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Development of Chronic Illness Disease Management Programs and Self-directed Care kits based on the Ethnographical Method

Research Project

Project/Area Number 19390559
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionHiroshima University

Principal Investigator

MORIYAMA Michiko  Hiroshima University, 大学院・保健学研究科, 教授 (80264977)

Co-Investigator(Kenkyū-buntansha) OKA Michiyo  群馬大学, 医学部, 教授 (10312729)
OHTSU Haruka  弘前大学, 大学院・保健学研究科, 講師 (10382384)
MIYAZONO Natsumi  鹿児島大学, 医学部, 講師 (60352465)
USAMI Shiori  熊本大学, 医学部, 教授 (50295755)
SANO Mariko  広島大学, 大学院・総合研究科, 教授 (80206002)
OKADA Takashi  京都大学, 医学研究科, 助教 (80335249)
KIHARA Yasuki  広島大学, 大学院・医歯薬学総合研究科, 教授 (40214853)
OKADA Ayako  財団法人田附興風会, 医学研究科, 研究員
Project Period (FY) 2007 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥18,980,000 (Direct Cost: ¥14,600,000、Indirect Cost: ¥4,380,000)
Fiscal Year 2009: ¥5,980,000 (Direct Cost: ¥4,600,000、Indirect Cost: ¥1,380,000)
Fiscal Year 2008: ¥8,710,000 (Direct Cost: ¥6,700,000、Indirect Cost: ¥2,010,000)
Fiscal Year 2007: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Keywords慢性病看護学 / 疾病管理 / 医療人類学 / 慢性疾患管理 / セルフマネジメント / Disease Management / 自己管理 / 教育プログラム / 教材 / エスノグラフィー
Research Abstract

Chronic illness disease management programs and self-directed care kits of type 2 Diabetes, CKD, post MI, CHF and COPD were developed based on the ethnographical method, and clinical trials of the programs were carried out. For the clinical testing, field work was first conducted, determining the structure and contents of the program. Subsequently, the method of program development was clarified in terms of motivation, behavioral maintenance, physiological data improvement, and QOL enhancement. The clinical trials demonstrated the reinforcement of the self-management behavior among the intervention group, indicating improvements in respective indicators.

Report

(4 results)
  • 2009 Annual Research Report   Final Research Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (57 results)

All 2010 2009 2008 2007 Other

All Journal Article (18 results) (of which Peer Reviewed: 16 results) Presentation (27 results) Book (7 results) Remarks (5 results)

  • [Journal Article] MacNew Heart Disease Health-Related Quality of Life Questionnaireの日本語版の作成と信頼性・妥当性の検討2010

    • Author(s)
      大津美香, 森山美知子, 中谷隆
    • Journal Title

      日本看護科学会誌 30巻

      Pages: 91-99

    • NAID

      10026258152

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] MacNew Heart Disease Health-Related Quality of Life Questionnaire の日本語版の作成と信頼性・妥当性の検討2010

    • Author(s)
      大津美香
    • Journal Title

      日本看護科学会誌 Vol. 30

      Pages: 91-99

    • NAID

      10026258152

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Efficacy of a self-management education program for people with type 2 diabetes : Results of a 12 month trial2009

    • Author(s)
      森山美知子, et al.
    • Journal Title

      Japan Journal of Nursing Science Vol.6

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Cigarette smoking abolishes preconditionaling-induced augmentation of endothelium-dependent vasodilation2009

    • Author(s)
      Nakamura S, Kimura M, Noma K, Chayama K, Kihara Y, Higashi Y
    • Journal Title

      Hypertension 53

      Pages: 674-681

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 循環器領域のアウトカムの向上に向けて-ディジーズマネジメント/ライフコース・アプローチの導入2009

    • Author(s)
      森山美知子, 河口千晴
    • Journal Title

      心臓リハビリテーション学会誌 14巻

      Pages: 30-33

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Efficacy of a self-management education program for people with type 2 diabetes : Results of a 12 month trial2009

