Treatment Behaviors and Support Programs for School Children and Adolescents Experiencing Elimination Diet Therapy

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K10999
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58070:Lifelong developmental nursing-related
• Research Institution: Fukuoka University
• Principal Investigator: Miyagi Yumiko 福岡大学, 医学部, 教授 (20353170)
• Co-Investigator(Kenkyū-buntansha): 横尾 美智代 西九州大学, 健康栄養学部, 教授 (00336158) ; 秋鹿 都子 島根大学, 学術研究院医学・看護学系, 准教授 (90342279) ; 藤原 悠香 福岡大学, 医学部, 助教 (70755230)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: 食物アレルギー / 学童・思春期 / 療養行動 / 教育プログラム

Outline of Final Research Achievements

Outpatient nurses did not have the opportunity to be involved in the treatment of children with food allergies after school age, and direct support was provided by physicians and pharmacists. The school-aged and adolescent patients experienced more difficulty and fear in eating than joy at the removal of the elimination diet. Those who continued on the elimination diet showed indifference to food or gave up on it, and showed less interest in food and less positive emotional expression such as joy. In terms of friendships, the older students also experienced difficulties and disappointment when eating out with their friends. Negative feelings toward the food oral load test were stronger in the older grades. This suggests that the establishment of a developmentally appropriate educational system is an urgent issue.

Free Research Field

小児看護学

Academic Significance and Societal Importance of the Research Achievements

食物アレルギーを栄養学的視点の除去食・解除の支援ではなく、子どもの成長発達過程における生活に焦点を当てた療養支援プログラムの方向性を明らかにすることで、外来という限られたリソースの中で効果的に子どもが将来をイメージでき治療を継続できる支援を行うことができる。