2021 Fiscal Year Final Research Report

Development and practical evaluation of a comprehensive outpatient nursing system supporting home care for chronic disease patients in local areas

Research Project

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Project/Area Number	17K12226
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Clinical nursing
Research Institution	Juntendo University
Principal Investigator	KONDO FUSAE 順天堂大学, 保健看護学部, 教授 (70286425)
Co-Investigator(Kenkyū-buntansha)	飯塚麻紀駒沢女子大学, 看護学部, 准教授 (10319155) 榎本佳子順天堂大学, 保健看護学部, 講師 (20637102) 小川典子順天堂大学, 保健看護学部, 教授 (30621726) 堀江みどり順天堂大学, 保健看護学部, 教授 (80812172)
Project Period (FY)	2017-04-01 – 2022-03-31
Keywords	看護外来 / 在宅療養 / 移行期ケア / 慢性病看護
Outline of Final Research Achievements	This study aims to describes our attempt to develop an outpatient nursing system that support home care and to clarify the effects and challenges of nursing practice. Nursing interventions in lymphedema outpatient nursing, osteoporosis prevention outpatient nursing, diabetic foot lesion prevention foot care, diabetes treatment support nursing, radiation therapy outpatient nursing, and chemotherapy outpatient nursing were investigated. Utilizing booths at the outpatient department, the company provided patients and their families with the improvement of symptoms associated with illness, self-managed support for recuperative life, and multidisciplinary collaboration and coordination. The challenges for the organization of outpatient nursing are to secure manpower and time activities, secure space, collaborate with other departments, and increase awareness among patients, families, and other professions. Outpatient nursing plays a major role in promoting home-based medical care behavior.
Free Research Field	看護学　慢性看護学
Academic Significance and Societal Importance of the Research Achievements	慢性疾患患者の増加や在院日数短縮化、化学療法、放射線療法などの外来移行によって、外来には医療依存度の高い患者が増加している。患者と家族はセルフマネジメントが確立されていない状態で在宅療養への移行を余儀なくされ困難性が生じている。このような状況下において益々、外来における専門看護師や認定看護師、学会承認資格保有者など専門領域の知識・技術を有する看護師の看護実践は重要である。本研究では７診療科外来のブースを活用し医師と連携しながら、特定の領域における高度な専門知識と技術をもって、患者とその家族に対して疾病に伴う症状の改善や自己管理の療養生活支援、多職種との連携・調整等の看護実践を明らかにした。