    • Author(s)
      Michiko Moriyama
    • Journal Title

      JAPAN JOURNAL OF NURSING SCIENCE Vol. 6

      Pages: 51-63

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article]2009

    • Author(s)
      森山美知子
    • Journal Title

      心臓リハビリテーション実践マニュアル (担当分 : 新しい患者教育)(中山書店)

      Pages: 295-296

    • Related Report
      2009 Annual Research Report
  • [Journal Article] Cigarette smoking abolishes preconditionaling-indced augmentation of endothelium-dependent vasodilation.2009

    • Author(s)
      Nakamura S, Kimura M, Noma K, Chayama K, Kihara Y, Higashi Y.
    • Journal Title

      Hypertension 53・4

      Pages: 674-681

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 循環器領域のアウトカムの向上に向けて : ディジーズマネジメンド/ライフコース・アプローチの導入2009

    • Author(s)
      森山美知子, 河口千晴
    • Journal Title

      心臓リハビリテーション学会誌 14・1

      Pages: 30-33

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Endothelia1. function and oxidative stress in cardiovascular diseases.2009

    • Author(s)
      Higashi Y, Noma K, Yoshizumi M, Kihara Y.
    • Journal Title

      Circulation 73 ・ 3

      Pages: 411-418

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 心不全のディジーズマネジメント-新しい疾病管理と患者支援2008

    • Author(s)
      岡田彩子, 森山美知子
    • Journal Title

      看護技術 臨時増刊号,54巻

      Pages: 5-176

    • Related Report
      2009 Final Research Report
  • [Journal Article] セルフマネジメントスキルの獲得を目的とした2型糖尿病疾病管理プログラムの開発過程と試行の効果2008

    • Author(s)
      高見知世子, 森山美知子, 中野真寿美
    • Journal Title

      日本看護科学会誌 28巻

      Pages: 59-68

    • NAID

      10026508312

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 慢性心不全患者の疾病の自己管理の実態と臨床指標との関連2008

    • Author(s)
      大津美香, 森山美知子
    • Journal Title

      広島大学保健学ジャーナル 7巻

      Pages: 66-76

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 慢性心不全患者の疾病の自己管理の実態と臨床指標との関連2008

    • Author(s)
      大津美香, 森山美知子
    • Journal Title

      広島大学保健学ジャーナル 7・2

      Pages: 66-76

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] セルフマネジメントスキルの獲得を目的とした2型糖尿病疾病管理プログラムの開発過程と試行の効果2008

    • Author(s)
      高見知世子, 森山美知子, 中野真寿美, 黒江ゆり子, 任和子, 森川浩子, 長谷川友紀, 林静子
    • Journal Title

      日本看護科学会誌 28・3

      Pages: 59-68

    • NAID

      10026508312

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] セルフマネジメント能力の獲得を主眼にした包括的心臓リハビリテーションプログラムの有効性の検討2008

    • Author(s)
      森山美知子, 中野眞寿美, 古井祐司, 中谷隆
    • Journal Title

      日本看護科学会誌 28・4

      Pages: 17-26

    • NAID

      10026508434

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effect of isoflavone supplement on endothelial function : dose efficacy vary with atherosclerotic burden?2008

    • Author(s)
      Teragawa H, Higashi Y, Kihara Y.
    • Journal Title

      European Heart Journal 29 ・ 22

      Pages: 2710-2712

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 2型糖尿病患者の家族における食事療法の協力体制形成過程2007

    • Author(s)
      森田桂子, 森山美知子, 高見知世子
    • Journal Title

      日本糖尿病教育・看護学会誌 11

      Pages: 157-165

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Presentation] 在宅酸素療法実施中のCOPD患者を対象とした疾病管理プログラムの有効性の検討2010

    • Author(s)
      森山美知子
    • Organizer
      第50回日本呼吸器学会
    • Place of Presentation
      京都
    • Year and Date
      2010-04-23
    • Related Report
      2009 Final Research Report
  • [Presentation] Chronic Disease Management Incorporated into the Public Long-term Care Insurance System2010

