2024 Fiscal Year Final Research Report

Development of a nursing care model to support the acceptance of elderly patients with advanced cancer during the transition to home care

Research Project

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Project/Area Number	20K10785
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58060:Clinical nursing-related
Research Institution	The University of Tokushima
Principal Investigator	IMAI Yoshie 徳島大学, 大学院医歯薬学研究部(医学域), 教授 (10423419)
Co-Investigator(Kenkyū-buntansha)	雄西智恵美甲南女子大学, 看護リハビリテーション学部, 教授 (00134354) 板東孝枝徳島大学, 大学院医歯薬学研究部(医学域), 准教授 (00437633) 高橋亜希徳島大学, 大学院医歯薬学研究部(医学域), 助教 (70799874) 上田伊佐子徳島文理大学, 保健福祉学部, 教授 (90735515) 井上勇太徳島大学, 大学院医歯薬学研究部(医学域), 助教 (90845372) 森裕香徳島大学, 大学院医歯薬学研究部(医学域), 助教 (50977725)
Project Period (FY)	2020-04-01 – 2025-03-31
Keywords	高齢がん患者 / 納得 / 在宅移行期
Outline of Final Research Achievements	【To develop a nursing care model to support the satisfaction of elderly patients with advanced cancer during the transition to home care】, we reviewed the current situation at domestic and international facilities through literature reviews and submitted a review article. Additionally, we conducted qualitative research on the actual conditions of home care and presented the results at a conference. Incorporating these research findings, we developed a draft nursing care model titled ‘A Nursing Care Model to Support the Satisfaction of Elderly Patients with Advanced Cancer During the Transition to Home Care.’ Subsequently, we reviewed the nursing care model in an expert meeting to adapt it to the clinical setting and refined the model. Through these discussions, it was inferred that for supporting patient satisfaction during the home care transition period, it is important to establish a model centred on interactive communication between hospital and home care settings.
Free Research Field	がん看護学
Academic Significance and Societal Importance of the Research Achievements	1．本研究は,在宅移行期の高齢進行がん患者の納得を支援する看護ケアモデルを構築するために,施設と在宅の双方向から包括的に捉える所に特徴がある.特に,パラダイム・シフトしていく社会情勢と県下の医療状況を捉え,ケアモデルを構築する所に独自性がある看護ケアモデルが構築できたことに学術的な意義があると考える． 2．現在,高齢がん患者の研究は数少ない.本研究の推進は社会的貢献度が高く,高齢がん患者の看護に関する新しい知見の蓄積に貢献でき,学術的独創性が高いと考える.また,意思決定の質となる納得への着目は真の高齢がん患者のQOL向上に貢献する視点であると考える.