| 研究課題/領域番号 |
19K10922
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| 研究種目 |
基盤研究(C)
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| 配分区分 | 基金 |
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| 応募区分 | 一般 |
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| 審査区分 |
小区分58060:臨床看護学関連
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| 研究機関 | 静岡県立大学 (2023)
筑波大学 (2019-2022) |
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研究代表者 |
カツマタ アサコ・タケクマ 静岡県立大学, 看護学部, 教授 (80816520)
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| 研究分担者 |
トゴバタラ ガンチメゲ 筑波大学, 医学医療系, 助教 (10773830)
福澤 利江子 (岸利江子) 筑波大学, 医学医療系, 助教 (20332942)
杉本 敬子 筑波大学, 医学医療系, 客員研究員 (50700548)
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| 研究期間 (年度) |
2019-04-01 – 2025-03-31
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| 研究課題ステータス |
交付 (2023年度)
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| 配分額 *注記 |
4,420千円 (直接経費: 3,400千円、間接経費: 1,020千円)
2022年度: 1,430千円 (直接経費: 1,100千円、間接経費: 330千円)
2021年度: 910千円 (直接経費: 700千円、間接経費: 210千円)
2020年度: 1,040千円 (直接経費: 800千円、間接経費: 240千円)
2019年度: 1,040千円 (直接経費: 800千円、間接経費: 240千円)
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| キーワード | heart failure / self-care / HF self-care index / patient education / quality of life / Cardio vascular disease / Heart Failure / Heart Failure Self Care / Mongolia / Cardia vascular disease / Cardio Vasucular Disease / Nurse-led intervention / Patient education / Re-hospitaization |
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| 研究開始時の研究の概要 |
This study will evaluate impact of nurse-led patient education to the heart failure patients prior to discharge from the acute care hospital in relation to knowledge about the disease process and health management at home after discharge, and re-hospitalization.
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| 研究実績の概要 |
1. We conducted a cross-sectional study at the Mongolian National Cardiovascular Center to explore self-care behaviour among heart failure patients between May and September 2022. Data of 441 patients were collected by the Mongolian version of the Self-Care of Heart Failure Index The mean age of participants was 61.1±12.6 years; 54% were males; 92% were married; 84% were retired/unemployed and 64% had New York functional class II-III. Inadequate self-care maintenance, symptom perception and management were 68%, 64%, and 24%, respectively. We found suboptimal HF self-care among Mongolian patients. Adequate self-care skills and knowledge of maintenance and recognition of symptoms are crucial in heart failure patients to prevent exacerbation and complications of HF and improve quality of life.
2. Development Self-care education program: to develop the self-care education for patients following steps were taken: conducting the literature and reviewing international guidelines for heart failure management; translation of related parts of guidelines and drafting first version; finalizing through experts meeting and conducting content and face validity.
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| 現在までの達成度 (区分) |
現在までの達成度 (区分)
4: 遅れている
理由
Data implementation was delayed due to COVID-19, however, in 20023, the study was able to conducted with the support of the Mongolian health care professionals.
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| 今後の研究の推進方策 |
1. Dissemination of the study in the academic conferences and peer reviewed journals.
2. To conduct single-arm pre and post-intervention quasi-experimental study to explore feasibility and acceptility of self-care educational progrma by nurse.The study setting will be the
same as the tool validation study, and required sample size is 72 patients. Intervention will be an hour of one-to-one training and followed several telephone consultations with patients. Self-care, quality of life and hospital readmission will be collected at baseline and 1 and 3 months after the intervention.
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