Development of a self-management support for elderly patients undergoing gastric cancer surgery

• Project/Area Number: 23792748
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Community health/Gerontological nurisng
• Research Institution: Seirei Christopher University
• Principal Investigator: FUJINAMI Chigusa 聖隷クリストファー大学, 看護学部, 助教 (30455026)
• Project Period (FY): 2011-04-28 – 2015-03-31
• Project Status: Completed (Fiscal Year 2014)
• Budget Amount: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000); Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2013: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000); Fiscal Year 2012: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000); Fiscal Year 2011: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
• Keywords: 胃切除術後患者 / セルフマネジメント / 看護介入プログラム / 胃がん術後患者 / 食事指導プログラム / 胃切除術 / 高齢者 / セルフケア能力 / 胃がん患者 / セルフケア

Outline of Final Research Achievements

This study aims to construct a self-management support system for elderly patients with stomach cancer who have undergone a surgery. An interview and examination of the support required for such patients revealed that most patients require support for autonomous adjustment of food intake levels and/or contents.
Hence, we believed the utilization of an existing program “The Autonomous Food Intake Adjustment Program for Post-Gastrectomy Patients,” which was developed by Yamaguchi et al. (2006) to be useful.We examined issues in the clinical utilization of this program and found that nurses did not provide feedback required for learning food intake adjustment to these patients, as per the program. Therefore, a system in which nurses can continue providing feedback should be constructed.