Construction of a Nursing Care Model for Relieving Perceived Difficulties in Daily Life of Patients with Depression

2018 Fiscal Year Final Research Report

• Project/Area Number: 15K20785
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Gerontological nursing
• Research Institution: Tokyo Health Care University
• Principal Investigator: Hiroshima Mayo (鈴木麻揚) 東京医療保健大学, 医療保健学部, 教授 (60336493)
• Project Period (FY): 2015-04-01 – 2019-03-31
• Keywords: うつ病 / 生活困難感 / 関わり

Outline of Final Research Achievements

This study aimed to identify factors of relieving perceived difficulties in the daily life of patients with depression and providing nursing care for them.
Factors of relieving the perceived difficulties in daily life of patients with depression included self-cognition control, presence of family and being able to self-disclose to them, hours of the day, healthcare services, engaging in some activity, peer support, understanding at the workplace, and nurses casually addressing patients.
Nursing care for relieving perceived difficulties in daily life of patients with depression included providing an environment in which a patient feels at ease, creating an atmosphere where “a nurse is willing to listen when the patient wants to talk about something,” listening attentively, not asking irrelevant questions, identifying the essence, asking to understand more concretely, providing another way of thinking, suggesting “Let’s do it together,” and creating an opportunity.

Free Research Field

精神看護

Academic Significance and Societal Importance of the Research Achievements

うつ病患者の生活困難感を軽減させるの要因のうち、看護師の直接的な関わりとして挙げられたものは、声かけ、医療サービス（復職支援、カウンセリング、相談）であった。
また、うつ病患者の生活困難感を軽減できる看護ケアは、安心できる環境の提供、「話したい時や、話したいことがあれば、聞きますよ」という雰囲気を出すこと、傾聴、聞かないところは、聞かない（他職種に委ねる）、本質を見極める、具体的に聞いていく、別の考え方を伝える、一緒に考える、「一緒にやりましょう」という声かけをする、きっかけづくりであった。看護師は、患者一人一人の個別性、病期、患者と看護師の関係性に合わせた関わりを行っていた。