| Project/Area Number |
22659429
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| Research Category |
Grant-in-Aid for Challenging Exploratory Research
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| Allocation Type | Single-year Grants |
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| Research Field |
Community health/Gerontological nurisng
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| Research Institution | Chiba University |
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Principal Investigator |
NAGAE Hiroko 千葉大学, 大学院・看護学研究科, 特任教授 (10265770)
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| Co-Investigator(Kenkyū-buntansha) |
SAITO Shinya 岡山大学, 大学院・保健学研究科, 教授 (10335599)
KATAYAMA Yoko 香川大学, 医学部看護学科, 助教 (30403778)
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| Co-Investigator(Renkei-kenkyūsha) |
SAKAI Masako 聖隷クリストファー大学, 看護学部看護学科, 教授 (60236982)
NIRIKOSHI Chie 岡山大学, 大学院・保健学研究科, 准教授 (70389500)
SAKURAI Chihoko 千葉大学, 大学院・看護学研究科, 特任講師 (40344973)
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| Project Period (FY) |
2010 – 2012
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| Project Status |
Completed (Fiscal Year 2012)
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| Budget Amount *help |
¥3,310,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥510,000)
Fiscal Year 2012: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2011: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2010: ¥1,100,000 (Direct Cost: ¥1,100,000)
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| Keywords | 非がん患者 / 在宅緩和ケア / 患者アウトカム / ベストプラクティス / 家族ケア / 予後予測 / 緩和ケア / 医師と看護師の連携 / 看取り体制 / 看護実践の効果 / 地域ケアシステム / 在宅死 / 家族の看取り / 非がん患者家族の不安 / 患者の主体性 / 自立支援 |
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| Research Abstract |
The purpose of this study was to structure nursing practices in home palliative care for non-cancer patients and their family and then to clarify the best practices focusing on their outcomes. The study was conducted in three phases; field survey to collect practitioners' empirical knowledge from within and outside of the country, case-study method, survey on prognosis prediction. The result indicates that the best practices in palliative care for non-cancer patients should be centered on management of medical condition and pain control, thus allowing doctor and nurses from home-care nursing station to share the prognosis prediction based on the observation made at daily visits in order to stabilize clinical condition. At the same time, organizing a system to minimize the anxiety of patients and their family by providing them with sufficient explanation is also crucial.
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