Building a support model for visiting nurses in the terminal stages of patients with chronic obstructive pulmonary disease

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K24206
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Fukui Prefectural University
• Principal Investigator: Umezu Chikako 福井県立大学, 看護福祉学部, 准教授 (20726450)
• Project Period (FY): 2019-08-30 – 2024-03-31
• Keywords: 慢性閉塞性肺疾患 / 終末期 / 訪問看護師 / 緩和ケア

Outline of Final Research Achievements

This study conducted semi-structured interviews with visiting nurses working at functional intensive visiting nurse offices, and used a grounded theory approach (Strauss & Corbin, 1990/1999) to build a model for visiting nurses support for patients with COPD patients in their terminal stage. This model was based on the accounts stories of nursing experiences in the terminal stage of patients diagnosed with COPD who used visiting nurses. This will enable specific nursing support to be provided to patients in a familiar environment and to maintain their QOL while alleviating pain that occurs in the terminal stage. This and will also present a theoretical framework for the practice of visiting nurses that allows all home care recipients and their families to receive a certain level of support.

Free Research Field

地域看護学　在宅看護学

Academic Significance and Societal Importance of the Research Achievements

本研究では、COPD療養者の呼吸困難の程度によって、異なる訪問看護師の支援の様相が明らかとなった。呼吸困難の緩和には呼吸理学療法が有効（Vermylen, J. H. et al., 2015）と考えられているが、在宅でのCOPD療養者に対する呼吸理学療法の実施状況は明らかにされていない。訪問看護事業所から看護目的での理学療法士の訪問は認められているが、実態として訪問リハビリテーションとの差別化が曖昧である。COPD療養者の終末期の呼吸困難を緩和するために呼吸理学療法は重要なケアとなる。このため、在宅におけるCOPD療養者に対する呼吸理学療法の実態についての研究が望まれる。