Developing a treatment decision-making support model for inflammatory bowel disease patients

2017 Fiscal Year Final Research Report

• Project/Area Number: 15K20722
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Clinical nursing
• Research Institution: Mukogawa Women's University (2016-2017); Tenri Health Care University (2015)
• Principal Investigator: Nunotani Maya (吹田麻耶) 武庫川女子大学, 看護学部, 准教授 (70514735)
• Project Period (FY): 2015-04-01 – 2018-03-31
• Keywords: 炎症性腸疾患 / 意思決定 / 治療選択 / 看護支援モデル / 質的帰納的研究

Outline of Final Research Achievements

This study aimed to develop a treatment decision-making support model for inflammatory bowel disease patients. The subjects were adult patients and nurses engaged in the patients’ care. Data were collected through semi-structured interviews, and analyzed by qualitative approach. One core theme “Should I take the risk to reduce my symptoms?” emerged as the central problem among patients. This was resolved through a five-stage process: experiencing symptom-related disruption of daily life, selecting who decides on the treatment, searching for information, weighing the risks against the benefits, and making the decision. Nurses provided four forms of support for patients: learning support for the decision-making, mediating support between the patient and the medical staffs, support in drawing on the patient’s sense of values in treatment, and support in the patient’s making a decision with the medical staffs. A decision-making support model was established based on these results.

Free Research Field

臨床看護学