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Development of an outpatient nursing support tool for finding patterns of symptoms and signs of patients with chronic heart failure

Research Project

Project/Area Number 25670945
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Clinical nursing
Research InstitutionKansai Medical University (2016)
Osaka University (2013-2015)

Principal Investigator

SETO Natsuko  関西医科大学, 医学部, 教授 (60512069)

Co-Investigator(Kenkyū-buntansha) 岡田 彩子  兵庫県立大学, 看護学部, 准教授 (10425449)
清水 安子  大阪大学, 医学系研究科, 教授 (50252705)
大原 千園 (亀石 千園)  大阪大学, 医学系研究科, 招へい研究員 (90376202)
Research Collaborator TANIGUCHI Chinatsu  武庫川女子大学, 看護学部, 助教 (20757215)
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords慢性心不全 / 外来看護支援 / 療養支援ツール / 訪問看護師 / 症状 / 徴候 / パターン / 外来看護 / 支援ツール
Outline of Final Research Achievements

Participants were three experienced home-visit chronic heart failure nurses who completed one-to-one interviews,and data were analyzed. Six themes were identified that reflected detection of disease exacerbation and nursing support to prevent disease progression: difficulty of judging deterioration in patients with comorbidities; ascertaining conditions needing immediate intervention; detection of illness progression from changes in the patient’s appearance; inferring instability in physical condition from patients’ concerns and questions; arranging to ensure continued management of the patient post-discharge; and instructing patients to ensure they never return to their old habits. The findings indicate that nurses experience challenges in detecting illness progression and judging when outpatient or hospital care is needed. However, nurses use a range of signs and symptoms to determine deterioration, such as subtle changes in patients’appearance and behavior.

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (4 results)

All 2016 2015 2014

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (3 results) (of which Invited: 1 results)

  • [Journal Article] 日本における植込み型除細動器治療選択の意思決定支援に関する文献検討2015

    • Author(s)
      上谷千夏,瀬戸奈津子,谷本真理子,高橋奈美,添田百合子,林優子
    • Journal Title

      日本慢性看護学会誌

      Volume: 9(2) Pages: 67-73

    • NAID

      40020719406

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Presentation] 慢性心不全の悪化を防止するための療養行動を支援する外来看護について考える2016

    • Author(s)
      谷口千夏
    • Organizer
      第13回日本循環器看護学会学術集会 パネルディスカッションⅡ.循環器疾患患者のセルフケアの確立を目指した患者教育を考える
    • Place of Presentation
      仙台国際センター
    • Year and Date
      2016-10-22
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] A case study regarding home nursing support provided by visiting nurses to support the lives of people with chronic heart failure2015

    • Author(s)
      Chinatsu Uetani, Natsuko Seto, Ayako Okada, Chisono Ohara, Yasuko Shimizu
    • Organizer
      18th East Asian Forum of Nursing Scholars
    • Place of Presentation
      Taipei
    • Year and Date
      2015-02-05 – 2015-02-06
    • Related Report
      2014 Research-status Report
  • [Presentation] 慢性心不全患者の生活を支える在宅看護支援指針の開発に向けた症例検討2014

    • Author(s)
      上谷千夏,瀬戸奈津子,岡田彩子,大原千園,清水安子
    • Organizer
      第11回日本循環器看護学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2014-10-04 – 2014-10-05
    • Related Report
      2014 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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