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DEVELOPMENT OF A NURSING INTERVENTION MODEL TO IMPROVE THE QUALITY OF LIFE IN PREADOLESCENTS/ADOLESCENTS AND THEIR PARENTS AFTER LIVING DONOR LIVER TRANSPLANT

Research Project

Project/Area Number 26463414
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Lifelong developmental nursing
Research InstitutionKyushu University

Principal Investigator

Fujita Ayaka  九州大学, 医学研究院, 助教 (10437791)

Co-Investigator(Kenkyū-buntansha) 松浦 俊治  九州大学, 大学病院, 准教授 (10532856)
林田 真  九州大学, 医学研究院, 共同研究員 (70452761)
濱田 裕子  九州大学, 医学研究院, 准教授 (60285541)
木下 義晶  九州大学, 大学病院, 准教授 (80345529)
Project Period (FY) 2014-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords生体肝移植 / 子ども / 家族 / QOL
Outline of Final Research Achievements

The aim of this study was to develop a model of nursing assistance and problem solving to improve the quality of life of children and parents from school age to adolescence after liver transplantation. Child and family monitoring indicators were developed based on the results of a survey of children and parents, interviews, and a review of the literature. The survey results and literature review led to a conceptual framework, nursing assistance model, and pattern-specific nursing assistance guidelines for improving the quality of life of children and parents from late school age to adolescence after living donor liver transplantation. The developed nursing assistance model was practiced, evaluated, and revised, and the content was refined to construct a nursing assistance model for improving the quality of life of children and parents from late school age to adolescence after liver transplantation.

Academic Significance and Societal Importance of the Research Achievements

本研究では、肝移植後の学童期から思春期の子どもと親のQOLの現状及びQOL向上のための看護援助モデルを学術的に明示した。
看護援助モデルの3つの側面;子どもに対する援助(子どもの移植の体験を受け止め理解を促す援助,子ども自身の移植後の身体状況理解への援助,移植後の免疫抑制剤内服を中心とした疾患管理継続への援助,移植後の療養生活の調整への援助),親に対する援助(子どもの肝機能維持のためのセルフケアを促進する援助,親自身の健康維持への援助),親子に対する援助(移植後の疾患管理における親と子の関係性への援助)は、本研究の独自性であり、臨床で使用可能な看護援助モデルとして提示した。

Report

(9 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (7 results)

All 2021 2019 2017 2016 2015 2014

All Journal Article (4 results) (of which Open Access: 1 results,  Peer Reviewed: 3 results,  Acknowledgement Compliant: 1 results) Presentation (3 results)

  • [Journal Article] Mothers’ burdens after living donor liver transplantation2021

    • Author(s)
      Ayaka Fujita
    • Journal Title

      Research Outreach

      Volume: - Issue: 126

    • DOI

      10.32907/ro-126-1776281413

    • Related Report
      2021 Annual Research Report
    • Open Access
  • [Journal Article] Mothers’ Experiences With Pregnancy and Childbirth Following Pediatric Living Liver Transplant Donation: A Qualitative Descriptive Study2021

    • Author(s)
      Fujita Ayaka、Hamada Yuko、Matsuura Toshiharu
    • Journal Title

      Transplantation Proceedings

      Volume: 53 Issue: 2 Pages: 630-635

    • DOI

      10.1016/j.transproceed.2020.10.046

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Bereavement care in Japanese pediatrics: Pediatrician awareness in practice2019

    • Author(s)
      Fujita Ayaka、Hamada Yuko
    • Journal Title

      Pediatrics International

      Volume: 61 Issue: 7 Pages: 658-663

    • DOI

      10.1111/ped.13891

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] 生体肝移植後の学童後期から思春期の子どもと親のQOL向上のための看護援助モデルの考案2016

    • Author(s)
      藤田紋佳
    • Journal Title

      千葉看護学会誌

      Volume: 21(2) Pages: 1-8

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] 小児生体肝移植ドナー経験後の母親の妊娠・出産の実態2017

    • Author(s)
      藤田紋佳、松浦俊治、濵田裕子、田口智章
    • Organizer
      第53回日本移植学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 肝移植後の学童期・思春期の子どもの健康関連QOLと日常生活の実態2015

    • Author(s)
      藤田紋佳、松浦俊治、林田真、濵田裕子、田口智章
    • Organizer
      第51回日本移植学会総会
    • Place of Presentation
      ホテル日航熊本
    • Year and Date
      2015-10-01
    • Related Report
      2015 Research-status Report
  • [Presentation] 生体肝移植後の学童後期から思春期の子どものQOL維持・向上を目指した療養生活のモニタリング指標の作成2014

    • Author(s)
      藤田紋佳、中村伸枝、佐藤奈保、林田真、木下義晶、濵田裕子、田口智章
    • Organizer
      第50回日本移植学会
    • Place of Presentation
      京王プラザホテル
    • Year and Date
      2014-09-11
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2023-01-30  

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