Basic Research to Develop a Nursing Practice Model for Inpatients with Diabetic Foot Lesions

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19117
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: The Japanese Red Cross Toyota College of Nursing
• Principal Investigator: Tochikawa Aya (牧村綾子) 日本赤十字豊田看護大学, 看護学部, 講師 (70465582)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 糖尿病足病変患者 / 看護実践 / 現象学的研究

Outline of Final Research Achievements

This study aims to identify nursing practices for inpatients with diabetic foot lesions. Data were collected during participant observation and the observations were analyzed in a phenomenological descriptive approach. During treatment and discharge coordination, nurses expressed the patient thoughts, and sometimes refrained from giving their own opinions in order to perceive the patient wishes for how to deal with the foot lesions and for recuperation by the timing of starting talking and behaviors as well as words of patients. Through this approach, nurses were able to place patients in the center and become independent in the interaction with healthcare professionals. The practice based on the perception of nurses is their response to patients as a continuum with the patients to respond to the acute conditions of foot lesions, using the learning from patients living with diabetes.

Free Research Field

臨床看護

Academic Significance and Societal Importance of the Research Achievements

糖尿病足病変入院患者は、糖尿病を患ってきた慢性性と切断の危機的状況にある急性期とが混在し、入院治療を要することが多い。これまでは、慢性期/急性期という病期の特徴から看護が示されていた。本研究では、看護師は、糖尿病と共に生きてきた時間を重ね、足病変に応答する患者の連続性を捉え応じていたことが明らかになった。足病変患者の看護において、従来の病期別看護の視点を超えた実践を示すことで、それまでの看護の見方を問い直すきっかけを提示することができる。高齢化社会において、慢性性と急性性を統合した看護実践を考えることは、看護を再考し、実践を変化させていくことになると考える。