2023 Fiscal Year Final Research Report
Development of a Program for Prevention of Severe Heart Failure in the Elderly by Public Health Nurses in Collaboration with Medical Insurers
| Project/Area Number |
20K11079
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 58080:Gerontological nursing and community health nursing-related
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| Research Institution | University of Kochi |
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Principal Investigator |
Ozawa Wakana 高知県立大学, 看護学部, 准教授 (90584334)
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| Co-Investigator(Kenkyū-buntansha) |
時長 美希 高知県立大学, 看護学部, 教授 (00163965)
森下 安子 高知県立大学, 看護学部, 特任教授 (10326449)
久保田 聰美 高知県立大学, 看護学部, 教授 (50827631)
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| Project Period (FY) |
2020-04-01 – 2024-03-31
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| Keywords | 重症化予防 / 循環器病 |
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| Outline of Final Research Achievements |
The purpose of this study is to develop a program for prevention of severe heart failure in the elderly by public health nurses in collaboration with health insurers. The goal is to develop a comprehensive disease management program for elderly patients receiving treatment at home that covers both disease management and maintenance of daily life functions. The questionnaire survey was used to identify the severity and determinants of heart failure in elderly patients, and the interview survey and action research were used to develop an intervention program for community life. Symptoms of heart failure that are easily recognized by the elderly were created as indicators to assess the severity of the disease, and the content of the program was based on the content of the ability to obtain social support and the ability to understand health status as one's own, which are factors that reduce the severity of the disease.
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| Free Research Field |
地域看護学
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| Academic Significance and Societal Importance of the Research Achievements |
プログラムでは、心不全兆候のチェックリストの自宅、通いの場での確認や、かかりつけ医と連携したアウトリーチ支援として、通いの場での相談・指導等について、個別及びグループ別に作成した。重症化とは、高齢心不全患者が自らの徴候を捉え、生きているという感覚のなかで、病いの経験をしていくことが明らかとなった。そのため、高齢心不全患者が何を大切にしているか、希望や好み（プリファレンス）を理解し、病いとともに生きていくことを、我が事として捉えていくことを支援する取り組みが地域づくりにおいては重要となる。
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