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Development of Indicator for Assessing Nursing Care for Patients with Eating Difficulty

Research Project

Project/Area Number 17592218
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Fundamental nursing
Research InstitutionUniversity of Hyogo

Principal Investigator

NUMATA Yasuko  University of Hyogo, College of Nursing Art and Science, Senior Assistant Professor (20326599)

Co-Investigator(Kenkyū-buntansha) HAMANO Megumi  University of Hyogo Nursing, College of Nursing Art and Science, Assistant Professor (30438270)
TANAKA Hibiki  University of Hyogo Nursing, College of Nursing Art and Science, Nursing, Instructor (90453159)
大島 理恵子  兵庫県立大学, 看護学部, 助手 (90347534)
奥野 信行  兵庫県立大学, 看護学部, 助手 (20364044)
牧野 佐知子  兵庫県立大学, 看護学部, 助手 (60382264)
Project Period (FY) 2005 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥2,380,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥180,000)
Fiscal Year 2007: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2006: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2005: ¥700,000 (Direct Cost: ¥700,000)
Keywordseating behavior / dvsphagia / appetite / feeding ceremony / the appetite nursing assessment / 摂食 / 援助 / 食行動アセスメント
Research Abstract

The purpose of this study is to clarify the perspectives in assessing nursing care given to patients with eating difficulty due to impaired motor function.
In the first year of this study we conducted literature reviews, focusing on daily eating assistance. We analyzed 146 items extracted from 47 literature sources, and developed an eating behavior assessment framework that included the meaning of eating.
In the second and third years, on the basis of the framework developed in the first year we conducted interview surveys of nurses who provide eating assistance and patients with eating difficulties. First, we conducted semi-structured interviews with 13 nurses from two hospitals, using an interview guide that we had developed. We then qualitatively analyzed the interview data, focusing on how nurses made judgments regarding assistance at mealtimes, and what specific assistance they provided. As a result, four categories were extracted : [responsibility of nurses], [information], [judgme … More nt] and [devising]. It was also found that nurses made prompt judgments regarding what assistance was required and how it should be provided, paying close attention to the individual patient's condition.
We also conducted semi-structured interviews of 6 patients to identify their needs related to eating behavior. As a result, the following four categories were derived : [effort], [anxiety], [encouragement] and [hope].
We then developed a draft assessment indicator incorporating similar categories derived from data of both interviews, considering that those categories are important assessment items for both nurses and patients.
We then met with 16 nurses to examine the draft assessment indicator. Through discussion, we found that there should be some revisions to the indicator. Although it was suggested that we should further discuss the number of assessment items, it was concluded that the indicator was sufficiently reliable. Since the indicator includes an item regarding the importance of following the eating rituals of individual patients, we also defined the eating ritual.
In future we will discuss the number of assessment items and refine the assessment indicator while using it in hospital and home care settings. Less

Report

(4 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • 2005 Annual Research Report
  • Research Products

    (25 results)

All 2008 2007 2006

All Journal Article (14 results) (of which Peer Reviewed: 8 results) Presentation (6 results) Book (5 results)

  • [Journal Article] 外来通院により治療を受けているがん患者が災害時に治療継続をするためのシステムの検討2008

    • Author(s)
      牧野 佐知子・荒尾 晴恵・川崎 優子・沼田 靖子・成松 恵・坂下 玲・内布 敦子
    • Journal Title

      兵庫県立大学看護学部・地域ケア開発研究所紀要 15

      Pages: 61-71

    • NAID

      110006999259

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] がん患者およびその家族と医療者を対象とした災害時のケァパッケージの洗練-Webによる調査をもとに-2008

    • Author(s)
      沼田 靖子・牧野 佐知子・坂下 玲子・荒尾 晴恵・川崎 優子・成松 恵・小林 珠実・内布 敦子
    • Journal Title

      兵庫県立大学看護学部・地域ケア開発研究所紀要 15

      Pages: 73-80

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Establiskment of a Mutual Support Network of Visiting Nursing Stations-Preparation for Cancer Patient Care during Disasters-2008

    • Author(s)
      Yuko Kawasaki, Arao, H., Megumi, N, Numata, Y., Sakashita, R., Uchinuno, A.
    • Journal Title

      The 11^<th> EAFONS The Future of Doctoral Nursing Programs in Asia

      Pages: 53-53

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 食行動プロセスに障害を抱えた療養者に対するr食看護アセスメント指標』の開発食事の援助技術に関する看護師の判断と援助2007

    • Author(s)
      沼田 靖子・田中 響・濱野 めぐみ
    • Journal Title

      日本摂食・嚥下リハビリテーション学会雑誌 11(3)

      Pages: 259-259

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 食事の援助技術に関する看護師の判断と援助に関する研究看護師の聞き取り調査から-2007

    • Author(s)
      沼田 靖子・田中 響・濱野 めぐみ
    • Journal Title

      第27回日本看護科学学会学術集会講演集

      Pages: 198-198

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 遺族の「悲哀の仕事」の構成要素に関する研究-ホスピスで妻を看取った夫の1事例を通して-2007

    • Author(s)
      沼田 靖子・本間 仁子・吉谷 優子
    • Journal Title

      ホスピスケアと在宅ケア 15(2)

      Pages: 169-169

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Development of pamphletS for cancer patients in disastesitUations based on the study of cancer patients'care needs2007

    • Author(s)
      Yuko KAWASAKI, Atsuko UCHINUNO, Sachiko MAKINO, Yasuko NUMATA, Tamami KOBAYASHI, Reiko SAKASHITA Harue ARAO
    • Journal Title

      Japan Journal of NURSINGSCIENCE 4(1)

      Pages: 39-43

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Actual circumstances of treatment and nursing care forcancer patients in disaster situations:Asurvey of nurses who experienced the Great Hanshin-Awaji Earthquake2007

