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Development of Quality Indicators and educational materials for Nurses to improve Chronic Pain Management Among Older Adults in Out-Patient Clinics in Japan

Research Project

Project/Area Number 15K11749
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gerontological nursing
Research InstitutionGunma Prefectural College of Health Sciences (2016-2018)
The University of Tokyo (2015)

Principal Investigator

Yukari Takai  群馬県立県民健康科学大学, 看護学部, 教授 (00404921)

Co-Investigator(Kenkyū-buntansha) 阿部 吉樹  筑波大学, 医学医療系, 助教 (30630785)
坂井 志麻  東京女子医科大学, 看護学部, 准教授 (40439831)
Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords外来看護 / 慢性疼痛 / 質指標 / 疼痛管理 / 役割 / 多職種連携 / 高齢者 / 教育的支援 / 慢性痛 / 外来 / 老年看護学
Outline of Final Research Achievements

This project aimed to develop quality indicators of pain management for older adult with chronic pain based on nurses’ roles at the out-patient clinics. We also aimed to develop educational materials for the nurses. We explored opinions of nurses and other health care professionals working at out-patient clinics regarding nurses’ roles of chronic pain management for older patients at the our-patient settings. Twenty-five roles were explored, and we developed 25 quality indicators based on them. Next, we examined nurses’ perceptions by asking them to either agree or disagree to the indicators. Most participants agreed or strongly agreed with the statement, “it would be beneficial to provide care for patients according to the indicators.” Finally, we developed web pages to provide educational materials for the nurses who would be able to practice according to the indicators.

Academic Significance and Societal Importance of the Research Achievements

変形性関節症や神経痛など数ヶ月以上続く体の痛みに苛まれている高齢者の割合は約80%(古田、高井他、2014)と報告され、外来診療時に高齢患者に関わることの多い看護師による適切な援助が求められている。そこで、慢性痛高齢患者に関わる外来看護師に求められる役割を調査し、その役割をもとに看護師の実践内容を示した質指標を開発した。これらの質指標は看護師によって有益であると評価を得た。結果はインターネット上で公開した。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (9 results)

All 2018 2017 2016

All Journal Article (3 results) (of which Peer Reviewed: 1 results,  Acknowledgement Compliant: 1 results) Presentation (3 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results) Book (3 results)

  • [Journal Article] 特集 慢性疼痛に対する多様なアプローチ―多様なアプローチから患者の未来を考える―:慢性疼痛のある高齢者への看護2018

    • Author(s)
      高井ゆかり
    • Journal Title

      保健の科学

      Volume: 60(11) Pages: 745-749

    • Related Report
      2018 Annual Research Report
  • [Journal Article] The process of motivating oneself to resist being controlled by chronic pain: A qualitative study of Japanese older people living in the community2017

    • Author(s)
      Takai, Y., Yamamoto-Mitani, N. & Chiba I.
    • Journal Title

      Pain Management Nursing

      Volume: 18 Issue: 1 Pages: 42-49

    • DOI

      10.1016/j.pmn.2016.10.004

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 高齢者の痛み評価のポイント2016

    • Author(s)
      高井ゆかり
    • Journal Title

      臨床麻酔

      Volume: 40 Pages: 463-467

    • Related Report
      2016 Research-status Report
  • [Presentation] Improving Chronic Pain Management Among Older Adults in Out-Patient Clinics in Japan: Development of Quality Indicators for Nurses2018

    • Author(s)
      Takai, Y., Abe, Y. & Sakai, S
    • Organizer
      17th World Congress on Pain
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] シンポジウム「認知症高齢者の痛みの評価と治療方針の決定」2018

    • Author(s)
      高井ゆかり
    • Organizer
      第23回日本緩和医療学会学術集会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 高齢者の慢性痛診療における外来看護師の役割と課題2018

    • Author(s)
      高井ゆかり
    • Organizer
      第47回日本慢性疼痛学会
    • Related Report
      2017 Research-status Report
  • [Book] 認知症の人の「痛み」をケアする ―「痛み」が引き起こすBPSD・せん妄の予防2018

    • Author(s)
      鈴木みずえ 高井ゆかり
    • Total Pages
      215
    • Publisher
      日本看護協会出版会
    • Related Report
      2018 Annual Research Report
  • [Book] 認知行動療法を取り入れたグループ療法「慢性痛リハビリ」の実際2016

    • Author(s)
      伊豫雅臣他
    • Total Pages
      154
    • Publisher
      日本医事新報社
    • Related Report
      2016 Research-status Report
  • [Book] 痛みの集学的診療:痛みの教育コアカリキュラム2016

    • Author(s)
      日本疼痛学会痛みの教育コアカリキュラム編集委員会
    • Total Pages
      347
    • Publisher
      真興交易(株)医書出版部
    • Related Report
      2016 Research-status Report

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Published: 2015-04-16   Modified: 2020-03-30  

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