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Construction of a Nursing Care Support System for Independence of Children witn Chronic Illness Throughout Childhood

Research Project

Project/Area Number 18H03096
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 58070:Lifelong developmental nursing-related
Research InstitutionUniversity of Miyazaki

Principal Investigator

Nomaguchi Chikaho  宮崎大学, 医学部, 教授 (40237871)

Co-Investigator(Kenkyū-buntansha) 西田 みゆき  順天堂大学, 保健看護学部, 教授 (00352691)
林 亮  順天堂大学, 保健看護学部, 講師 (10712763)
仁尾 かおり  大阪公立大学, 大学院看護学研究科, 教授 (50392410)
及川 郁子  東京家政大学短期大学部, 短期大学部, 教授 (90185174)
Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥17,030,000 (Direct Cost: ¥13,100,000、Indirect Cost: ¥3,930,000)
Fiscal Year 2021: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2020: ¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2019: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2018: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Keywords慢性疾患 / 自立支援 / 自立度確認シート / ARCSモデル / 学習支援プログラム / 看護療養支援システム / 慢性疾患児 / 療養支援 / 小児期 / 親 / 看護実践支援 / 看護師
Outline of Final Research Achievements

In this study, for the purpose of clinical application and dissemination of the model of care support for independence of children with chronic illness, a learning support program was implemented for nurses for nursing practice using the Self-Reliance Check and Support Sheet (SRCSS) for chronically ill children, and evaluation The learning support program was based on the ARCS model. We developed the learning support program based on the ARCS model, which was completed by 35 nurses. As a result, knowledge scores, treatment support behavior scores, and motivational behavior scores, which were used as outcome measures, all increased significantly, and nursing practice of treatment support toward independence for chronically ill children utilizing the SRCSS was promoted. In addition, the results of the interview survey of nursing managers suggested that the characteristics of hospital wards should be taken into account when disseminating the SRCSS in clinical practice.

Academic Significance and Societal Importance of the Research Achievements

慢性疾患児の自立に向けた療養支援は、発症した小児期からの子どもと親の両方に年齢に応じた支援が必要である。本研究で開発した学習支援プログラムによる学習によって、看護師が自立度確認シートを活用した自立に向けた療養支援を日常的な看護活動の中で行うことが可能となることが明らかになった。このことは、慢性疾患児の自立に向けた療養支援システム構築が求められる現代において、その中で行う看護師による支援モデルを示し、慢性疾患児の年齢に応じた子どもの療養行動と家族による子どもへの支援行動を支援する看護実践の質の向上に貢献する。

Report

(5 results)
  • 2023 Final Research Report ( PDF )
  • 2021 Annual Research Report
  • 2020 Annual Research Report
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (7 results)

All 2022 2020 2019

All Presentation (7 results) (of which Int'l Joint Research: 2 results)

  • [Presentation] 慢性疾患児の自立に向けた療養支援のための看護実践パフォーマンス向上学習支援プログラムの実施と評価2022

    • Author(s)
      野間口千香穂,及川郁子,林亮,荒武亜紀,西田みゆき,仁尾かおり,齋藤身和,近藤美和子,黒田光恵,水野芳子
    • Organizer
      日本小児看護学会第32回学術集会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 慢性疾患をもつ子どもの支援-子どもの自立にむけて、周りの大人ができること-2022

    • Author(s)
      野間口千香穂
    • Organizer
      令和4年度子どもの健康に関する講演会(宮崎県中央保健所)
    • Related Report
      2020 Annual Research Report
  • [Presentation] Nursing practice for the independence of children with chronic illness from infancy to adolescence2020

    • Author(s)
      Koiri Nio,Chikaho Nomaguchi,Miyuki Nishida,Ikuko Oikawa,Ryo Hayashi,Aki Aratake
    • Organizer
      The 6th International Nursing Research Conference
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Nursing practice for parent to independent of children with chronic illness2020

    • Author(s)
      Miyuki Nishida,Chikaho Nomaguchi,Kaori Nio,Ikuko Oikawa,Ryo Hayashi,Aki Aratake
    • Organizer
      The 6th International Nursing Research Conference
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 小児期に関わる看護師の自立支援に関連した 学習意欲に関する調査 ーARCSモデルによる分析ー2019

    • Author(s)
      林亮、野間口千香穂、仁尾かおり、西田みゆき、及川郁子、荒武亜紀、奈須まどか
    • Organizer
      第66回日本小児保健協会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 慢性疾患児の自立に向けた看護実践の実態 -親への支援-2019

    • Author(s)
      西田みゆき、野間口千香穂、仁尾かおり、及川郁子、林亮、荒武亜紀
    • Organizer
      第39回日本看護科学学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 慢性疾患児の自立に向けた看護実践の実態 -子どもへの支援-2019

    • Author(s)
      仁尾かおり、野間口千香穂、西田みゆき、及川郁子、林亮、荒武亜紀
    • Organizer
      第39回日本看護科学学会学術集会
    • Related Report
      2019 Annual Research Report

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Published: 2018-04-23   Modified: 2025-01-30  

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