    • Author(s)
      Arao, H., Numata, Y., Kawasaki, Y., Makino, S., Kobayashi, T., Sakashita, R., Uchinuno, A.
    • Journal Title

      Japan Joumal of NURSING SCIENCE 4(2)

      Pages: 111-119

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 5.overweight and loss weight2006

    • Author(s)
      Yasuko, Numata
    • Journal Title

      Nursing Skills with symptoms

      Pages: 114-122

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 6. loss of appetite2006

    • Author(s)
      Yasuko, Numata
    • Journal Title

      Nursing Skills with symptoms

      Pages: 123-129

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Distribution of care information packages for the support of patients with cancer and their families during disaster situations and their evaluation via the internet2006

    • Author(s)
      Reiko Sakashita, Atsuko Uchinuno, Sachiko Makino, Yuko Kawasaki, Yasuko Numata, Tamami Kobayashi, Harue Arao
    • Journal Title

      Nursing Informatics (6月,韓国)で発表

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 緩和ケア入院患者のセデーションに意思決定を支える-壮年期女性事例を通して-2006

    • Author(s)
      沼田 靖子
    • Journal Title

      第11回日本緩和医療学会総会(6月,神戸市)で発表

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 食看護アセスメント指標の開発・文献から抽出したアセスメント項目に関する報告-2006

    • Author(s)
      沼田 靖子, 濱野 めぐみ, 奥野 信行
    • Journal Title

      第12回日本摂食・嚥下リハビリテーション学会(9月倉敷市)で発表

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Hospital Systems for Continued Treatment of Cancer Patients in Times of Disaster in Japan2006

    • Author(s)
      Harue Arao, Atsuko Uchinuno, Yuko Kawasaki, Tamami Kobayashi, Sachiko Makino, Yasuko Numata, Reiko Sakashita
    • Journal Title

      EAFONS(3月,韓国)で発表

    • Related Report
      2006 Annual Research Report
  • [Presentation] 食事の援助技術に関する看護師の判断と援助に関する研究-看護師の聞き取り調査から2007

    • Author(s)
      沼田 靖子
    • Organizer
      第27回日本看護科学学会学術集会
    • Place of Presentation
      東京都東京国際フォーラム
    • Year and Date
      2007-12-07
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The study of the nurse's judgment and intervention about Nursing skills in the meal for patients-using semi-structured interview for nurses-2007

    • Author(s)
      Yasuko, Numata
    • Organizer
      The 27th Academic Conference of Japan Academy Nursing Science
    • Place of Presentation
      Tokyo International Forum, Tokyo
    • Year and Date
      2007-12-07
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 食行動プロセスに障害を抱えた療養者に対する『食看護アセスメント指標』の開発-食事の援助技術に関する看護師の判断と援助2007

    • Author(s)
      田中 響
    • Organizer
      第13回日本摂食、嚥下リハビリテーション学会学術学会
    • Place of Presentation
      埼玉県さいたま市大宮ソニックシティ
    • Year and Date
      2007-09-15
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The development of "Indicator of the appetite nursing assessment"for patients with activity limitation to eat behavior process -Judgment and interventions of the nurse about Nursing skills for the meal-2007

    • Author(s)
      Hibiki, Tanaka
    • Organizer
      The 13th Annual Meeting of the Japanese Society of Dysphagia Rehabilitation
    • Place of Presentation
      Omiya Sonic City, Saitama City
    • Year and Date
      2007-09-15
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 食看護アセスメント指標の開発-文献から抽出したアセスメント項目に関する報告2006

    • Author(s)
      沼田 靖子
    • Organizer
      第12回日本摂食、嚥下リハビリテーション学会学術大会
    • Place of Presentation
      岡山県倉敷市川崎医療大学
    • Year and Date
      2006-09-09
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] The development of Indicator for the Appetite Nursing Assessment-report about assessment points from a literature review-2006

    • Author(s)
      Yasuko, Numata
    • Organizer
      The 12th Annual Meeting of the Japanese Society of Dysphagia Rehabilitation
    • Place of Presentation
      Kawasaki Medical University, Kurashiki City
    • Year and Date
      2006-09-09
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] ロイ看護モデルを使った看護の実践(編集/松木光子):第4章ロイ看護過程の実際例II, 老年期の事例(改訂)2007

    • Author(s)
      沼田 靖子
    • Publisher
      ヌーヴェルヒロカワ
    • Related Report
      2007 Annual Research Report
  • [Book] Joanne K.Itano & Karen N.Taoka(小島操子・佐藤禮子監訳), Core Curriculum for Oncology Nursing 4^<th> Edition/がん看護コアカリキュラム:第V部オンコロジーエマージェンシー, 19構造的要因によるエマージェンシー脊髄圧迫(翻訳)2007

    • Author(s)
      沼田 靖子
    • Publisher
      医学書院
    • Related Report
      2007 Annual Research Report
  • [Book] 症状別看護技術:パートII実践編IV消化、吸収、栄養、代謝機能障害における症状5.肥満、るいそう(やせ)2006

    • Author(s)
      沼田 靖子
    • Total Pages
      8
    • Publisher
      ヌーヴェルヒロカワ
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 症状別看護技術:パートII実践編IV消化、吸収、栄養、代謝機能障害における症状6.食欲不振2006

    • Author(s)
      沼田 靖子
    • Total Pages
      6
    • Publisher
      ヌーヴェルヒロカワ
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Book] 症状別看護技術(分筆)2006

    • Author(s)
      沼田 靖子
    • Total Pages
      16
    • Publisher
      ヌーヴェルヒロカワ
    • Related Report
      2006 Annual Research Report

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Published: 2005-04-01   Modified: 2016-04-21  

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