Restructuring of HIV/AIDS outpatient nursing care and its effectiveness.

Research Project

Project/Area Number	17K12216
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Clinical nursing
Research Institution	Tokyo Metropolitan University
Principal Investigator	Shimada Megumi 東京都立大学, 人間健康科学研究科, 准教授 (20505383)
Project Period (FY)	2017-04-01 – 2025-03-31
Project Status	Completed (Fiscal Year 2024)
Budget Amount *help	¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000) Fiscal Year 2021: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000) Fiscal Year 2020: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000) Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000) Fiscal Year 2018: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000) Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords	HIV/AIDS / 外来看護 / コーディネーターナース / 在宅看護 / 慢性疾患 / セルフマネジメント / 意思決定 / HIV/AIDS外来看護
Outline of Final Research Achievements	Using the newly developed “HIV/AIDS Outpatient Care Support Process Ver. 2,” an online training course (2 days, 6 hours in total) was held for 18 nurses in charge of HIV/AIDS at an AIDS treatment base hospital, and a questionnaire survey was conducted on three aspects: knowledge, feelings, and behavior at six time points until two years after the training course. The results showed that the knowledge acquired in the training was maintained until 2 years later. Emotions tended to decrease after one year, but increased again after 18 months, and those who decreased were divided into those who increased and those who decreased. The presence or absence of a successful experience had an impact, and those who decreased were further influenced by the dilemma of not being involved in HIV/AIDS outpatient nursing. Based on interviews with the subjects about their learning, Ver. 2 was considered to be effective in helping them recognize their role as outpatient nurses.
Academic Significance and Societal Importance of the Research Achievements	HIV感染症・エイズの治療は進歩しており、HIV/AIDS外来看護も更新が求められる。特に近年は、HIV抗体陽性と判明後速やかに抗HIV療法を開始することが推奨されている（2025年3月治療の手引き）。そのため、告知や初診から短期間で患者が病気をどのように受け止めているか確認し、病気や治療に関する情報を説明してその理解を助けたり、新たな感染を起こさないよう性行動をともに検討したり、身近な理解者を得たり、医療費助成制度の利用につなげたりするなどの準備が必要である。これを看護師として、または多職種連携でどのように行うかトレーニングすることで、抗HIV療法の成功に寄与し感染拡大の予防にもつながる。