| Project/Area Number |
15592288
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Ishikawa Prefectural Nursing University |
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Principal Investigator |
MIZUNO Michiyo Ishikawa Prefectural Nursing University, School of Nursing, Professor, 看護学部, 教授 (70287051)
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| Co-Investigator(Kenkyū-buntansha) |
KAKUTA Miho Ishikawa Prefectural Nursing University, School of Nursing, Instructor, 看護学部, 助手 (60347359)
ONO Yuriko Ishikawa Prefectural Nursing University, School of Nursing, Instructor, 看護学部, 助手 (50405065)
小山内 由希子 石川県立看護大学, 看護学部, 助手 (80381698)
有田 広美 石川県立看護大学, 看護学部, 助手 (30336599)
相川 奈津子 石川県立看護大学, 助手 (20336598)
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| Project Period (FY) |
2003 – 2005
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| Project Status |
Completed (Fiscal Year 2005)
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| Budget Amount *help |
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 2005: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2004: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2003: ¥1,300,000 (Direct Cost: ¥1,300,000)
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| Keywords | colorectal cancer / outpatient / support program / postoperative care / intervention program / 手術 / 適応 / インタビュー調査 / 質的研究 |
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| Research Abstract |
The purpose of this study is to develop a support program at an outpatient unit that provides information, emotional support and education for patients who were given a diagnosis of cancer of the digestive tract and who underwent surgery. The intervention in carrying out this support program was designed on the basis of the patient's and his family's needs.
In the first step, an interview was conducted with twelve patients who had colorectal cancer and their families during the first six months after surgery to assess the needs of this support program. Next, by incorporating the interview data and theories on health behavior into the support program, an effective intervention was designed.
Pursuant to a course for the support program, a nurse provides the patient counseling intervention at intervals of a few weeks over six months. The ultimate outcome of the intervention was determined based on the improvement of his ‘quality of life.' Four kinds of operational components were developed for the intervention : ‘indexes of phases in nurse-patient relationships and nursing functions' based on Peplau's Conceptual Frame ; a ‘booklet' for a patient on realistic perception of the event ; ‘protocols of nursing care' for patients to learn how to get adequate situational support and bring adequate coping mechanisms into action ; and ‘additional details of the protocols.'
Pilot interventions using those operational components were applied to four patients with colorectal cancer to discover what might be improved in this support program. Next, we plan to test a hypothesis about a theoretical model of the intervention in this support program, and verify the effect of the program through intervention research.
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