Development and utility of a support program to enhance self-management skills of patients with cancer after prostatectomy

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K19585
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Mukogawa Women's University (2023); Doshisha Women's College of Liberal Arts (2019-2022)
• Principal Investigator: AMANO Koji 武庫川女子大学, 看護学部, 講師 (40756194)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: 前立腺がん / 前立腺全摘除術 / 自己管理

Outline of Final Research Achievements

The purpose of this study was to develop a "support program to enhance self-management in patients with cancer after prostatectomy" utilizing a self-management scale for patients with cancer after prostatectomy and to evaluate its usefulness. In Step 1, a literature review was conducted to identify changes in quality of life and symptoms over time in patients with cancer after prostatectomy. In Step 2, aspects of self-management in patients with cancer after prostatectomy were identified. In Step 3, the "Self-Management Scale for Patients with Cancer after Prostatectomy" was developed, and a support program using the scale was created. In the future, we will continue to examine the usefulness of the program in order to refine the support program and make it more effective.

Free Research Field

看護学

Academic Significance and Societal Importance of the Research Achievements

前立腺がん術後患者にかかわる看護師の課題として、在院期間の短縮により、患者の自己管理の確立に向けた細部にわたる指導を行うことが難しいことがあげられた。そのため、患者は尿失禁などの合併症への対処に戸惑い、再発の不安や経済的な問題を抱えたまま退院している。これらの問題に対して、看護師は、術前早期から患者のニーズに応じた自己管理を支援していく必要がある。しかし、前立腺がん患者の自己管理については明らかにされておらず、具体的な支援方法は不明である。本研究により、患者は術後に生じうる問題に対して、短い入院期間であっても自分に合った自己管理を確立でき、合併症や再発を予防できQOL向上に繋がると考える。