Development of a recuperation support model to promote behavioral changes in predialysis chronic kidney disease patients

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K10889
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Kanazawa Medical University
• Principal Investigator: ARAI Satomi 金沢医科大学, 看護学部, 講師 (90802413)
• Co-Investigator(Kenkyū-buntansha): 中田 ゆかり 京都先端科学大学, 健康医療学部, 准教授 (30647615) ; 比嘉 勇人 富山大学, 学術研究部医学系, 教授 (70267871)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: 慢性腎臓病 / 看護師 / 行動変容 / 腎臓病指導 / 自己管理

Outline of Final Research Achievements

In recuperation support, the clinical nurse works with the patient to find recuperation behaviors the patient is inclined to adopt. In this process, the nurse begins by "attentively listening to the patient," which leads to the nurse "establishing a close relationship with the patient," "taking time to confirm the patient's words (thoughts) and explain things to the patient," and "building rapport with the patient," promoting the patient's behavior change. When the nurse listens to the patient's story, actions that may suppress behavior change, such as the nurse "being hesitant" and "giving one-sided guidance," are still observed. However, continuous recuperation support that promotes behavior change can be accomplished by "supporting the patient as a team."This study suggests that "establishing a close relationship with the patient" by "listening to the patient," such as their concerns, is important in providing recuperation support that promotes behavior change.

Free Research Field

精神看護学

Academic Significance and Societal Importance of the Research Achievements

保存期CKD患者は原疾患により大きく予後が異なるため、末期腎不全など重症化予防のための行動変容を促すには、看護師は今までの療養指導ではなく、個々のCKD患者に適した信頼関係構築と行動変容を意図したコミュニケーション・スキルを用いた療養援助が必要である。本研究を行うことは、新規透析患者数減少への効果が期待でき患者のQOL向上、さらに医療費を抑制させる可能性がある。