Action Research on the Education Program with the "Nursing Practice Model(TK model)" for Patient Education, and the Intervention Research

“护理实践模式（TK模式）”患者教育方案的行动研究及干预研究

• 批准号: 21249096
• 负责人: KAWAGUCHI Teruko
• 金额: $ 21.47万
• 依托单位: Japanese Red Cross Hokkaido college of Nursing (2011-2012)Japanese Red Cross College of Nursing (2009-2010)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (A)
• 财政年份: 2009
• 资助国家: 日本
• 起止时间: 2009 至 2012
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-21249096/
• 关键词: 患者教育; 教育的関わり; 生活者; アクション・リサーチ; 無作為化比較試験; 看護; とっかかり/手がかり言動; 直観的解釈; 治療の看護仕立て; 看護師; 生活; Progessional Learning Climate; 直感的解釈; Professional Learning Climate; とっかかり; 手がかり言動

Action research was conducted using the model at three different hospitals between February 2008 and August 2010. The model development research group of 24 researchers split up to give explanations of the model and participate in case review meetings at the three sites. There were a total of 12 clinical nurses among the research participants and 31 nurses who participated in the study meetings. The data was collected from interviews with the participating nurses; from recordings of the study meetings, case review meetings, and discussion meetings; from participant observation records, etc. The method of analysis used was to keep in mind "what kind of changes arose in the participating nurses from case review meetings using the TK model," extract the changes in the participating nurses and other nurses on the wards, and study how the researchers implemented their involvement. The purpose of the intervention research was to evaluate the outcomes of individual face-to-face patient educat … More ion provided by a nurse over a period of 15 months to people with type 2 diabetes. A randomized controlled trial was used. 96 adults with type 2 diabetes receiving outpatient treatment at a clinic specializing in diabetes were divided randomly into an intervention group and a usual care group. The intervention group received individual face-to-face patient education from a nurseprior to and following their outpatient treatment every four to six weeks over the 15-month period. The post test was completed with 45 participants in the intervention group and 43 in the usual care group (an attrition rate of 8.5%). Nursing intervention over the 15-month period for the intervention group averaged 10.3 sessions (SD = 1.9) and 20.4 minutes (SD = 8.0) per session. With regard to dietary and exercise self-management, a significant improvement in nutritional balance was seen in the interventiongroup (F (1, 80) = 7.28, p < .01) versus the usual care group. Scores for amount of exercise indicated a trend towards better exercise self-management (F (1, 80) = 2.81, p = .098) in the intervention group as opposed to the usual care group. There was no significant difference between the two groups with regard to control of caloric intake or changes in meal time patterns. Less

2008 年 2 月至 2010 年 8 月期间，使用该模型在三个不同的医院进行了行动研究。由 24 名研究人员组成的模型开发研究小组分别对模型进行解释，并参加三个地点的病例审查会议。研究参与者中共有 12 名临床护士，参加研究会议的护士有 31 名。数据是通过对参与护士的访谈收集的；来自学习会、案例评审会、讨论会的录音；分析方法是牢记“使用TK模型进行病例审查会议时参与护士发生了什么样的变化”，提取参与护士和病房其他护士的变化，研究研究者如何实施参与。干预研究的目的是评估护士在 15 个月内向 2 型糖尿病患者提供的面对面患者教育的结果。使用了随机对照试验。 96 名在糖尿病专科诊所接受门诊治疗的 2 型糖尿病成人患者被随机分为干预组和常规护理组。在 15 个月的时间内，干预组在门诊治疗之前和之后每四到六周接受护士的面对面患者教育。后测由干预组 45 名参与者和常规护理组 43 名参与者完成（流失率为 8.5%）。干预组在 15 个月期间的护理干预平均为 10.3 次疗程 (SD = 1.9)，每次疗程为 20.4 分钟 (SD = 8.0)。在饮食和运动自我管理方面，与常规护理组相比，干预组营养平衡显着改善（F (1, 80) = 7.28，p < .01）。运动量评分表明，与常规护理组相比，干预组有更好的运动自我管理趋势 (F (1, 80) = 2.81，p = .098）。两组在控制热量摄入或改变进餐时间模式方面没有显着差异。较少的

项目成果

行動変容を支える 協同探索型関わり技法

支持行为改变的协作探索型参与技术

• 发表时间: 2011
• 期刊: Nursing Today
• 作者: H.Sato;Y.Yoshimine;A.Akamine;他3名;越智光夫;恩幣宏美・岡美智代・滝口成美・近藤ふさえ
• 通讯作者: 恩幣宏美・岡美智代・滝口成美・近藤ふさえ

行動変容のプロモーター 患者教育専門家として醸し出す雰囲気(PLC:Professional Learning Climate)

行为改变的推动者作为患者教育专家营造的氛围（PLC：专业学习氛围）

• 发表时间: 2011
• 期刊: Nursing Today
• 作者: 佐野和信;荒木孝二;他1名;長谷川直人・安酸史子・太田美帆・道面千恵子
• 通讯作者: 長谷川直人・安酸史子・太田美帆・道面千恵子

看護の教育的関わりモデルで看護師はどう変わるのか

护理教育参与模式将如何改变护士？

• 发表时间: 2011
• 期刊: Nursing Today
• 作者: Morisaki K.;et al;大澤栄実・東めぐみ・大池美也子
• 通讯作者: 大澤栄実・東めぐみ・大池美也子

【看護におけるイノベーションの現在 日本の看護系学会が推進するケアの開発と実践】日本慢性看護学会 患者教育の実践研究事例「看護の教育的関わりモデル」

【当前护理创新：日本护理学会推动的护理发展与实践】日本慢性病护理学会患者教育实践研究案例“护理教育参与模式”

• 发表时间: 2010
• 期刊: インターナショナルナーシングレビュー
• 作者: 中貴弘;横瀬敏志;清水真一・友田正彦・高妻洋成・井上和人・青木繁夫・桃木至朗・上野邦一・田代亜紀子・石崎武志・宇野朋子・大田省一・小野田恵・大山亜紀子・宇都光恵;河口てる子
• 通讯作者: 河口てる子

Action Research Using the Nursing Model on Education: Outline of the Model Version 6.3 and the Usefulness in Three Action Research Implementations

使用教育护理模型的行动研究：模型版本 6.3 的概述以及三个行动研究实施的有用性

• 发表时间: 2011
• 作者: Kawaguchi;T.;Shimomura;H.;Yokoyama;E.;Higashi;M.;Yamada;E.;Oike;M.;Hasegawa;N.;Inoue;C.;Kondo;F.;Konagaya;M.;Kobayashi;T.;Oda;K.;Kodaira;K.;Hayashi;Y.;Yasukata;F.;Oka;M.;Iha;S.;Takiguhi;N.;Ito;H.;Ota;M.;Onbe;H.;Do
• 通讯作者: Do