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Development and utility of a support program to enhance self-management skills of patients with cancer after prostatectomy

Research Project

Project/Area Number 19K19585
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 58060:Clinical nursing-related
Research InstitutionMukogawa Women's University (2023)
Doshisha Women's College of Liberal Arts (2019-2022)

Principal Investigator

AMANO Koji  武庫川女子大学, 看護学部, 講師 (40756194)

Project Period (FY) 2019-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2022: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2021: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2020: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords前立腺がん / 前立腺全摘除術 / 自己管理 / QOL / 下部尿路症状 / 尺度開発 / 術後 / 支援プログラム
Outline of Research at the Start

前立腺がん術後患者は、90%以上で尿失禁や性機能障害を合併し、改善するまでに約1年を要する。そのため、障害の程度や生活スタイルに合わせた自己管理が求められる。しかし、在院期間の短縮に伴い、入院中に看護師が患者個々に応じた療養指導を行うことは難しく、自己管理スキル向上に向けた支援が課題となっている。本研究は、前立腺がん術後患者の自己管理スキルを高める支援プログラムの開発とその有用性の検討を目的とする。まず、「前立腺がん術後患者用自己管理スキルアセスメントツール」を開発し、作成したツールを用いて自己管理スキルを高める支援プログラムを開発する。支援プログラムを適応し、その効果を測定する。

Outline of Final Research Achievements

The purpose of this study was to develop a "support program to enhance self-management in patients with cancer after prostatectomy" utilizing a self-management scale for patients with cancer after prostatectomy and to evaluate its usefulness. In Step 1, a literature review was conducted to identify changes in quality of life and symptoms over time in patients with cancer after prostatectomy. In Step 2, aspects of self-management in patients with cancer after prostatectomy were identified. In Step 3, the "Self-Management Scale for Patients with Cancer after Prostatectomy" was developed, and a support program using the scale was created. In the future, we will continue to examine the usefulness of the program in order to refine the support program and make it more effective.

Academic Significance and Societal Importance of the Research Achievements

前立腺がん術後患者にかかわる看護師の課題として、在院期間の短縮により、患者の自己管理の確立に向けた細部にわたる指導を行うことが難しいことがあげられた。そのため、患者は尿失禁などの合併症への対処に戸惑い、再発の不安や経済的な問題を抱えたまま退院している。これらの問題に対して、看護師は、術前早期から患者のニーズに応じた自己管理を支援していく必要がある。しかし、前立腺がん患者の自己管理については明らかにされておらず、具体的な支援方法は不明である。本研究により、患者は術後に生じうる問題に対して、短い入院期間であっても自分に合った自己管理を確立でき、合併症や再発を予防できQOL向上に繋がると考える。

Report

(6 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (6 results)

All 2024 2023 2022 2020

All Journal Article (3 results) (of which Peer Reviewed: 3 results) Presentation (3 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Development of a self-management scale for lower urinary tract symptoms in patients with cancer after radical prostatectomy2023

    • Author(s)
      Koji Amano
    • Journal Title

      International Journal of Urological Nursing

      Volume: in press Issue: 2 Pages: 103-115

    • DOI

      10.1111/ijun.12344

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Self-management of lower urinary tract symptoms in post-prostatectomy cancer patients: Content analysis2022

    • Author(s)
      Koji Amano, Kumi Suzuki
    • Journal Title

      International Journal of Urological Nursing

      Volume: 16(3) Issue: 3 Pages: 234-244

    • DOI

      10.1111/ijun.12327

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Changes in quality of life and lower urinary tract symptoms over time in cancer patients after a total prostatectomy: systematic review and meta-analysis2022

    • Author(s)
      Koji Amano, Kumi Suzuki, Yuri Ito
    • Journal Title

      Supportive Care in Cancer

      Volume: 30 Issue: 4 Pages: 2959-2970

    • DOI

      10.1007/s00520-021-06595-x

    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Presentation] 前立腺全摘除術後がん患者の下部尿路症状の重症度とQOLの関連2024

    • Author(s)
      天野功士、鈴木久美
    • Organizer
      日本がん看護学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 前立腺全摘除術後がん患者の下部尿路症状に対する自己管理の実態2023

    • Author(s)
      天野 功士、鈴木 久美
    • Organizer
      第37回日本がん看護学会学術集会
    • Related Report
      2022 Research-status Report
  • [Presentation] Postoperative urinary dysfunctions in patients with prostate cancer and the associated changes in Quality of Life: A review of the literature2020

    • Author(s)
      天野功士、鈴木久美、府川晃子
    • Organizer
      The 6th International Nursing Research of WANS
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research

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Published: 2019-04-18   Modified: 2025-01-30  

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