Development and evaluation of asbestos related health consultation for public health nurses.

公共卫生护士石棉相关健康咨询的开发和评估。

• 批准号: 19592610
• 负责人: NAGAMATSU Yasuko
• 金额: $ 2.75万
• 依托单位: St. Luke's College of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2007
• 资助国家: 日本
• 起止时间: 2007 至 2010
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-19592610/
• 关键词: アスベスト; 中皮腫; 保健師; 相談; マニュアル; 子ども; 石綿; 看護; 保健所; ガイドライン; 悪性中皮腫

Because the number of mesothelioma grew rapidly, people are anxious about asbestos. However there was no guideline of asbestos related health consultation for public health nurses. Analysis of 344 asbestos related consultation records by NPO showed many kinds of worriers,such as anxiety on exposure, including children's exposure in school, worriers of onset of asbestos related diseases, problems of patients, grief of bereaved. Consultation requires knowledge such as medical, construction, law, psychology and so on. Especially, parents worried children's exposure; a website for parents and children about asbestos was established. The survey on all health centers showed a health center put 3 health staffs for asbestos related consultation and had 5.3 cases in previous year. More than 70 % health centers put nurses as consultants. Among consultants, only 14% attended training and 35.4% did not used manual at all. About 70% of staffs of asbestos related health consultant were not confident on their duty because they cannot keep their knowledge for rare consultation that requires many kinds of special knowledge. Those result indicated the needs of guideline of asbestos related health consultation. However other research group developed an excellent guideline, we focused a patients' distress that was most difficult issue for health center's staffs. According to our research on 14 malignant pleural mesothelioma patients, they were in multiple difficulties caused by malignancy, rareness and happened by asbestos. Since mesothelioma progress fast, new problems keep happening before one problem was solved. Also, patients felt they were not well treated because medical staffs were lack of knowledge and experience in mesothelioma.

由于间皮瘤的数量迅速增长，人们对石棉感到焦虑。然而，没有指导公共卫生护士石棉相关的健康咨询。通过对344份非营利组织石棉相关咨询记录的分析，发现石棉相关咨询中存在多种担心，如对暴露的焦虑，包括对儿童在学校的暴露的焦虑、对石棉相关疾病发病的担心、对病人的问题的担心、对失去亲人的悲痛等。咨询需要医学、建筑、法律、心理学等方面的知识，特别是家长担心孩子接触石棉，为此建立了一个家长和孩子关于石棉的网站。对所有卫生院的调查显示，一个卫生院有3名卫生人员进行石棉相关咨询，上一年有5.3例。70%以上的卫生中心将护士作为顾问。在顾问中，只有14%参加了培训，35.4%根本不使用手册。大约70%的石棉相关健康顾问人员对自己的职责没有信心，因为他们无法保留自己的知识来进行需要多种专业知识的罕见咨询。这些结果表明，石棉相关的健康咨询指南的需要。然而，其他研究小组制定了一个很好的指南，我们关注的是病人的痛苦，这是最困难的问题，卫生中心的工作人员。本文通过对14例恶性胸膜间皮瘤患者的研究，发现他们因恶性、罕见及石棉等因素而面临多重困难。由于间皮瘤进展快，新的问题不断发生之前，一个问题得到解决。此外，患者认为他们没有得到很好的治疗，因为医务人员缺乏知识和经验的间皮瘤。

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