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Developing a treatment decision-making support model for inflammatory bowel disease patients

Research Project

Project/Area Number 15K20722
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Clinical nursing
Research InstitutionMukogawa Women's University (2016-2017)
Tenri Health Care University (2015)

Principal Investigator

Nunotani Maya  武庫川女子大学, 看護学部, 准教授 (70514735)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords炎症性腸疾患 / 意思決定 / 治療選択 / 看護支援モデル / 質的帰納的研究 / クローン病 / 潰瘍性大腸炎
Outline of Final Research Achievements

This study aimed to develop a treatment decision-making support model for inflammatory bowel disease patients. The subjects were adult patients and nurses engaged in the patients’ care. Data were collected through semi-structured interviews, and analyzed by qualitative approach. One core theme “Should I take the risk to reduce my symptoms?” emerged as the central problem among patients. This was resolved through a five-stage process: experiencing symptom-related disruption of daily life, selecting who decides on the treatment, searching for information, weighing the risks against the benefits, and making the decision. Nurses provided four forms of support for patients: learning support for the decision-making, mediating support between the patient and the medical staffs, support in drawing on the patient’s sense of values in treatment, and support in the patient’s making a decision with the medical staffs. A decision-making support model was established based on these results.

Report

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

    (4 results)

All 2018 2016

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (2 results)

  • [Journal Article] Self-Control Trial: A Qualitative Grounded Theory Study on the Decision-Making Process in Patients with Ulcerative Colitis Who Choose to Use Complementary and Alternative Medicine2018

    • Author(s)
      Maya Nunotani
    • Journal Title

      Journal of Comprehensive Nursing Research and Care

      Volume: 3 Pages: 122-122

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Decision-making Process about Biologic Therapy by Patients with Inflammatory Bowel Disease2016

    • Author(s)
      布谷麻耶,鈴木純恵
    • Journal Title

      Journal of Japan Academy of Nursing Science

      Volume: 36 Issue: 0 Pages: 121-129

    • DOI

      10.5630/jans.36.121

    • NAID

      130005435265

    • ISSN
      0287-5330, 2185-8888
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] IBD治療決定に際しての看護師の関与2018

    • Author(s)
      布谷麻耶
    • Organizer
      第14回日本消化管学会総会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 潰瘍性大腸炎患者の補完代替医療選択に関する意思決定2016

    • Author(s)
      布谷麻耶
    • Organizer
      日本難病看護学会
    • Place of Presentation
      北海道医療大学当別キャンパス(北海道石狩郡)
    • Year and Date
      2016-08-26
    • Related Report
      2016 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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