2023 Fiscal Year Final Research Report
Extracting nursing interventions and intervention skills to improve family functioning of patients with cerebrovascular disease in recovery and their spouses
| Project/Area Number |
19K10878
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 58060:Clinical nursing-related
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| Research Institution | The University of Shimane |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
荒木 さおり 島根県立大学, 看護栄養学部, 助教 (00839243)
林 健司 島根県立大学, 看護栄養学部, 准教授 (10462037)
加藤 さゆり 島根県立大学, 看護栄養学部, 講師 (10809338)
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| Project Period (FY) |
2019-04-01 – 2024-03-31
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| Keywords | 脳血管障害 / 家族看護 / 看護介入 / プログラム評価 / FAD / SCAT |
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| Outline of Final Research Achievements |
A nursing intervention programme was developed for patients with cerebrovascular disorders in the recovery phase and their spouses to promote communication between them and to share their goals in their recovery life, thereby reducing their suffering in their recovery life, promoting the recovery process and improving family functions. The objectives of this study were to confirm the effectiveness of the nursing intervention programme developed through a series of intervention cases and to identify effective intervention skills.The intervention programme was developed for patients and their spouses in nine cases, and although no significant differences were found in pre- and post-intervention comparisons in the generalised linear mixed model of family functioning using the Family Assessment Device, qualitative analysis showed some effects in communication and emotional stabilisation.
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| Free Research Field |
臨床看護学
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| Academic Significance and Societal Importance of the Research Achievements |
Family Assessment Device（FAD）を用いた家族機能の一般化線形混合モデルでの介入前後比較では有意差は確認できなかった。介入事例が9事例で限定的であったこと、脳血管障害回復過程であることや家族を対象とするため状況の変化や流動性が高く、有効性を量的に確認することが難しかったと言える。一方で対象者への面談記録のSCAT（Steps for Coding and Theorization）を用いた質的分析では意思疎通や感情の安定化等で一部の事例で効果を確認できた。
「感情や対処能力を引き出す」「新たな見方を与える」「橋渡しと緩衝」など、有効な介入スキルを確認できた。
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