Development of a model of care for oncologic emergencies in cancer patients undergoing drug therapy

2022 Fiscal Year Final Research Report

• Project/Area Number: 18K17536
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Shonan Kamakura University of Medical Sciences (2020-2022); Shonankamakura General Hospital (Center for Clinical and Translational Science) (2019); Japanese Red Cross College of Nursing (2018)
• Principal Investigator: Wada Miyako 湘南鎌倉医療大学, 看護学部, 准教授 (30381677)
• Project Period (FY): 2018-04-01 – 2023-03-31
• Keywords: オンコロジックエマージェンシー / 薬物療法 / セルフケア

Outline of Final Research Achievements

The purpose of this study was to develop a model of care related to the onset of emergence in cancer pharmacotherapy. First, interviews were conducted with oncology nurses and physicians' assistants in the U.S. Care was identified as self-care competence, support systems, and self-care education for prevention in interviews at the start of initial treatment. Next, an interview survey was conducted at a cancer center hospital in Japan, and it was revealed that nurses in the emergency department had difficulty in assessing care, had few opportunities to learn assessment perspectives and family care, and that nurses in the outpatient chemotherapy unit perceived emergency visit behavior in relation to self-care behavior. Based on these findings, a proposed model of care was developed.

Free Research Field

がん看護

Academic Significance and Societal Importance of the Research Achievements

本研究で作成したケアモデルにてケアを提供することで、外来でがん薬物療法を受ける患者が、自宅で容体が急変し救急医療を受けなければならない状態に陥らないようなセルフケアの能力の獲得、そして急変した時も、患者や家族の希望に合った救急療を受けることが可能になると考える。