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Development of the stress management education technology for the elderly patients with severe disease to improve their OOL

开发老年重症患者压力管理教育技术以提高OOL

基本信息

批准号：
13301006
负责人：
YAMADA Fumio
金额：
$ 28.87万
依托单位：
Osaka University of Human Sciences (2003)Osaka Prefectual College of Nursing (2001-2002)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (A)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2003
项目状态：
已结题

项目摘要

In this research project, we had run five subgroups for stress management education system, i.e., (1)Developing Evaluation Methods, (2)Cancer patients, (3)Dementia, (4)Heart Rehabilitation, (5)Incurable disease.(1)Developing Evaluation Methods : We established psychological scales of Stress Management Self-efficacy Scale(SMSE) and tried to assess the educational effect of stress management for patients with severe disease. Also psychophysiological and psychoneuroimmunological indices were established.(2)Cancer patients : We have established psycho-social intervention with stress management education for lung cancer patients.(3)Dementia : We tried to apply the relaxation and activation training for dementia patients and to assess the effect by using physiological index.(4)Heart Rehabilitation: With using SF-36, we recognized the good effects of stress management education on the quality of life of the patients with heart disease at least 6-months after heart attack.(5)Incurable disease : Basic research using over 600 patients indicated that patients group showed smaller scores of both SF-36 and SMSE-20, especially the group of nerve-muscle diseases showed more important severity. On this fundamental research, we made a 5-days/3-months program of stress management education seminar for patients groups. Results showed that the estimated self-efficacy of relaxation was increased by means of our program.

本研究分为五个亚组，分别为(1)制定压力管理教育方法，(2)癌症患者，(3)痴呆，(4)心脏康复，(5)不治之症。(1)制定评估方法：编制压力管理自我效能量表(SMSE)的心理量表，并对重症患者的压力管理教育效果进行评估。(2)癌症患者：我们对肺癌患者进行了心理社会干预。(3)痴呆症：我们尝试对痴呆症患者进行放松和激活训练，并用生理指标进行评估。(4)心脏康复：通过使用SF-36，我们认识到压力管理教育对心脏病患者心脏病发作后至少6个月的生活质量有良好的效果。(5)不治之症：对600多名患者进行的基础研究表明，患者组的SF-36和SMSE-20得分较低。尤其是神经肌肉疾病组表现更为严重。在此基础研究的基础上，我们制定了为期5天/3个月的压力管理教育研讨会。结果表明，本方案提高了对放松自我效能感的估计。