVERSITY, FACULTY of MEDICINE, RESEARCH ASSOCIATE, 医学部, 助手 (20334104)
ARAI Makiko  GUNMA UNIVERSITY, FACULTY of MEDICINE, RESEARCH ASSOCIATE, 医学部, 助手 (30361364)
IIDA Mitsue  GUNMA PREFECTURAL COLLEGE of HEALTH SCIENCES, SCHOOL of NURSING, ASSISTANT PROFESSOR, 看護学部, 講師 (80272269)
竹内 友里  群馬大学, 医学部, 助手 (60361367)
Project Period (FY) 2002 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥3,200,000 (Direct Cost: ¥3,200,000)
Fiscal Year 2005: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 2004: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2003: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 2002: ¥1,500,000 (Direct Cost: ¥1,500,000)
KeywordsNursing consultation / outpatient nursing / discharge support / advanced treatment hospital / hospital regional liaison / home nursing for terminal cancer / nursing for intractable neurological diseases / 在宅がん終末期看護 / 在宅中心静脈栄養法 / 退院調整 / 脳血管疾患 / 在宅酸素療法
Research Abstract

The subjects of the study were nursing consultation activities related to regional liaison engaged in two nursing consultation projects of the wide-medical-zone treatment hospital. We surveyed consultations over a 4-year period and assessed nursing consultation functions at a wide-medical-zone base hospital.
In the general consultation division, we analyzed the 82 cases in which the consultation division supported the utilization of visiting nursing. The average age was 62.9 years old with the range of zero to 89. The disease was a neoplasm in 85.4% and most of them were in terminal stage. She collaborated with 32 visiting nursing stations in eight medical zones and neighboring prefectures. The 22 medical organizations which collaborated with those visiting nursing stations distributed in four medical zones and one neighboring prefecture. There were consultations after the start of visiting nursing in 70% of the cases, and consisted of support related to the health care location when sy … More mptoms worsened, redevelopment of the clinical care and nursing system, and changed in the content of medical care to deal with changes in symptoms. In the hospital, problems were solved by liaison between physicians, nurses, wound, ostomy and continence (WOC) nurses, physical therapists (PT), speech therapists (ST), pharmacists, nutritionists, and medical social workers (MSWs). Outside the hospital, there was liaison among visiting nurses, care managers, physicians, MSWs of other hospitals and so on.
The nurse in consultation division for intractable neurological diseases provided continual support in collaboration with public health nurses. Also, she functioned as an expert nurses on intractable neurological disease and provided her support to public health nurses, physicians, care managers, visiting nurses, and medical equipment company and so on.
Nursing consultation at a wide-medical-zone base hospital is a function that guarantees the quality of patients' health-care life, and it is a service of hospital regional liaison and a regional support function by a speciality nursing Less

Report

(5 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • Research Products

    (14 results)

All 2005 2004 2002 Other

All Journal Article (12 results) Publications (2 results)

  • [Journal Article] 特定機能病院における神経難病医療専門員の外来患者フォローアップ2005

    • Author(s)
      飯田苗恵, 友松幸子, 佐々木馨子, 牛込三和子
    • Journal Title

      日本難病看護学会誌 9・3

      Pages: 171-178

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Annual Research Report 2005 Final Research Report Summary
  • [Journal Article] Diagnosisi procedure combinationの展開と看護2005

    • Author(s)
      牛込三和子, 酒井美絵子
    • Journal Title

      神経治療学 22・5

      Pages: 607-614

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] クローン病で重篤な合併症を併発しえいる療養者の在宅療養支援における特定機能病院看護師の支援機能2005

    • Author(s)
      佐々木馨子, 牛込三和子, 須川美枝子, 石川夢, 高久順子
    • Journal Title

      日本難病看護学会誌 10・1

      Pages: 79-79

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Nursing and Diagnosis Procedure Combination (DPC)2005

    • Author(s)
      Miwako Ushigome, Mieko Sakai
    • Journal Title

      Neurological Theapeutics 22・5

      Pages: 607-614

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Nursing function in a university hospital on home care support for the patients with crohn's disease who suffer from severe complications2005

    • Author(s)
      Kyoko Sasaki, Miwako Ushigome, Mieko Sugawa, Ume Ishikawa, Junko Takaku
    • Journal Title

      J.J.Intrac.Ill.Nurs. 10・1

      Pages: 79-79

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Diagnosis procedure combinationの展開と看護2005

    • Author(s)
      牛込三和子, 酒井美絵子
    • Journal Title

      神経治療学 22・5

      Pages: 607-614

    • Related Report
      2005 Annual Research Report
  • [Journal Article] クローン病で重得な合併症を併発している療養者の在宅療養支援における特定機能病院看護師の支援機能2005

    • Author(s)
      佐々木馨子, 牛込三和子, 須川美枝子, 石川夢, 高久順子
    • Journal Title

      日本難病看護学会誌 10・1

      Pages: 79-79

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 特定機能病院における神経難病医療専門員の外来患者フォローアップ活動2005

    • Author(s)
      飯田苗恵, 友松幸子, 佐々木馨子, 牛込三和子
    • Journal Title

      日本難病看護学会誌 9・3(印刷中)

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Follow-Up Activities of a Nurse Coordinator in the Special Special Function Hospital for Outpatients with Intractable Diseases2004

    • Author(s)
      Mitsue Iida, Sachiko Tomomatsu, Kyoko Sasaki, Miwako Ushigome
    • Journal Title

      J.J.Intrac.I11.Nurs. 9・3

      Pages: 171-178

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] 筋萎縮性側索硬化症(ALS)療養者・家族の人工呼吸療法意思決定における看護支援2004

    • Author(s)
      友松幸子, 牛込三和子, 佐々木馨子
    • Journal Title

      日本難病看護学会誌 9・1

      Pages: 65-65

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 神経難病医療ネットワークにおける難病医療専門員のコーディネート機能2002

    • Author(s)
      牛込三和子, 友松幸子, 佐々木馨子, 飯田苗恵, 岡本幸市, 依田裕子, 小林良清, 早乙女千恵子
    • Journal Title

      THE KITAKANNTO MEDICAL JOURNAL 52・4

      Pages: 243-252

    • NAID

      130000874599

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Activities and Functions of the Coordinator in the Network for Intractable Neurological Diseases2002

    • Author(s)
      Miwako Ushigome, Sachiko Tomomatsu, Kyoko Sasaki, Mitsue Iida, Koichi Okamoto, Yuko Yoda, Yoshikiyo Kobayashi, ChiekoSaotome
    • Journal Title

      THE KITAKANTO MED. J,52・4

      Pages: 243-252

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Publications] 小渕俊子, 友松幸子, 佐々木馨子, 牛込三和子: "筋萎縮性側索硬化症療養者の療養経過における専門病院看護の機能"日本難病看護学会誌. 8・1. 34 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 友松幸子, 牛込三和子, 依田裕子: "ALS療養者の受療経過における看護職支援"日本難病看護学会誌. 8・1. 33 (2003)

    • Related Report
      2003 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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