Development of a nursing practice model that enhances the resilience of initial breast cancer patients using a nursing intervention program

2017 Fiscal Year Final Research Report

• Project/Area Number: 25463453
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: The University of Shimane (2014-2017); Kawasaki University of Medical Welfare (2013)
• Principal Investigator: Wakasaki Atsuko 島根県立大学, 看護学部, 教授 (50331814)
• Co-Investigator(Kenkyū-buntansha): 園尾 博司 川崎医科大学, 医学部, ・その他 (60136249) ; 谷口 敏代 岡山県立大学, 保健福祉学部, 教授 (10310830) ; 掛橋 千賀子 島根県立大学, 看護学部, 教授 (60185725)
• Research Collaborator: MORI MASAHARU 倉敷中央病院, 病理診断科, 病理専門医 ; HASHIMOTO KOUJI 島根県立中央病院, 乳腺科, 部長・乳腺専門医 ; HARA MAKI 島根県立中央病院, 乳がん看護認定看護師
• Project Period (FY): 2013-04-01 – 2018-03-31
• Keywords: 初発乳がん患者 / レジリエンス / 看護実践モデル / 介入研究 / 縦断調査 / 看護介入プログラム

Outline of Final Research Achievements

To improve the QOL of breast cancer patients, we focused on the cancer diagnosis and the early stage of treatment, specifically the perioperative period after a breast cancer diagnosis and the preparatory stage for starting the treatment process after selecting the adjuvant therapy. We then developed a nursing practice model that enhances the resilience of initial breast cancer patients using an intervention program.
The results of a nursing intervention/longitudinal study with a quasi-experimental study design showed that overall QOL in the nursing intervention group improved with the passage of time compared with a control group. Interviews of the intervention group conducted one year after surgery revealed that there was “confidence in oneself for following through with the treatment.” These findings suggest that cognitive support for understanding of breast cancer and initial treatment improves patients’ ability to overcome the difficulties they face in completing treatment.

Free Research Field

臨床看護学