| Project/Area Number |
16592188
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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 | Tokyo Metropolitan Organization for Medical Research |
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Principal Investigator |
TANOUE Michika Tokyo Metropolitan Organization for Medical Research, Tokyo Institute of Psychiatry, Chief Researcher, 東京都精神医学総合研究所, 主任研究員 (70227247)
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| Co-Investigator(Kenkyū-buntansha) |
NIIMURA Junko Tokyo Metropolitan Organization for Medical Research, Tokyo Institute of Psychiatry, 東京都精神医学総合研究所, 研究員 (90360700)
SHIRAISHI Hiromi Toyo University, Faculty of Human Life design, ライフデザイン学部, 教授 (80291144)
TANAKA Mieko Tokyo Womens Medical University, School of Nursing, 看護学部, 教授 (10171802)
HAMADA Yuki Tokyo Womens Medical University, School of Nursing, 看護学部, 講師 (00307654)
YAMAMURA Motoe Tokyo Metropolitan University, Faculty of Health Science, 健康福祉学部, 准教授 (00260323)
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| Project Period (FY) |
2004 – 2006
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| Project Status |
Completed (Fiscal Year 2006)
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| Budget Amount *help |
¥3,000,000 (Direct Cost: ¥3,000,000)
Fiscal Year 2006: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2005: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2004: ¥1,200,000 (Direct Cost: ¥1,200,000)
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| Keywords | schizophrenia / institutionalized schizophrenic patient / long-term hospitalized schizophrenic patient / discharge / community living / nursing care strategy / family care |
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| Research Abstract |
The purpose of this study is to establish a nursing care management system for long-term hospitalized schizophrenic patients and their families in order to promote the discharge of the patients and the support of their community living.
We have studied the following two points :
1.We investigated experiences of family members of long-term hospitalized schizophrenic patients, and explored nursing care for the families needed to promote discharge and community living of the patients. The subjects in this study were 17 families (20 members) of the patients with schizophrenia experiencing hospitalization for more than one year. The families were asked through semi-structured interviews. As a result, the families' experiences were structured with five themes : 1)Attitude toward patient's illness, 2)Concern about the patient, 3)Family care, 4)QOL of the family, and 5)Care for the patient based on the family life. The families also experienced additional problems associated with 1)Medical treatment, 2)Family support groups, 3)Community resources and 4)Society.
2.We interviewed with 24 primary nurses about the present status of nursing care for the discharge of institutionalized schizophrenic patients. As a result of qualitative analysis, eight categories were emerged as a new nursing care strategy to strengthen the linkage between patients and their families : 1)Assessment of the family together with the patient, 2)Support to live together, 3)Nurses acting as a coordinator to deepen understanding between patients and their families, 4)Psycho-education of the family members for better understanding the patients, 5)Management to keep contact between patients and their families, 6)Guaranteed after care and support by the hospital, 7)Keeping the family members in their community resources, and 8)Training the patients for self-support.
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