| Project/Area Number |
19K10922
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 58060:Clinical nursing-related
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| Research Institution | University of Tsukuba |
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Principal Investigator |
カツマタ アサコ・タケクマ 筑波大学, 医学医療系, 教授 (80816520)
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| Co-Investigator(Kenkyū-buntansha) |
トゴバタラ ガンチメゲ 筑波大学, 医学医療系, 助教 (10773830)
福澤 利江子 (岸利江子) 筑波大学, 医学医療系, 助教 (20332942)
杉本 敬子 筑波大学, 医学医療系, 客員研究員 (50700548)
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| Project Period (FY) |
2019-04-01 – 2024-03-31
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| Project Status |
Granted (Fiscal Year 2022)
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| Budget Amount *help |
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2022: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2021: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
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| Keywords | heart failure / self-care / HF self-care index / patient education / quality of life / Cardio vascular disease / Heart Failure / Heart Failure Self Care / Mongolia / Cardia vascular disease / Cardio Vasucular Disease / Nurse-led intervention / Patient education / Re-hospitaization |
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| Outline of Research at the Start |
This study will evaluate impact of nurse-led patient education to the heart failure patients prior to discharge from the acute care hospital in relation to knowledge about the disease process and health management at home after discharge, and re-hospitalization.
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| Outline of Annual Research Achievements |
We carried out the study on validating and adapting the Heart Failure self-care index 7.2- Mongolian version (HFSCI 7.2) between May and September 2022. The study was conducted at the National Cardiovascular Center, The Third State General Hospital. The center located in Ulaanbaatar, the capital city of Mongolia, provides specialized out- and inpatient care for heart failure at the national level. Patients diagnosed with heart failure, aged >18 years old, who had not experienced an acute coronary event, could speak and read Mongolian, and who agreed to participate were recruited in this study. The convenience sampling method was employed to recruit eligible participants from outpatient and inpatient clinics. During the study period, 528 patients out of 649 eligible patients were invited and 472 (89%) participated. Trained four senior nursing bachelor program students collected a self-reported questionnaire that consisted of socio demographic, HFSCI 7.2 Mongolian version and Short Form Health Status questionnaire. In two weeks after the completion of the questionnaire, re-test of HFSCI was conducted to each participant by telephone.
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| Current Status of Research Progress |
Current Status of Research Progress
2: Research has progressed on the whole more than it was originally planned.
Reason
Data implementation was delayed due to COVID-19, however, in 20023, the study was able to conducted with the support of the Mongolian health care professionals.
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| Strategy for Future Research Activity |
We are planning following two actives：
1. Statistical analysis and dissemination of the Validation and Adaptation of the HFSCI study: We will test the psychometric properties of the SCHFI using factor analysis. Internal consistency reliability of the SCHFI v.7.2 scales will be estimated with Cronbach'sα coefficients, and a value ≥0.70 will be considered adequate. Test–retest reliability of the SCHFI v.7.2 was tested with the Infraclass Correlation Coefficient. Construct validity will be tested by correlating SCHFI v.7.2 scale scores with quality of life and severity of illness.
2. Conducting the main study, “Implementing nurse-led self-care education and evaluating its impact on patients’ self-care and quality of life.” Using previously developed nurse-led program for patient self-care education and validated tool SCHFI 7.2, we plan to continuously conduct a single- arm pre and post-intervention quasi-experimental study. The study setting will be the
same as the tool validation study. Participants will be recruited from out-patient clinics. Intervention will be an hour of one-to-one training and followed several telephone consultations with patients. Self-care, quality of life and hospital readmission will be collected at baseline and 1 and 3 months after the intervention.
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