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Developing educational method for Self-Care and Independence of patient

开发患者自我护理和独立的教育方法

基本信息

批准号：
09470533
负责人：
KAWAGUCHI Teruko
金额：
$ 5.25万
依托单位：
The Japanese Red Cross College of Nursing (1998-2000)Osaka University (1997)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B).
财政年份：
1997
资助国家：
日本
起止时间：
1997 至 2000
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-09470533/
关键词：
Patient education Behavioral change Cueing remark and action Decision-making Educational method Chronic illness Nursing practice model living Person セルフケア共感

项目摘要

The purpose of this study is, from the perspective of democratic patient education method respected for autonomy and decision-making of patient, to analyze the response patterns of patient to patient education for chronic illness and assessment and educational skills of educators to patients' response, and to develop the nursing practice model for effective patient education front the case analysis. The method is to collect 150 cases of patient education filled in the case sheet which patients' response, nurses' thinking process/decision and education method/care were described, and to analyze each case by 12 to 17 of nurse researchers and expert nurses.In the initial analysis, we named remarks and actions which are the cue for the patients' behavioral change "Cueing remarks and actions", and examined patients' response, nurses' decision, and education method. As a result, "Cueing remarks and actions", "Knowledge and skill concerning medical regimen", "Knowledge and skill concerning ed … More ucational methods", and educators' "Professional learning climate" were related to patients' behavioral. Examining these factors, the relationship among them were clarified and we developed "Nursing Practice Model for Effective Patient Education".We examined the adaptation of this nursing practice model by using 48 cases. After examining the cases, the model was refined, each concept of the fictors were clarified, and the model was renewed. The second version of the model is constructed with "Intuitive interpretation of cueing remarks and actions", "Knowledge and skill concerning disease・medical regimen", "Knowledge and skill concerning living person", "Knowledge and skill concerning educational methods", and educators' "Professional learning climate". We agreed the perspective that it is important that patients are living person, so we added the new factor, "Knowledge and skill concerning living person". And we renamed "Cueing remarks and actions" to "Intuitive interpretation of cueing remarks and actions" Less

本研究的目的是从尊重患者自主权和决策权的民主患者教育方法的角度出发，分析患者对慢性病患者教育的反应模式以及教育者对患者反应的评估和教育技巧，并通过案例分析开发有效患者教育的护理实践模式。该方法是收集150个患者教育案例，填写在案例表中，描述了患者的反应、护士的思维过程/决定和教育方法/护理，并由12至17名护士研究人员和专家护士对每个案例进行分析。在初步分析中，我们将作为患者行为改变线索的言论和行动命名为“提示言论和行动”，并检查患者的反应、护士的决策和教育方法。因此，“提示言论和行动”、“医疗保健知识和技能”、“教育方法知识和技能”以及教育者的“专业学习氛围”与患者的行为相关。通过检查这些因素，阐明它们之间的关系，我们开发了“有效患者教育的护理实践模型”。我们通过使用48个病例来检验该护理实践模型的适应性。在对案例进行考察后，对模型进行了细化，对虚构者的各个概念进行了澄清，并对模型进行了更新。第二版模型由“提示言论和行动的直观解释”、“有关疾病·医疗的知识和技能”、“有关活人的知识和技能”、“有关教育方法的知识和技能”以及教育者的“专业学习氛围”构建。我们一致认为患者是活着的人很重要，因此我们添加了新的因素“关于活着的人的知识和技能”。并且我们将“提示言论和动作”更名为“提示言论和动作的直观解释” Less