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Improving self-care guide among patients on hemodialysis

Research Project

Project/Area Number 16K19286
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Medical and hospital managemen
Research InstitutionKyoto University

Principal Investigator

Sayaka Shimizu  京都大学, 医学研究科, 特定助教 (70761576)

Research Collaborator Fukuma Shingo  
Ikenoue Tatsuyoshi  
Onishi Yoshihiro  
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2016: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords血液透析 / 行動変容 / データベース / セルフケア / 医療・福祉 / 社会医学
Outline of Final Research Achievements

We have developed the system which utilized medical electronic data and semi-automatically judged therapeutic range achievement which required patients’ self-care among patients with chronic kidney disease. We investigated the variation of electric data between the facilities and improved the system to adapt to the various environments. The system was introduced to the 13 dialysis facilities and the current achievement status was described.
The questionnaire about perception of health problems and important prognosis (ex. hospitalization, death) were also surveyed among the patients with consent at those facilities. These data and those derived from electronic data were integrated into the database, with which information to improve the self-care guide among those patients could be analyzed.

Academic Significance and Societal Importance of the Research Achievements

慢性疾患の治療においてはセルフケアが重要であり、また、療養期間は長期に渡ることから、セルフケアが関連した治療目標について簡便かつ反復した評価を実現することは、患者の予後のさらなる改善に資すると考える。また、治療目標の評価に費やされる医療者の労力の軽減にもつながる。本研究では、慢性腎臓病の中でも血液透析を要する末期腎不全患者を対象としてシステム実装を行ったが、同様の手法を用いることで他の慢性疾患においても同様の効果をもたらすことが期待される。

Report

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

    (4 results)

All 2019 2018 2017 Other

All Presentation (3 results) (of which Int'l Joint Research: 1 results) Remarks (1 results)

  • [Presentation] 維持血液透析患者における催眠薬と多剤併用薬内服による転倒リスクの検討~透析診療ネットワーク(AQuAH-D:Alliance for Quality Assessment in Healthcare -Dialysis)を用いた多施設共同観察研究~2019

    • Author(s)
      桑原 篤憲,中西 昌平,谷澤 雅彦,池之上辰義,清水さやか
    • Organizer
      第64回日本透析医学会学術集会・総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Survey of proton pump inhibitor prescription in hemodialysis patients.2018

    • Author(s)
      Hiroo Kawarazaki, Nakashima Akio, Masahide Furusho, Takeshi Nakata, Sayaka Shimizu
    • Organizer
      ISN Frontiers Meetings 2018, Tokyo, 2018/2/22.
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 血液透析における診療の質指標の開発2017

    • Author(s)
      清水 さやか、福間 真悟、新畑 覚也、 辻本 康、池之上 辰義、福原 俊一
    • Organizer
      第1回臨床疫学会, , 2017/10/1.
    • Related Report
      2017 Research-status Report
  • [Remarks] 透析診療ネットワーク(アクア-D)

    • URL

      https://www.aquah-d.com/

    • Related Report
      2018 Annual Research Report

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

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