    • Author(s)
      森山美知子
    • Organizer
      The 1^<st> Asian Congress of Medical and Care Facilities
    • Place of Presentation
      京都国際会館(京都市)
    • Year and Date
      2010-03-14
    • Related Report
      2009 Annual Research Report
  • [Presentation] Factors and process of bringing motivation and maintaining changed behavior of people with Type2 diabetes2009

    • Author(s)
      Kazuko Inoue
    • Organizer
      The 1^<st> International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      神戸国際会議場(神戸市)
    • Year and Date
      2009-09-20
    • Related Report
      2009 Annual Research Report
  • [Presentation] A qualitative exploration of concerns and cognitive experiences of patients in early stages of diabetic nephropathy and their family members2009

    • Author(s)
      Nishida Tomoko, 森山美知子
    • Organizer
      The 1^<st> International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      Kobe
    • Year and Date
      2009-09-19
    • Related Report
      2009 Final Research Report
  • [Presentation] Psychological and educational intervention program for patients in early stages diabetic neuropathy and their family members2009

    • Author(s)
      Nishida Tomoko, 森山美知子
    • Organizer
      The 1^<st> International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      Kobe
    • Year and Date
      2009-09-19
    • Related Report
      2009 Final Research Report
  • [Presentation] Factors and process of bringing motivation and maintaining changed behavior of people with Type2 diabetes2009

    • Author(s)
      Inoue Kazuko, 森山美知子
    • Organizer
      The 1^<st> International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      Kobe
    • Year and Date
      2009-09-19
    • Related Report
      2009 Final Research Report
  • [Presentation] Research into the psychological state and behavior of the partners of breast cancer patients and nursing support2009

    • Author(s)
      Miyazono Natsumi
    • Organizer
      The 1^<st> International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      Kobe
    • Year and Date
      2009-09-19
    • Related Report
      2009 Final Research Report
  • [Presentation] A qualitative exploration of concerns and cognitive experiences of patients in early stages of diabetic nephropathy and their family members2009

    • Author(s)
      Tomoko Nishida
    • Organizer
      The 1^<st> International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      神戸国際会議場(神戸市)
    • Year and Date
      2009-09-19
    • Related Report
      2009 Annual Research Report
  • [Presentation] Psychological and educational intervention program for patients in early stages diabetic neuropathy and their family members2009

    • Author(s)
      Tomoko Nishida
    • Organizer
      The 1^<st> International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      神戸国際会議場(神戸市)
    • Year and Date
      2009-09-19
    • Related Report
      2009 Annual Research Report
  • [Presentation] Research into the psychological state and behavior of the partners of breast cancer patients and nursing support2009

    • Author(s)
      Natsumi Miyazono
    • Organizer
      The 1^<st> International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      神戸国際会議場(神戸市)
    • Year and Date
      2009-09-19
    • Related Report
      2009 Annual Research Report
  • [Presentation] Development of a Japanese version of the MacNew Heart Disease Health-Related Quality of Life Questionnaire2009

    • Author(s)
      Haruka Otsu
    • Organizer
      The 1^<st> International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      神戸国際会議場(神戸市)
    • Year and Date
      2009-09-19
    • Related Report
      2009 Annual Research Report
  • [Presentation] Empowerment in Health and Community Settings : Empowering People with Chronic Illness and their Families2009

    • Author(s)
      森山美知子
    • Organizer
      The First Asia-Pacific Conference on Health Promotion and Education
    • Place of Presentation
      Chiba
    • Year and Date
      2009-07-19
    • Related Report
      2009 Final Research Report
  • [Presentation] Empowerment in Health and Community Settings : Empowering People with Chronic Illness and their Families2009

    • Author(s)
      森山美知子
    • Organizer
      The First Asia-Pacific Conference on Health Promotion and Education
    • Place of Presentation
      幕張メッセ(千葉県)
    • Year and Date
      2009-07-19
    • Related Report
      2009 Annual Research Report
  • [Presentation] 心筋梗塞後患者のエンパワメント:セルフマネジメント教育と心理的サポートを強化した包括的心臓リハビリテーションの導入2009

