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QOL and associated factors among community patients with tuberculosis who received directly observed treatment short-course in metropolitan areas of Japan

Research Project

Project/Area Number 26861987
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Community health nursing
Research InstitutionYokohama City University

Principal Investigator

Shiratani Kae  横浜市立大学, 医学部, 助教 (40724943)

Project Period (FY) 2014-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords結核 / DOTS / patient-centerd care / recovery / 不安定就労・生活者 / Post-traumatic Growth / 保健師 / post-traumatic growth / 療養支援 / Patient centered care / COPD / posttraumatic growth / 卒煙 / 療養生活 / セルフケア / 患者中心のケア / tuberculosis / adherence / patient support / 服薬療養支援 / 地域包括ケア / 生活 / QOL / 服薬行動
Outline of Final Research Achievements

The study phase 1 aimed to clarify the concept of treatment life among community patients with tuberculosis undergoing care within DOTS in Japan.Semi-structured interviews were conducted by eight public health nurses providing care within DOTS. Interviews were analyzed qualitatively and structured concept.
The study phase 2 aimed to evaluate the psychological changes and identify associated factors among patients with TB undergoing the DOTS program in Japan.
The cross-sectional study recruited patients with TB receiving the DOTS program in four metropolitan cities in Japan. Surveys were administered to the patients and their attending public health or clinical nurses, who were responsible for their care and the DOTS program. The DOTS program in Japan improves patients’ treatment adherence and leads to recovery and psychological growth. Even in other regions, it may be effective to incorporate this program’s practices that place importance on partnerships with patients.

Academic Significance and Societal Importance of the Research Achievements

療養者の特性に応じた包括的な服薬療養支援を受ける結核患者の療養生活として<治療の伴走者を得て完治にむけて走り続ける>を見い出した.これには,病を患う者とのヘルスケアパートナーシップを構築していくうえで活用できる要素が含まれており,地域・公衆衛生看護学の発展に寄与できると考える.
DOTSによる服薬療養支援下の結核療養者は,服薬行動の遵守のみならず,生活行動を改善し心理的成長に至る経験をし,患者の個人特性に合わせた継続的包括的なDOTSによる服薬療養支援が寄与することが示された.このような家族・多機関協働によるケア体制は,多くの健康課題を抱える者への支援においても参考とできると考えられる.

Report

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

    (11 results)

All 2019 2018 2017 2016 2015 2014

All Journal Article (4 results) (of which Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (6 results) (of which Int'l Joint Research: 2 results) Book (1 results)

  • [Journal Article] Psychological changes and associated factors among patients with tuberculosis who received directly observed treatment short-course in metropolitan areas of Japan: quantitative and qualitative perspectives.2019

    • Author(s)
      Kae Shiratani
    • Journal Title

      BMC Public Health

      Volume: 1642 Issue: 1 Pages: 8001-9

    • DOI

      10.1186/s12889-019-8001-9

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Needs of continuing treatment life among community patients with chronic obstructive pulmonary disease.2019

    • Author(s)
      白谷佳恵,田髙悦子
    • Journal Title

      横浜看護学雑誌

      Volume: 12 Issue: 1 Pages: 28-35

    • DOI

      10.15015/00001581

    • NAID

      120006595092

    • ISSN
      1882-8892
    • URL

      https://ycu.repo.nii.ac.jp/records/1684

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clarification of the Concept as “Life of Community Patients with Tuberculosis Receiving Support within DOTS (Directly Observed Treatment, Short-Course) in Japan”2018

    • Author(s)
      白谷佳恵
    • Journal Title

      Japanese Journal of Public Health Nursing

      Volume: 7 Issue: 1 Pages: 13-22

    • DOI

      10.15078/jjphn.7.1_13

    • NAID

      130006727190

    • ISSN
      2187-7122, 2189-7018
    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 私たちの仲間 結核と出会って10年2016

    • Author(s)
      白谷佳恵
    • Journal Title

      保健師・看護師の結核展望

      Volume: 53 Pages: 84-88

    • Related Report
      2016 Research-status Report
  • [Presentation] Risk Factors of Non-adherent to Tuberculosis Treatment among Community Patients undergoing DOTS in Japan2017

    • Author(s)
      Kae Shiratani
    • Organizer
      6th Conference of International Union Against Tuberculosis and Lung Disease
    • Place of Presentation
      東京国際フォーラム(東京都)
    • Year and Date
      2017-03-23
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 慢性閉塞性呼吸器疾患(COPD)患者が地域において療養生活を継続していくためのニーズ ―地域看護職における調査―2017

    • Author(s)
      白谷佳恵
    • Organizer
      日本公衆衛生看護学会
    • Related Report
      2017 Research-status Report
  • [Presentation] DOTSによる服薬療養支援と結核患者の療養生活との関連性についての検討2016

    • Author(s)
      白谷佳恵
    • Organizer
      日本地域看護学会第19回学術集会
    • Place of Presentation
      自治医科大学(栃木県)
    • Year and Date
      2016-08-25
    • Related Report
      2016 Research-status Report
  • [Presentation] Factors of Posttraumatic Growth among Community Patients with Tuberculosis undergoing DOTS Support2016

    • Author(s)
      Kae Shiratani
    • Organizer
      The3rd KOREA-JAPAN Joint Conference on Community Health Nursing
    • Place of Presentation
      Busan, Korea
    • Year and Date
      2016-07-31
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Directly Observed Treatment, Short-Courseに関する文献検討2014

    • Author(s)
      白谷佳恵
    • Organizer
      第73回日本公衆衛生学会総会
    • Place of Presentation
      栃木県総合文化センター(栃木県)
    • Year and Date
      2014-11-05 – 2014-11-07
    • Related Report
      2014 Research-status Report
  • [Presentation] 結核患者へのDOTSによる服薬療養支援の技術及び患者へ与える影響に関する質的研究2014

    • Author(s)
      白谷佳恵
    • Organizer
      第17回日本地域看護学会学術集会
    • Place of Presentation
      岡山コンベンションセンター(岡山県)
    • Year and Date
      2014-08-02 – 2014-08-03
    • Related Report
      2014 Research-status Report
  • [Book] Directly Observed Treatment, Short-Course (DOTS)による服薬療養支援と結核患者の療養生活との関連2015

    • Author(s)
      白谷佳恵
    • Total Pages
      150
    • Publisher
      自己作成報告書
    • Related Report
      2014 Research-status Report

URL: 

Published: 2014-04-04   Modified: 2023-03-23  

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