Development of an outpatient nursing system for patients with chronic hepatitis and its effectiveness

Research Project

Project/Area Number	24593313
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 首都大学東京, 人間健康科学研究科, 准教授 (20505383)
Co-Investigator(Kenkyū-buntansha)	MASAKI Naohiko 独立行政法人国立国際医療研究センター, 肝炎・免疫研究センター, 肝炎情報センター長 (40219316)
Co-Investigator(Renkei-kenkyūsha)	IKEDA Kazuko 独立行政法人国立国際医療研究センター, エイズ治療・研究開発センター, 看護支援調整職 (00505406)
Research Collaborator	KIMURA Hiroe 独立行政法人国立国際医療研究センター, 国府台病院, 看護部長 KANEKO Chiaki 独立行政法人国立国際医療研究センター, 国府台病院, 外来看護師長 MANO Keiko 藤田保健衛生大学病院, 看護部長 KODAMA Toshihiko 藤田保健衛生大学病院, 肝疾患相談室, 専任看護師 GO Hirohumi 東京大学, 大学院医学系研究科・健康科学・看護学専攻, 博士(前期)課程
Project Period (FY)	2012-04-01 – 2016-03-31
Project Status	Completed (Fiscal Year 2015)
Budget Amount *help	¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000) Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000) Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000) Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000) Fiscal Year 2012: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords	外来看護 / 慢性疾患 / 肝炎 / 慢性肝炎 / HIV/AIDS看護 / セルフマネジメント / アドヒアランス
Outline of Final Research Achievements	A survey of patients with chronic hepatitis revealed that learning about “treatment that patients consider necessary” and limitations in daily living is necessary for supporting their continued treatment. In addition, a survey of outpatient nurses revealed problems in developing patient consultation skills and with outpatient system liaison. Therefore, we have created an “Outpatient nurses’ development program,” based on active learning of the outpatient nursing system and have implemented nursing training for caring for outpatients with hepatitis. The nurses have the action plan about an outpatient nursing system for patients with chronic hepatitis, using the “Care process for supporting outpatients with HIV/AIDS” as a reference. After the training, a follow-up survey was conducted to confirm the nurses’ progress in regard to the action plan, which revealed that three out of ten nurses who received the training attained an 80% or higher achievement level.