    • Author(s)
      森山美知子
    • Organizer
      第15回心臓リハビリテーショ学会
    • Place of Presentation
      東京
    • Year and Date
      2009-07-18
    • Related Report
      2009 Final Research Report
  • [Presentation] 心筋梗塞後患者のエンパワメント:セルフマネジメント教育と心理的サボートを強化した包括的心臓リハビリテーションの導入2009

    • Author(s)
      森山美知子
    • Organizer
      第15回心臓リハビリテーショ学会
    • Place of Presentation
      東京ファッションタウンビル(東京都)
    • Year and Date
      2009-07-18
    • Related Report
      2009 Annual Research Report
  • [Presentation] 慢性心不全疾病管理プログラム実施後12ヵ月における効果について2009

    • Author(s)
      大津美香, 森山美知子, 盛 勇造, 内海修子
    • Organizer
      第73回日本循環器学会総会・学術集会
    • Place of Presentation
      大阪市
    • Year and Date
      2009-03-21
    • Related Report
      2008 Annual Research Report
  • [Presentation] Prediction of Heart Failure Death in Hemodialysis Patients by Myocardial Washout Rate of Technetium 99m Sestamibi2009

    • Author(s)
      蓼原 太, 木原康樹
    • Organizer
      第73回日本循環器学会総会・学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2009-03-20
    • Related Report
      2008 Annual Research Report
  • [Presentation] 虚血性心疾患患者の自己管理行動を測定する質問紙の作成2008

    • Author(s)
      大村由紀美, 森山美知子
    • Organizer
      第28回日本看護科学学会学術集会
    • Place of Presentation
      福岡市
    • Year and Date
      2008-12-14
    • Related Report
      2008 Annual Research Report
  • [Presentation] 虚血性心疾患患者の自己管理行動と心理社会的要因との関連2008

    • Author(s)
      大村由紀美, 森山美知子
    • Organizer
      第28回日本看護科学学会学術集会
    • Place of Presentation
      福岡市
    • Year and Date
      2008-12-14
    • Related Report
      2008 Annual Research Report
  • [Presentation] 保険者機能の拡大に向けた取り組み : 2型糖尿病疾病管理プログラムの地域への導入2008

    • Author(s)
      森山美知子, 長谷川友紀
    • Organizer
      第67回日本公衆衛生学会総会
    • Place of Presentation
      福岡市
    • Year and Date
      2008-11-05
    • Related Report
      2008 Annual Research Report
  • [Presentation] セルフマネジメント能力の強化を目的とした2型糖尿病疾病管理プログラムの有効性の検討2008

    • Author(s)
      森山美知子, 黒江ゆり子, 任和子, 中野真寿美, 高見知世子
    • Organizer
      第5回広島保健学学会学術集会
    • Place of Presentation
      広島市
    • Year and Date
      2008-10-05
    • Related Report
      2008 Annual Research Report
  • [Presentation] 外来における2型糖尿病疾病管理プログラムの有効性の検討-1年間トライアルの結果2008

    • Author(s)
      森山美知子, 黒江ゆり子, 任和子, 高見知世子, 中野真寿美
    • Organizer
      第13回日本糖尿病教育・看護学会
    • Place of Presentation
      金沢市
    • Year and Date
      2008-09-07
    • Related Report
      2008 Annual Research Report
  • [Presentation] Effect of Educational Intervention on Improve Clinical Outcomes in Japanese Outpatients with Chronic Heart Failure2008

    • Author(s)
      Otsu Haruka, 森山美知子, MoriYuzo, Uchiumi Shuko
    • Organizer
      Psychogenic Cardiovascular Disease Conference
    • Place of Presentation
      Prato, Italy
    • Year and Date
      2008-09-04
    • Related Report
      2009 Final Research Report
  • [Presentation] Effect of Educational Intervention on Improve Clinical Outcomes in Japanese Outpatients with chronic Heart Failure2008

