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Development of an Assessment Sheet for Screening the Initial Ability to Stand in Patients with Acute Heart Failure -Examining the reliability and validity of assessment items-

Research Project

Project/Area Number 18K17496
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 58060:Clinical nursing-related
Research InstitutionMie Prefectural College of Nursing

Principal Investigator

Sekine Yuki  三重県立看護大学, 看護学部, 准教授 (60549096)

Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2020: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords急性心不全 / 初回立位 / アセスメントシート / 信頼性 / 妥当性 / アセスメント項目の信頼性と妥当性
Outline of Final Research Achievements

Verification of the reliability of assessment items in an assessment sheet that screens the initial ability to stand showed a kappa coefficient of 0.294, p<.005 for history of atrial fibrillation, a kappa coefficient of 0.222, p<.002 for invasive mechanical ventilation management, and a kappa coefficient of -0.025, p>.676 for depression. When nurses assessed the initial ability to stand, the percentage of utilization was 81% for history of atrial fibrillation, 75.2% for invasive mechanical ventilation management, and 71.4% for depression. Thus, validity was high with respect to content. The variance between assessment results using the assessment sheet and actual circumstances concerning standing was 7.6%. Therefore, though there were items that did not sufficiently show reliability, this study suggested high content validity and predictive validity.

Academic Significance and Societal Importance of the Research Achievements

急性心不全患者は、治療や病態により初回立位時に立位を取ることが困難なことが多いが、その可否をスクリーニングするアセスメントシートは国内外ともに存在しない。初回立位の可否をスクリーニングするアセスメントシートの開発を行うことで、看護師は初回立位時に適切なサポートを行うことや患者へ心構えを促すことができると考える。それにより、患者は立位の状況をイメージし安全に初回立位に取り組むことや、立位が困難であっても心構えが促されることにより自信喪失は軽減すると考える。また、継続的に看護介入を行うことで、ADLの回復や退院後のQOL (Quality of Life:生活の質)の向上に寄与すると考える。

Report

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

    (3 results)

All 2021 2019 2018

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (1 results)

  • [Journal Article] 成人急性看護総合実習におけるルーブリック評価表導入による利点と課題2021

    • Author(s)
      関根由紀,長谷川智之,脇坂浩,玉田章
    • Journal Title

      日本看護学教育学会誌

      Volume: 30 Pages: 89-100

    • NAID

      40022526524

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Exploratory study of factors related to initial standing abilities in patients with acute heart failure2019

    • Author(s)
      Yuki sekine
    • Journal Title

      日本クリティカルケア看護学会誌

      Volume: 15 Pages: 121-133

    • NAID

      130007812095

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 急性心不全患者の初回立位の可否をスクリーニングするアセスメントシートの開発ー予測スコア指標の開発と有効性の検討ー2018

    • Author(s)
      関根由紀
    • Organizer
      第15回 日本循環器看護学会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2023-01-30  

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