| Project/Area Number |
23593320
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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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| Research Field |
Lifelong developmental nursing
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| Research Institution | Fukuoka Prefectural University |
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Principal Investigator |
Torigoe Ikuyo 福岡県立大学, 看護学部, 准教授 (30217591)
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| Co-Investigator(Kenkyū-buntansha) |
YOSHIDA Shizuka 福岡県立大学, 看護学部, 助教 (30453236)
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| Research Collaborator |
Shorten Allison Yale School of Nursing, 准教授
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| Project Period (FY) |
2011-04-28 – 2016-03-31
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| Project Status |
Completed (Fiscal Year 2015)
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| Budget Amount *help |
¥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: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2012: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2011: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
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| Keywords | 反復帝王切開 / VBAC / TOLAC / 意思決定の共有 / 決定援助 / インフォームドチョイス / 共有意思決定 / 介入研究 / 帝王切開 / 出産選択 / 意思決定 / 選択的帝王切開 / 看護職 / 帝王切開分娩 / 国際情報交換 / 国際研究者交流(アメリカ) |
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| Outline of Final Research Achievements |
This study is to evaluate a decision aid intervention for supporting women choosing method of birth for women with prior cesarean delivery. The quasi-experimental before and after study involving 39 pregnant women was conducted within three institutions, in collaboration with four clinicians.
Increase in knowledge scores and decrease in DCS scores were observed after women received the decision aid intervention and were statistically significant. Birth satisfaction scores were highest for women who achieved VBAC compared with women who experienced repeat cesarean. Women felt the decision aid helped them to “face own decision making” and create a “feeling supported”. This study suggests the potential value of decision support during pregnancy. Women's individual values and preferences must be respected by health professionals from the shared decision making. Strategies to support women’s decision making in collaboration with pregnancy care providers is needed.
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