Evaluation of the development and effectiveness of a home nursing support program for chronic heart failure (CHF) patients applied shortly after discharge from hospital

• Project/Area Number: 23593230
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: Kobe University
• Principal Investigator: MIYAWAKI Ikuko 神戸大学, 保健学研究科, 教授 (80209957)
• Co-Investigator(Kenkyū-buntansha): TARU Chiemi 神戸大学, 保健学研究科, 研究員 (90514050) ; SAITO Nao 神戸大学, 保健学研究科, 助教 (20403298) ; HATTORI Yoko 甲南女子大学, 看護リハビリテーション学部, 准教授 (20337116)
• Project Period (FY): 2011 – 2013
• Project Status: Completed (Fiscal Year 2013)
• Budget Amount: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000); Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2012: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000); Fiscal Year 2011: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
• Keywords: 慢性心不全 / 在宅療養支援 / 再入院予防 / 支援プロトコール / ランダム化試験

Research Abstract

The purpose of this study was to develop a nursing support program that focuses on the recuperation actions of CHF patients who are frequently readmitted to the hospital and will be applied during the early stage after the patients are discharged from their hospitals to prevent a need for readmission.The study was conducted by interviewing 18 nurses who provided home nursing support to help patients with severe CHF continue with their home treatment for one year or longer.The nurses were asked about the details of their nursing practices and a qualitative analysis was conducted thereafter.The result of the interviews showed that the following kinds of support were effective: 1) Bowel management; 2) Infection prevention; 3) Specific guidance on physical exertion in everyday life; and 4) Improvement of self-monitoring ability. Since these kinds of support were considered an indispensable part of CHF patients'home treatment in order to prevent acute exacerbation of their symptoms.

Research Products

• [Presentation] 認知症を合併する心不全患者への療養支援-認知レベルに応じた生活調整への訪問看護師の関わりについて (2013)
  • Author(s): 多留ちえみ
  • Organizer: 第3回日本在宅看護学会学術集会
  • Place of Presentation: 東邦大学
  • Year and Date: 2013-11-16
• [Presentation] 慢性心不全患者の在宅療養における生活調整の実際 (2013)
  • Author(s): 多留ちえみ
  • Organizer: 第77回日本循環器学会学術集会
  • Place of Presentation: パシフィコ横浜
  • Year and Date: 2013-03-15
• [Presentation] 認知症を合併する心不全患者への療養支援―認知レベルに応じた生活調整への訪問看護師の関わりについて (2013)
  • Author(s): 多留ちえみ
  • Organizer: 第３回日本在宅看護学会学術集会
  • Place of Presentation: 東邦大学
• [Presentation] 心不全患者の在宅療養支援における看看連携の必要性 (2012)
  • Author(s): 多留ちえみ
  • Organizer: 第76回日本循環器学会、コメディカル・シンポジウム「高齢心不全患者の在宅支援」
  • Place of Presentation: マリンメッセ福岡
  • Year and Date: 2012-03-18
• [Presentation] その人らしい療養生活が継続できるための支援 (2011)
  • Author(s): 多留ちえみ
  • Organizer: 第15回日本心不全学会学術集会、コメディカル・パネルディスカッション「多職種参加による全人的治療」
  • Place of Presentation: かごしま県民交流センター
  • Year and Date: 2011-10-14
• [Presentation] 慢性心不全患者の在宅療養における生活調整の実際
  • Author(s): 多留 ちえみ
  • Organizer: 第77回日本循環器学会学術集会
  • Place of Presentation: パシフィコ横浜
• [Presentation] その人らしい療養生活が継続できるための支援
  • Author(s): 多留ちえみ
  • Organizer: 第15回日本心不全学会学術集会 コメディカル・パネルディスカッション「多職種参加による全人的治療」(招待講演)
  • Place of Presentation: かごしま県民交流センター
• [Presentation] 心不全患者の在宅療養支援における看看連携の重要性
  • Author(s): 多留ちえみ
  • Organizer: 第76回日本循環器学会 コメディカル・シンポジウム「高齢心不全患者の在宅支援」(招待講演)
  • Place of Presentation: マリンメッセ福岡