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Construction of an acute exacerbation prevention and nursing practice model which connects the acute phase of chronic heart failure patients and home care support

Research Project

Project/Area Number 26293461
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section一般
Research Field Clinical nursing
Research InstitutionKobe University

Principal Investigator

MIYAWAKI Ikuko  神戸大学, 保健学研究科, 教授 (80209957)

Co-Investigator(Kenkyū-buntansha) 齊藤 奈緒  神戸大学, 保健学研究科, 助教 (20403298)
吉田 俊子  宮城大学, 看護学群(部), 教授 (60325933)
正垣 淳子  神戸大学, 保健学研究科, 助教 (80725987)
多留 ちえみ  神戸大学, 保健学研究科, 保健学研究員 (90514050)
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥11,830,000 (Direct Cost: ¥9,100,000、Indirect Cost: ¥2,730,000)
Fiscal Year 2016: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2015: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2014: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords慢性心不全 / 急性増悪予防 / 急性期 / 在宅療養 / 看護支援 / 回復期 / 急性増悪 / 支援プロトコール / 看護支援内容
Outline of Final Research Achievements

In this study, a support protocol which connects to each stage in the chronic phase, from the acute stage to the recovery stage was created in order to strengthen cooperation with home care support and for the prevention of acute exacerbation of patients with chronic heart failure (CHF). The protocol is based on the characteristics of recuperation behavior in patients with CHF and who are repeatedly hospitalized, and abstracted nursing support contents which are considered effective in the prevention of acute exacerbation. 1) Recognition of the reason for re-admission by patients with CHF. 2) Contents in nursing which make home care possible. 3) Physical activity and self-management of patients with CHF in early phase after discharge.Research results were unified, and a support protocol, which focused on symptom recognition and life activities of the patient, physical sensation accompanying physical activity during the recovery period, and an approach to self-monitoring was developed.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • 2014 Annual Research Report
  • Research Products

    (9 results)

All 2017 2016 2015

All Presentation (9 results) (of which Invited: 5 results)

  • [Presentation] How Nurses can Support end of Life Decision Making for Heart Falure Patients and Their Families2017

    • Author(s)
      多留ちえみ、齊藤奈緒、宮脇郁子
    • Organizer
      第81回日本循環器学会学術集会
    • Place of Presentation
      ホテル日航金沢(石川県・金沢市)
    • Year and Date
      2017-03-19
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 看護師が行う循環器疾患患者への支援―急性期から在宅、終末期をつなぐ 看護の視座―2017

    • Author(s)
      宮脇郁子、多留ちえみ、齊藤奈緒、正垣淳子
    • Organizer
      第81回日本循環器学会学術集会
    • Place of Presentation
      金沢市アートホール(石川県・金沢市)
    • Year and Date
      2017-03-18
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 疾病管理プログラムとしての心臓リハビリテーション  -看護師が行う療養行動支援-2017

    • Author(s)
      宮脇 郁子
    • Organizer
      第23回日本心臓リハビリテーション学会学術集会 (三重県岐阜市、長良川国際会議場)
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 循環器疾患患者の自己管理行動支援2017

    • Author(s)
      宮脇 郁子
    • Organizer
      第14回日本循環器看護学会学術集会 (徳島県徳島市、あわぎんホール)
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 慢性心不全患者が認識する再入院の誘因2016

    • Author(s)
      小松原佐紀、正垣淳子、齊藤奈緒、宮脇郁子
    • Organizer
      第13回日本循環器看護学会
    • Place of Presentation
      仙台国際センター(宮城県・仙台市)
    • Year and Date
      2016-10-22
    • Related Report
      2016 Annual Research Report
  • [Presentation] 慢性心不全患者の在宅療養における訪問看護師が行うセルフモニタリング支援2016

    • Author(s)
      多留 ちえみ, 大橋 奈美, 齊藤 奈緒, 宮脇 郁子
    • Organizer
      第10回日本慢性看護学会学術集会
    • Place of Presentation
      一橋大学 一橋講堂(東京都・千代田区))
    • Year and Date
      2016-07-16
    • Related Report
      2016 Annual Research Report
  • [Presentation] 急性心筋梗塞を発症した認知症高齢者への心負荷軽減のための急性期在宅支援2016

    • Author(s)
      多留ちえみ
    • Organizer
      第80回日本循環器学会学術集会
    • Place of Presentation
      仙台国際センター(宮城県・仙台市)
    • Year and Date
      2016-03-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] 慢性心不全患者のセルフモニタリング -急性増悪時の身体症状の自覚と解釈に焦点をあてて-2016

    • Author(s)
      楊麻美、正垣淳子、宮脇郁子
    • Organizer
      第13回日本循環器看護学会
    • Place of Presentation
      仙台国際センター(宮城県・仙台市)
    • Related Report
      2016 Annual Research Report
  • [Presentation] フレイル患者の看護支援 慢性心不全患者の生活調整とその意義2015

    • Author(s)
      宮脇郁子
    • Organizer
      第79回日本循環器学会学術集会 チーム医療セッション(教育セッション)
    • Place of Presentation
      ナレッジキャピタル コングレコンベンションセンター(大阪)
    • Year and Date
      2015-04-26
    • Related Report
      2014 Annual Research Report
    • Invited

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Published: 2014-04-04   Modified: 2019-03-29  

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