2019 Fiscal Year Final Research Report

Developing a model of nursing to support the final stage of life in late-stage elderly cancer patients with dementia

Research Project

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Project/Area Number	16K12246
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Gerontological nursing
Research Institution	Oita University
Principal Investigator	Mori Masumi 大分大学, 医学部, 助教 (60533099)
Co-Investigator(Kenkyū-buntansha)	三重野英子大分大学, 医学部, 教授 (60209723) 寺町芳子大分大学, 医学部, 教授 (70315323) 末弘理惠大分大学, 医学部, 教授 (30336284) 濱口和之大分大学, 医学部, 教授 (60180931) 甲斐和歌子大分大学, 医学部, 助教 (10761562) 小野光美大分大学, 医学部, 准教授 (20364052)
Project Period (FY)	2016-04-01 – 2020-03-31
Keywords	認知症 / 高齢者 / がん看護 / 人生の最終段階
Outline of Final Research Achievements	The purpose of this study is to develop a model of nursing that supports elderly cancer patients with dementia to live their own life untill the final stage. Participant observation and interview survey were conducted on the care of medical staff such as doctors and nurses who support elderly patients with dementia late-stage cancer living at home and their families．After that it was investigated with the passage of time about a target case and it was analyzed. As a result, in nursing that supports living in the final stage of life for elderly cancer patients with dementia and family caregivers, listening to the will and resolution of the person and continuing to support until the end. We medical professionals continue to support the will and resolution of families. And to evaluate and judge that the Interprofessionals when dealing with cases where it is difficult to judge symptoms and distress. And they assure the care provided by the family while always relieving distress.
Free Research Field	看護学
Academic Significance and Societal Importance of the Research Achievements	本研究は認知症を有する後期高齢者のがん医療・看護の現状と課題を多角的に捉え、認知症とがんを併発した高齢者が人生の最終段階まで自分らしく生きることを支える看護を探究しモデル化する。このような高齢者に対する看護実践には、医療ケアチームの力が欠かせないが、認知症とがんという複合的な状態にある高齢者に対する看護の実際と多職種連携をモデル化した研究はほとんどない。本研究により、認知症を有する後期高齢がん患者に対する医療・看護の問題の明確化と人生の最終段階まで自分らしく生きることを支える看護ケアを可視化でき、認知症を有するがん終末期高齢患者の看取りケアのエビデンスを臨床に生かしていくことが可能と考える。