Development of a medication taking support model for the patients receiving oral anticancer agents

• Project/Area Number: 23593257
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: Keio University
• Principal Investigator: YAGASAKI Kaori 慶應義塾大学, 看護医療学部, 准教授 (80459247)
• Co-Investigator(Kenkyū-buntansha): KOMATSU Hiroko 慶應義塾大学, 看護医療学部, 教授 (60158300)
• Co-Investigator(Renkei-kenkyūsha): ITO Kazuhiro 聖路加国際大学, 看護学部, 教授 (80184646)
• Project Period (FY): 2011-04-28 – 2015-03-31
• Project Status: Completed (Fiscal Year 2014)
• Budget Amount: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000); Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2012: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000); Fiscal Year 2011: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
• Keywords: 経口抗がん薬 / アドヒアランス / 服薬支援 / 質的研究 / がん患者 / 服薬アドヒアランス / 胃癌 / 経口抗がん薬療法 / がん看護 / 経口抗がん剤 / 看護学 / 経口化学療法 / 服薬 / 外来

Outline of Final Research Achievements

The purpose of this study is to develop a medication taking support model for the patients receiving oral anticancer agents. In this study, two qualitative studies were conducted. As the result, this study made it clear that patients with cancer experienced inner conflict between rational belief and emotional resistance to taking the medication. Another study revealed a compelling need for nursing presence in oral chemotherapy. In their partnership with patients, nurses should be attentive, connect with patients, elicit patients’ unmet needs, and provide committed patient support. Rather than traditional reactive approach, proactive patient care is required. From these results, the importance of supporting patient adherence in patient-centered care was revealed.

Research Products

• [Journal Article] Inner conflict in patients receiveing oral anticancer agents: a qualitative study (2015)
  • Author(s): Yagasaki K, Komatsu H, Takahashi T
  • Journal Title: BMJ Open Volume: 5 Issue: 4 Pages: 1-8
  • DOI: 10.1136/bmjopen-2014-006699
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] The Need for a Nursing Presence in Oral Chemotherapy (2013)
  • Author(s): Kaori Yagasaki, Hiroko Komatsu
  • Journal Title: Clinical Journal of Oncology Nursing Volume: Oct Pages: 1-17
  • Peer Reviewed
• [Presentation] The Need for a Nursing Presence in Oral Chemotherapy (2013)
  • Author(s): Kaori Yagasaki
  • Organizer: the 1st Asian Oncology Nursing Conference
  • Place of Presentation: Bangkok, Thailand