Feasibility study on the "life story book" of people with chronic kidney disease

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K10707
• 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: Gunma University
• Principal Investigator: OKA Michiyo 群馬大学, 大学院保健学研究科, 教授 (10312729)
• Co-Investigator(Kenkyū-buntansha): 高橋 さつき 群馬大学, 大学院保健学研究科, 准教授 (50412987) ; 松本 光寛 群馬大学, 大学院保健学研究科, 助教 (00881559)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 聞き書き / フィージビリティ / 慢性腎臓病 / プロトコール / 再帰的テーマティック分析

Outline of Final Research Achievements

[Study 1] Objective: To clarify the impact of implementing "listening-and-writing" for people with chronic kidney disease. Listening-and-writing is an intervention in which nurses write up the patient's autobiography and provide them with a booklet or card. Method: The stories of 28 people who received listening-and-writing were analysed using reflexive thematic analysis. Results: The impact of listening-and-writing included "gaining the courage to live." [Study 2] Objective: To clarify the feasibility of listening-and-writing put into practice by nurses. Method: Interviews were conducted with 10 nurses who have experience with listening-and-writing. Results: It became clear that it is necessary to create an organisation suited to putting this into practice.
Additionally, eight phenomena became clear from the patient stories obtained through listening-and-writing.

Free Research Field

慢性看護学

Academic Significance and Societal Importance of the Research Achievements

CKD患者に対する聞き書きは、患者の生きる力を高めることや他者へのメッセージ性など、聞くこととは異なる影響があった。そのため、聞き書きはCKD患者の精神的支援に効果的だと言える。また、臨床で聞き書きを推進するためには、冊子型ではなく短時間で行えるカード型聞き書きの推奨や、聞き書き看護チームの組織化などの工夫が必要である。本研究を機に聞き書き看護チームを組織化した病院もあるため、それらの施設と共に、聞き書きを効果的に進める方法を検討していきたい。聞き書き紹介のwebsite（https://oka.dept.health.gunma-u.ac.jp/?page_id=14）も開設した。