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Home-visiting nursing practices and medical and social care collaboration required for the end-of-life care at home for older patients living alone with terminal cancer

Research Project

Project/Area Number 16K12255
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gerontological nursing
Research InstitutionNagano College of Nursing

Principal Investigator

Karasawa Kunie  長野県看護大学, 看護学部, 准教授 (80531748)

Co-Investigator(Kenkyū-buntansha) 安田 貴恵子  長野県看護大学, 看護学部, 教授 (20220147)
Project Period (FY) 2016-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords訪問看護 / 独居高齢者 / がん終末期 / 在宅看取り / 医療・介護連携
Outline of Final Research Achievements

This study aims to identify the activities in home-visiting nursing and the collaboration between medical and nursing social care professionals from the perspectives of home-visiting nurses, to enable the end-of-life care at home for older patients living alone with terminal cancer. A literature review, an interview survey, and a nationwide survey on home-visiting nursing for older patients living alone with terminal cancer were conducted.
To help this population stay at home till the end of life, home-visiting nurses need to alleviate the physical and mental distress of the older patients while placing importance on how the patients wish to spend time. Nurses also need to support family members living separately and collaborate with physicians, helpers, and other medical and nursing professionals. To help the patients live alone, specifically when they have uncontrollable distress, it is also important to control symptoms based on predictions and to work with helpers.

Academic Significance and Societal Importance of the Research Achievements

がん終末期にある独居高齢者への訪問看護についての先行研究は,事例報告が主であった.本研究は,文献レビューとインタビュー調査および質問紙調査により,がん終末期独居高齢者への訪問看護実践を明らかにした.また,医療・介護連携の検討から,主治医やヘルパー等との方向性を統一や調整だけでなく,地域のネットワークづくりが重要であることが示唆された.今後我が国において,がん終末期にある独居高齢者が増加することが推察されることから,本研究は今後の在宅看護において意義のあるものである.

Report

(8 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (6 results)

All 2021 2020 2019 2018 2016

All Journal Article (2 results) (of which Peer Reviewed: 1 results) Presentation (4 results)

  • [Journal Article] がん終末期独居療養者のエンド・オブ・ライフケアにおける訪問看護師の看護実践に関する文献検討2019

    • Author(s)
      柄澤邦江、安田貴恵子
    • Journal Title

      日本在宅看護学会誌

      Volume: 8(1) Pages: 48-57

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] がん終末期独居高齢者の在宅看取りを可能とするための医療・介護連携に関する研究の意義2016

    • Author(s)
      柄澤邦江
    • Journal Title

      地域ケアリング

      Volume: 18(9) Pages: 72-74

    • Related Report
      2016 Research-status Report
  • [Presentation] 住民主体の支え合いによる独居高齢者への日常生活支援 - A 市の NPO 法人の活動に着目して -2021

    • Author(s)
      柄澤邦江 小野塚元子 安田貴恵子 千葉真弓 富田美雪
    • Organizer
      第40回長野県看護研究学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 在宅療養を希望した独居高齢者の看取りにおける訪問看護師の家族への支援2020

    • Author(s)
      柄澤邦江、小野塚元子、富田美雪、安田貴恵子、千葉真弓
    • Organizer
      第33回日本看護福祉学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 在宅療養を希望した独居高齢者の看取りにおける訪問看護師の家族への支援2020

    • Author(s)
      柄澤邦江、安田貴恵子
    • Organizer
      第33回日本看護福祉学会学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] 独居がん療養者の看取りにおける訪問看護師の看護実践―エンド・オブ・ライフ・ケアの6つの焦点からの文献検討2018

    • Author(s)
      柄澤邦江、安田貴恵子
    • Organizer
      第13回日本ルーラルナーシング学会学術集会
    • Related Report
      2018 Research-status Report

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Published: 2016-04-21   Modified: 2024-01-30  

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