The effect on patient outcomes of a nursing intervention for Mongolian patients with heart failure: an interventional study

2020 Fiscal Year Research-status Report

• Project/Area Number: 19K10922
• Research Institution: University of Tsukuba
• Principal Investigator: カツマタ アサコ・タケクマ 筑波大学, 医学医療系, 教授 (80816520)
• Co-Investigator(Kenkyū-buntansha): 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, 助教 (50700548)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: Cardio vascular disease / Heart Failure / Heart Failure Self Care / patient education / Mongolia

Outline of Annual Research Achievements

In Mongolia, cardiovascular disease is the 3rd and 2nd causes of population and inpatient morbidity . Evidence has indicated that patients with HF are often unsuccessful at adequately performing self-care which leads to re-hospitalization due to worsening of symptoms. Therefore, the purpose of the study is to examine the effect of a nurse-lead care program for patients’ HF on self-care, quality of life, and re-hospitalization. Furthermore, this study will explore the feasibility of nurse-led intervention program and its potential impact in improving patient outcomes in developing countries.

In August 2020, the researchers and the Mongolian research collaborators, and clinical nurses, who practice in the areas of cardiovascular nursing, met at the Mongolian National University of Medical Science in Mongolia and had a hearing about nursing practice and nursing intervention to the patients with heart failure.

From 2020 to 2021, the research team continued to carry out literature review, and conducted an analysis of cultural and behavioral differences toward selfcare. To develop a culturally appropriate nursing intervention, we have identified a need to assess the current situation and understanding of selfcare of patients with heart failure in Mongolia. Two measurement instruments were identified to evaluate about self-care. Permissions to translate these instrument from English to Mongolian have been obtained. By the end of this academic year, we will complete the process of instrument translation and will conduct a pilot study.

Current Status of Research Progress

4: Progress in research has been delayed.

Reason

The Covid-19 pandemic impacted the research schedule. Mainly due to the lock down of the country and the emergency situation of health care facilities, collaborative meetings and works were rescheduled and/or cancelled. This situation was quite unexpected. Due to lack of nurses in the country of Mongolia, the needs for the care the patients with Covid-19 is more critical. We will continue to evaluate the situation of the healthcare facilities in Mongolia and will make adjustments accordingly.

Strategy for Future Research Activity

During the time of pandemic related restrictions, we are aiming to complete with translation of the measurement tools and educational materials in Mongolian language with collaboration of Mongolian research collaborators. (Phase II and extension of the phase II). Once the data
collection site is re-determined, we will proceed to IRB approval executions. By the end of the phase II, we hope to do recruitment and training
of data collectors and nurses and conduct a pilot study.

Causes of Carryover

2020年度は新型コロナウイルス感染症関係でモンゴル国現地での看護師の教育プログラム、研究協力者との打ち合わせなどを実施することができず、主に文献検討と測定ツールの翻訳についての検討が中心となり、助成金の使用は共同研究者の物品購入等が主なものとなった。繰越する研究費は測定ツール翻訳に関係する言語専門家への謝礼と翻訳会社等への支払い、専門家会議出席者への交通費及び謝礼に充てられる予定である。モンゴル国への渡航が可能になった場合は、現地での研究遂行調整のための旅費等にも使用する。