Development of a blood collection care model for children with chronic illness

• Project/Area Number: 16K12152
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Lifelong developmental nursing
• Research Institution: Miyagi University
• Principal Investigator: MIKAMI CHIKAKO 宮城大学, 看護学群, 准教授 (90549990)
• Co-Investigator(Kenkyū-buntansha): 佐藤 幸子 山形大学, 医学部, 教授 (30299789) ; 今田 志保 (佐藤志保) 山形大学, 医学部, 講師 (00512617) ; 武田 淳子 宮城大学, 看護学群, 教授 (50157450)
• Project Period (FY): 2016-04-01 – 2023-03-31
• Project Status: Completed (Fiscal Year 2022)
• Budget Amount: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000); Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2018: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000); Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
• Keywords: 慢性疾患患児 / 採血 / ケアモデル / 小児看護学

Outline of Final Research Achievements

The purpose of this study was to develop a model of blood collection care for preschool children with chronic illnesses who receive repeated blood draws.
The study consisted of longitudinal observations of blood collection for preschool children with chronic illnesses who undergo repeated blood collection. A distress behavior assessment scale was developed to evaluate how preschool childrens' distress behavior changes during blood collection and how they overcome their distress. In addition, we clarified the involvement of parents who accompany their children when they have their blood drawn. Then, we clarified the preferred relationship between parents and nurses for chronically ill children undergoing blood collection from the viewpoint of collaboration between parents and nurses.

Academic Significance and Societal Importance of the Research Achievements

慢性疾患をもつ幼児は，疾患や治療の評価のため，繰り返し採血を受けることになる。繰り返し採血を受ける幼児の苦痛を評価できる尺度の作成，保護者と看護師が協働でできる採血時ケアの内容を提案できたことで，慢性疾患をもつ幼児の苦痛軽減と採血時ケアの質の向上が期待できる。

Research Products

• [Journal Article] 子どもの採血場面における保護者と看護師の協働 (2021)
  • Author(s): 三上千佳子，佐藤幸子，今田志保，武田淳子
  • Journal Title: 宮城大学研究ジャーナル Volume: １巻２号 Pages: 62-69
  • NAID: 120007165081
  • Peer Reviewed / Open Access
• [Presentation] 繰り返し採血を受ける子どもへの保護者の関わり (2019)
  • Author(s): 三上千佳子，佐藤幸子，今田志保，武田淳子
  • Organizer: 日本小児看護学会第29回学術集会
• [Presentation] 幼児が採血による苦痛を乗り越えていくまでの苦痛行動評価尺度の開発 (2017)
  • Author(s): 三上千佳子、佐藤幸子、今田志保
  • Organizer: 日本小児看護学会第27回学術集会