    • Author(s)
      Haruka OTSU, Michiko MORIYAMA, Yuzo MORI, Shuko UCHIUMI
    • Organizer
      Psychogenic Cardiovascular Disease Conference
    • Place of Presentation
      Prato, Italy
    • Year and Date
      2008-09-04
    • Related Report
      2008 Annual Research Report
  • [Presentation] 慢性心不全疾病管理プログラム実施後6ヵ月における効果について2008

    • Author(s)
      大津美香, 森山美知子, 盛勇造, 内海修子
    • Organizer
      日本ヘルスサポート学会第3回学術集会
    • Place of Presentation
      東京都
    • Year and Date
      2008-07-12
    • Related Report
      2008 Annual Research Report
  • [Presentation] 医療人類学と透析患者の生活-文献からの一考察2008

    • Author(s)
      小柴香織, 岡美智代, 森山美知子
    • Organizer
      群馬県透析懇話会
    • Place of Presentation
      前橋市
    • Year and Date
      2008-02-03
    • Related Report
      2009 Final Research Report
  • [Presentation] 医療人類学と透析患者の生活-文献からの一考察2008

    • Author(s)
      小柴香織
    • Organizer
      群馬県透析懇話会
    • Place of Presentation
      群馬県前橋市
    • Year and Date
      2008-02-03
    • Related Report
      2007 Annual Research Report
  • [Book] ディジーズマネジメントの実際:生活習慣病対策の新展開2009

    • Author(s)
      田中滋, 松田晋哉, 坂巻弘之, 森山美知子
    • Total Pages
      116
    • Publisher
      日本医学出版
    • Related Report
      2009 Final Research Report
  • [Book] 地域連携クリティカルパスと疾病ケアマネジメント2009

    • Author(s)
      武藤正樹, 森山美知子, 他2名
    • Publisher
      中央法規出版
    • Related Report
      2009 Final Research Report
  • [Book] 心臓リハビリテーション実践マニュアル(新しい患者教育)2009

    • Author(s)
      森山美知子
    • Publisher
      中山書店
    • Related Report
      2009 Final Research Report
  • [Book] 地域連携クリティカルパスと疾病ケアマネジメント2009

    • Author(s)
      森山美知子(編集)
    • Total Pages
      217
    • Publisher
      中央法規出版
    • Related Report
      2009 Annual Research Report
  • [Book] ディジーズマネジメントの実際 : 生活習慣病対策の新展開2009

    • Author(s)
      田中滋, 松田晋哉, 坂巻弘之, 森山美知子
    • Total Pages
      116
    • Publisher
      日本医学出版
    • Related Report
      2008 Annual Research Report
  • [Book] 地域連携クリティカルパスと疾病ケアマネジメント2009

    • Author(s)
      武藤正樹, 田城孝雄, 森山美知子, 池田俊也
    • Total Pages
      217
    • Publisher
      中央法規出版
    • Related Report
      2008 Annual Research Report
  • [Book] 新しい慢性疾患ケアモデルーディジーズマネジメントとナーシングケースマネジメント2007

    • Author(s)
      森山美知子
    • Total Pages
      203
    • Publisher
      中央法規出版
    • Related Report
      2009 Final Research Report
  • [Remarks] ホームページ

    • URL

      http://home.hiroshima-u.ac.jp/seijin/chronic.html

    • Related Report
      2009 Final Research Report
  • [Remarks] 日本経済新聞,朝日新聞,毎日新聞,読売新聞,中国新聞(2010年12月15日)「慢性疾患の患者支援」他

    • Related Report
      2009 Final Research Report
  • [Remarks] NHK,中国放送,広島テレビ放送(ニュース,2010年12月14日)

    • Related Report
      2009 Final Research Report
  • [Remarks] 朝日新聞(広島版)(2010年2月23日,32面)「糖尿病、悪化を防げ 薬・食事の自己管理キット・看護師らが直接指導」

    • Related Report
      2009 Final Research Report
  • [Remarks] 朝日新聞(2010年1月7日,29面)「慢性疾患 重症化させないために 自己管理キット作成」

    • Related Report
      2009 Final Research Report

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Published: 2007-04-01   Modified: 2016-04-21  

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