The Develpment of Cancer Day Care Model In the Outpatient setting ; Evidence Based approach

门诊癌症日间护理模式的发展；

• 批准号: 11307057
• 负责人: KOMATSU Hiroko
• 金额: $ 18.14万
• 依托单位: St.Luke's Collage of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (A)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2002
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11307057/
• 关键词: cancer day care; beast cancer; post operative chemotherapy; outpatient setting; self-learning; support group; quasi-experimental research; がんデイケアモデル; がん患者; がん医療システム; がんとの共生; がんケアモデル

The purpose of this research was to develop and evaluate a Cancer Day Care, Model (CDCM) as a new care system which helps patients living with cancer. In this final year of the research, clinical trials were conducted for further refinement and practical application of the model. The following outcomes were obtained. (1)After continual refinement, the CDCM was developed into a practical care program that included self learning materials (e.g. booklets, a log book, and video tapes), and a patients' support group program. (2)The program was examined for its relevance and appropriateness by a panel of oncology nurses, and members of a group of breast cancer patients, and modified. (3)As the preparation of the program operation, we collaborated with the outpatient sector of the research partner hospital for the program would be applied safely and efficiently, and held an educational workshop for nurses involved with the operation of the program. (4)The quasi experimental design research was conducted to test the program effects. To control exogenous variables, subjects were limited to those breast cancer patients receiving postoperative chemotherapy using epirubicin hydrochloride and cyclophosphamide in outpatient setting. To avoid contamination of data from both samples, data were collected first from the control group. Then, the program was provided to the experimental group by the nurses, who attended the educational workshop. As an immediate effect of the program, depression score was significantly reduced for the experimental group compared to the control group. For future research, we recommend further development and application of this CDCM that will more fully accommodate the background and preference of a wider group of cancer patients.

这项研究的目的是开发和评估癌症日间护理模式(CDCM)作为一种帮助癌症患者生活的新护理系统。在研究的最后一年，进行了临床试验，以进一步完善和实际应用该模型。取得了以下成果。(1)经过不断的改进，CDCM发展成为一个包括自学材料(如小册子、日志和录像带)和患者支持小组计划的实用护理计划。(2)肿瘤科护士小组和一组乳腺癌患者对该计划的相关性和适当性进行了检查，并对其进行了修改。(3)作为计划操作的准备工作，我们与研究伙伴医院的门诊部门合作，确保计划安全有效地应用，并为参与计划操作的护士举办了一次教育研讨会。(4)进行了准实验设计研究，以检验程序的效果。为了控制外生变量，受试者限于那些在门诊环境下接受表阿霉素和环磷酰胺术后化疗的乳腺癌患者。为了避免两个样本的数据受到污染，首先从对照组收集数据。然后，由参加教育工作坊的护士向试验组提供方案。作为该计划的即时效果，与对照组相比，实验组的抑郁评分显著降低。对于未来的研究，我们建议进一步开发和应用这种CDCM，以更充分地适应更广泛的癌症患者的背景和偏好。

项目成果

中山祐紀子, 林直子, 小松浩子, 射場典子, 外崎明子 他: "がんデイケアプログラムの臨床適用part2-乳がん術後化学療法CAI教材を用いた専門的知識のブラッシュアップ-"第18回日本がん看護学会学術集会講演集. 第18巻 特別号. 221 (2004)

Yukiko Nakayama、Naoko Hayashi、Hiroko Komatsu、Noriko Iba、Akiko Tonosaki等：《癌症日托计划的临床应用第2部分-利用乳腺癌术后化疗CAI教材复习专业知识-》第18届日本癌症会议论文集日本护理学会学术会议，第 18 卷，特刊 221（2004 年）。

Komatsu, H., Iba, N., Tonosaki, A., Hayashi, N., et al.: "Development of the Day Care Model for cancer patient receiving adjuvant chemotherapy in the outpatient setting"First International Conference, Japanese Society of Cancer Nursing. Proceedings. 54 (2

Komatsu, H.、Iba, N.、Tonosaki, A.、Hayashi, N. 等人：“在门诊接受辅助化疗的癌症患者日间护理模式的开发”第一届国际会议，日本癌症学会

林直子, 小松浩子, 射場典子, 外崎明子, 片桐和子, 酒井禎子: "外来・短期入院においてがん医療に携わる看護婦の現状認識と適応"日本がん看護学会誌 第16回日本がん看護学会学術集会講演集. 16巻特別号. 132 (2002)

Naoko Hayashi、Hiroko Komatsu、Noriko Iba、Akiko Tonosaki、Kazuko Katagiri、Teiko Sakai：“门诊和短期住院癌症护理中护士的当前认识和适应”日本癌症护理学会杂志，第 16 届日本癌症护理学术会议论文集，第 16 卷，特刊（2002 年）。

酒井禎子、小松浩子、林 直子、射場典子、外崎明子、南川雅子、片桐和子他: "外来・短期入院を中心としたがん医療の現状と課題 -外来・短期入院を中心としたがん医療に携わる看護婦の困難と対処-"日本がん看護学会誌. 15巻第2号. 75-81 (2001)

Teiko Sakai、Hiroko Komatsu、Naoko Hayashi、Noriko Iba、Akiko Tonosaki、Masako Minamikawa、Kazuko Katagiri等人：“以门诊/短期住院为中心的癌症医疗的现状和问题 - 以门诊/短期住院为中心的癌症医疗短期住院“癌症护理中护士的困难及其应对方法”日本癌症护理学会杂志第15卷第2.75-81号（2001年）

Komatsu, H., Iba, N., Tonosaki, A., Hayashi, N., et al.: "Development of the Day Care Model for cancer patient receiving adjubant chemotherapy in the outpatient setting"First international Conference, Japanese Society of Cancer Nursing. proceedings. 54 (2

Komatsu, H.、Iba, N.、Tonosaki, A.、Hayashi, N. 等人：“在门诊接受辅助化疗的癌症患者日间护理模式的开发”第一届国际会议，日本癌症学会