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Development of an optimal process design to elicit care outcomes in the patient-nurse interaction process

Research Project

Project/Area Number 16H05596
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Gerontological nursing
Research InstitutionTokyo Metropolitan University

Principal Investigator

Kawahara Kayoko  首都大学東京, 人間健康科学研究科, 教授 (30249172)

Co-Investigator(Kenkyū-buntansha) 結城 美智子  北海道大学, 保健科学研究院, 教授 (20276661)
早野 貴美子  防衛医科大学校(医学教育部医学科進学課程及び専門課程、動物実験施設、共同利用研究施設、病院並びに防衛, その他, 教授 (40759031)
習田 明裕  首都大学東京, 人間健康科学研究科, 教授 (60315760)
Research Collaborator KUROSAWA yasuko  
HIRAHARA yumi  
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥15,600,000 (Direct Cost: ¥12,000,000、Indirect Cost: ¥3,600,000)
Fiscal Year 2018: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2017: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2016: ¥7,800,000 (Direct Cost: ¥6,000,000、Indirect Cost: ¥1,800,000)
Keywords自律神経活動 / 看護ケア / 患者-看護師関係 / 相互作用 / 看護ケア技術 / 自律神経変動解析 / 横隔膜呼吸法 / 歩行動作 / 足浴法 / マッサージ法 / 看護介入 / 可視化 / 評価 / プログラム評価 / 看護学 / 臨床 / 患者-看護師相互作用
Outline of Final Research Achievements

The aim of this project is to clarify the changes that occur in autonomic nervous activity in interactions between care providers and recipients during nursing interventions. 1)Development of a community-based nursing care program that autonomic activity and cognitive functions. 2)Objective evaluation of care outcomes in the patient-nurse interaction process. 3)Development of a foot-care program for health middle-aged and elderly people: a cognitive approach based on the health belief model. 4)Developing a diaphragmatic breathing exercise program for coordinating autonomic control. 5)Development of a protocol for diaphragmatic breathing during walking action: Objective evaluation by analysis of variations in autonomic nervous system activity. The results of this project suggest that it is nursing interventions in which parasympathetic nervous activity functions significantly.

Academic Significance and Societal Importance of the Research Achievements

本研究の学術的意義として、患者-看護師の信頼関係を構築するシステムにおける患者と看護師の相互作用のプロセスを可視化した点である。「ケア」とその効果を人間の呼吸・血圧・心拍・自律神経系などの生理的変化として客観的に評価し,「個人」の主観的評価とともに人間本来の生命力が活発化されるという相互作用の過程を客観的に評価した。
社会的意義として、看護実践における患者-看護師の信頼関係構築を基盤に個別ケアとしてプログラミング、その効果を客観的に評価することができる。地域在宅の虚弱・要介護高齢者の呼吸機能の維持・改善、自立した歩行(姿勢維持)の維持・改善により「地域包括ケア」の推進に寄与する。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • Research Products

    (10 results)

All 2018 2017

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (9 results) (of which Int'l Joint Research: 5 results)

  • [Journal Article] Physiological and Psychological Effects of Hand Massage Combined with a Hot Compress that Can Be Used in Home Care2018

    • Author(s)
      平原優美,河原加代子,早野貴美子,黒澤泰子,習田明裕
    • Journal Title

      Japanese Journal of Nursing Art and Science

      Volume: 17 Issue: 0 Pages: 71-79

    • DOI

      10.18892/jsnas.17.0_71

    • NAID

      130007437450

    • ISSN
      1349-5429, 2423-8511
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 訪問看護師による地域住民を対象とした「温罨法を併用した手のマッサージ法」の生理的・心理的効果2018

    • Author(s)
      平原優美,河原加代子
    • Organizer
      第38回日本看護科学学会(愛媛県・松山市)
    • Related Report
      2018 Annual Research Report
  • [Presentation] Development of an "Autonomik Nervous System Balance Adjustment Model" Using Breathing Exercises2017

    • Author(s)
      Hayano K; Kawahara K; Kurosawa Y; Hirahara Y, Shuda A
    • Organizer
      20th East Asian Forum of Nursing Scholars
    • Place of Presentation
      Hong Kong
    • Year and Date
      2017-03-09
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Development of Foot Care Program Incorporating Cognitive Approach for Middle-aged to Elderly People2017

    • Author(s)
      Yasuko Kurosawa,Kayoko Kawahara,Rie Nakano,Shuda Akihiro
    • Organizer
      7th Hong Kong International Nursing Forum 「Hong Kong(China)」
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The Relationship between Physio-psychological Changes and Characteristics in Visiting Nurses during the Provision of Care in the Patient-Nurse Interaction Process2017

    • Author(s)
      Yumi Hirahara,Kayoko Kawahara,Akihiro Shuda
    • Organizer
      7th Hong Kong International Nursing Forum 「Hong Kong(China)」
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Practice of foot care in Japan with a focus on home care services: a literature review2017

    • Author(s)
      Masako Hamatani,Kayoko Kawahara
    • Organizer
      7th Hong Kong International Nursing Forum 「Hong Kong(China)」
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 『温罨法を併用した手のマッサージ法』を用いた看護介入中の看護師の生理的心理的変化と受け手との相互作用2017

    • Author(s)
      平原優美、河原加代子、黒澤泰子
    • Organizer
      第37回日本看護科学学会 (宮城県・仙台市)
    • Related Report
      2017 Annual Research Report
  • [Presentation] 自律神経コントロールに協調する横隔膜呼吸運動プログラム開発2017

    • Author(s)
      早野貴美子、河原加代子、黒澤泰子
    • Organizer
      第37回日本看護科学学会  (宮城県・仙台市)
    • Related Report
      2017 Annual Research Report
  • [Presentation] Development of Nursing Program Using Diaphragmatic Breathing Exercises2017

    • Author(s)
      Kayoko Kawahara,Kimiko Hayano,Michiko Yuki
    • Organizer
      TNMC&WANS Internatonal Nursing Research Conference 2017「Bangkok(Thailand)」
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 自律神経コントロールに協調する横隔膜呼吸運動のプロトコル設計2017

    • Author(s)
      早野貴美子、河原加代子、黒澤泰子
    • Organizer
      第16回日本看護技術学会 (東京都・渋谷区)
    • Related Report
      2017 Annual Research Report

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Published: 2016-04-21   Modified: 2020-03-30  

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