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Prevention care for difficulties of visiting the dialysis facility in elderly hemodialysis patients

Research Project

Project/Area Number 24792541
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Community health/Gerontological nurisng
Research InstitutionNiigata University

Principal Investigator

SHIMIZU Utako  新潟大学, 医歯学系, 准教授 (10401762)

Project Period (FY) 2012-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords血液透析患者 / 通院 / 高齢 / 健康関連QOL / 高齢血液透析患者 / 通院支援サービス / 通院困難の認識 / 高齢透析患者 / 通院困難 / 費用対効果 / 医療・福祉 / 慢性血液透析
Outline of Final Research Achievements

The elderly dialysis patients needing long-term care more frequently utilized home care and equipment services, and utilized facility services and short-stay services less frequently. Transportation services cost per patient was higher in the home care than in the hospital admission. About the difficulties of visiting the dialysis facility, it was shown that elderly hemodialysis patients tried to continue “independent preparations for outpatient visits”. However, “uncertainty about the continuation of outpatient visits” hampered their “independent preparations for outpatient visits”. QOL score of elderly hemodialysis patients using EQ-5D-5L was 0.738± 0.207. Reduced walking ability and Hospital Anxiety and Depression Scale score had significant negative associations with EQ-5D-5L score. Thus, it is thought that early detection of depression and prevention of reduced walking ability are effective for coping with the uncertainty about the continuation of outpatient visits.

Report

(5 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (9 results)

All 2015 2014 2012 Other

All Journal Article (5 results) (of which Peer Reviewed: 5 results,  Open Access: 3 results,  Acknowledgement Compliant: 3 results) Presentation (4 results)

  • [Journal Article] Dialysis Patients’ Utilization of Health Care Services Covered by Long-Term Care Insurance in Japan2015

    • Author(s)
      Utako Shimizu, Yuji Mitadera, Hagiko Aoki, Kouhei Akazawa
    • Journal Title

      The Tohoku Journal of Experimental Medicine

      Volume: 236 Issue: 1 Pages: 9-19

    • DOI

      10.1620/tjem.236.9

    • NAID

      130005065004

    • ISSN
      0040-8727, 1349-3329
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Life Adjustments of Elderly Hemodialysis Patients for Continuing to Attend Dialysis Facility2015

    • Author(s)
      Utako Shimizu, Momoe Sakagami, Mieko Uchiyama, Hagiko Aoki
    • Journal Title

      Open Journal of Nursing

      Volume: 5 Issue: 10 Pages: 878-884

    • DOI

      10.4236/ojn.2015.510092

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Dialysis patients’ utilization of health care services covered by long-term care insurance in Japan2015

    • Author(s)
      Utako Shimizu, Yuji Mitader, Hagiko Aoki, Kohei Akazawa
    • Journal Title

      The Tohoku Journal of Experimental Medicine

      Volume: 236

    • NAID

      130005065004

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 超長期透析患者の抱える苦痛の形成過程2012

    • Author(s)
      清水詩子、青木萩子
    • Journal Title

      日本腎不全看護学会

      Volume: 14巻 Pages: 62-71

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Cost-effectiveness achieved through changing the composition of renal replacement therapy in Japan.2012

    • Author(s)
      Shimizu U, Saito S, Lings Y, Iino N, Kazama JJ, Akazawa K
    • Journal Title

      J Med Econ

      Volume: Vol 15 Issue: 3 Pages: 444-453

    • DOI

      10.3111/13696998.2011.653512

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 高齢血液透析患者が通院困難を認識しながら長期に通院を継続する過程2015

    • Author(s)
      清水詩子、坂上百重、青木萩子
    • Organizer
      第18回 日本腎不全看護学会 学術集会
    • Place of Presentation
      名古屋国際会議場(愛知県名古屋市)
    • Year and Date
      2015-11-14
    • Related Report
      2015 Annual Research Report
  • [Presentation] 要介護透析患者の通院支援体制に基づく費用の比較2014

    • Author(s)
      清水詩子、坂上百重、青木萩子
    • Organizer
      日本腎不全看護学会
    • Place of Presentation
      千葉市
    • Year and Date
      2014-11-08 – 2014-11-09
    • Related Report
      2014 Research-status Report
  • [Presentation] 腎代替療法の構成の違いに基づく費用対効果の比較2012

    • Author(s)
      清水詩子
    • Organizer
      医療情報学連合大会
    • Place of Presentation
      新潟市
    • Related Report
      2012 Research-status Report
  • [Presentation] PROCESS OF THE FORMATION OF A SENSE OF DIFFICULTY OF THE ELDERLY HEMODIALYSIS PATIENTS FOR VISITING A HOSPITAL

    • Author(s)
      Utako SHIMIZU, Momoe SAKAGAMI, Hagiko AOKI
    • Organizer
      The 3rd Asian Nephrology Nursing Symposium
    • Place of Presentation
      Yokohama city
    • Related Report
      2013 Research-status Report

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Published: 2013-05-31   Modified: 2025-01-30  

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