| Project/Area Number |
17390594
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Community health/Gerontological nurisng
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| Research Institution | Keio University |
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Principal Investigator |
NOZUE Kiyoka Keio University, Faculty of nursing and medical care, Professor (10338204)
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| Co-Investigator(Kenkyū-buntansha) |
USAMI Shiori Kumamoto University, School of Health Sciences Department of Mental Health and Psychiatric nursing, Professor (50295755)
TANAKA Mieko Tokyo Women's Medical University, School of Nursing, Professor (10171802)
ANDO Sachiko Kobe City College of Nursing, Department of Nursing, Associate Professor (80285353)
KOYAMA Tatsuya Tokyo Women's Medical University, School of Nursing, Assistant Professor (90408568)
SATO Yasuko Keio University, Faculty of nursing and medical care, Research Associate (10336430)
小高 恵美 (小高 恵実) 慶應義塾大学, 看護医療学部, 助手 (90275321)
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| Project Period (FY) |
2005 – 2007
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| Project Status |
Completed (Fiscal Year 2007)
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| Budget Amount *help |
¥9,260,000 (Direct Cost: ¥8,600,000、Indirect Cost: ¥660,000)
Fiscal Year 2007: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Fiscal Year 2006: ¥2,400,000 (Direct Cost: ¥2,400,000)
Fiscal Year 2005: ¥4,000,000 (Direct Cost: ¥4,000,000)
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| Keywords | psychiatric and mental health nursing / nursing skills / intervention effect / medical treatment fee / cost evaluation / psychiatric liaison nursing / psychiatric nursing |
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| Research Abstract |
In a 3-year project, we conducted the preliminary survey with nursing staff about psychiatric nursing care in psychiatric hospitals at the national level and the survey with general hospitals patients about their mental state and needs for mental health care. The actual conditions of psychiatric nursing interventions and their cost evaluation raise numerous and pressing issues.
Based on the psychiatric hospitals survey, 2 nursing interventions of particular interest emerge: 1) telephone consultation services for psychiatric outpatients and 2) family support in psychiatric hospitals. Telephone consultation services and family support. Had 3 major impacts; they improved the mental state of patients, prevented the exacerbation of symptoms, and prevented re-hospitalization. These nursing interventions were widely practiced and were effective, suggestion psychiatric nurses doing them should be remunerated.
Furthermore, researchers examined the conditions of nursing and the mental state of gen
… More
eral hospital patients and clarified the. potential and overt needs of psychiatric and mental health nursing care in general hospitals. 55.1% of patients needed mental care but 70% of nurses felt they could not perform such services due to a shortage of time.
We conducted the prospective investigation about psychiatric liaison nurses support for patients with anxiety/depression. Despite small number of cases, this study by psychiatric liaison nurses suggested intervention that were shown to be effective and improve the patients' mental state in general hospitals.
The major conclusion is that nursing interventions, 1) telephone consultation services for psychiatric outpatients, 2) family support in psychiatric hospitals and 3) psychiatric liaison nurses support for patients with anxiety / depression are. effective in improving a patient's mental condition and all three needs to be considered when determining medical treatment fee for psychiatric nursing skills. Future studies will investigate the effects of nursing interventions on patients' QOL and the prevention of re-hospitalization using a control group. Less
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