Clarification of Best Practice for Nursing in the Home PalliativeCare of a Non-Cancer Patient and their Family

澄清非癌症患者及其家人的家庭姑息治疗最佳护理实践

• 批准号: 22659429
• 负责人: NAGAE Hiroko
• 金额: $ 2.12万
• 依托单位: Chiba University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Challenging Exploratory Research
• 财政年份: 2010
• 资助国家: 日本
• 起止时间: 2010 至 2012
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22659429/
• 关键词: 非がん患者; 在宅緩和ケア; 患者アウトカム; ベストプラクティス; 家族ケア; 予後予測; 緩和ケア; 医師と看護師の連携; 看取り体制; 看護実践の効果; 地域ケアシステム; 在宅死; 家族の看取り; 非がん患者家族の不安; 患者の主体性; 自立支援

The purpose of this study was to structure nursing practices in home palliative care for non-cancer patients and their family and then to clarify the best practices focusing on their outcomes. The study was conducted in three phases; field survey to collect practitioners' empirical knowledge from within and outside of the country, case-study method, survey on prognosis prediction. The result indicates that the best practices in palliative care for non-cancer patients should be centered on management of medical condition and pain control, thus allowing doctor and nurses from home-care nursing station to share the prognosis prediction based on the observation made at daily visits in order to stabilize clinical condition. At the same time, organizing a system to minimize the anxiety of patients and their family by providing them with sufficient explanation is also crucial.

本研究的目的是构建非癌症患者及其家属的家庭姑息治疗护理实践，然后阐明以其结果为重点的最佳实践。研究分三个阶段进行；实地调查收集国内外从业人员的经验知识，案例研究法，预后预测调查。结果表明，非肿瘤患者姑息治疗的最佳实践应以病情管理和疼痛控制为中心，让家庭护理站的医生和护士根据日常就诊观察分享预后预测，以稳定临床病情。与此同时，组织一个系统，通过向患者和家属提供充分的解释来减少他们的焦虑也至关重要。

项目成果

非がん患者の在宅緩和ケアと意思による予後予測

非癌症患者的家庭姑息治疗和基于意图的预后预测

• 发表时间: 2013
• 作者: 長江弘子;櫻井智穂子;斉藤信也
• 通讯作者: 斉藤信也

Yure in decisions by cancer patients and their families regarding the transition to terminal palliative care

癌症患者及其家人关于过渡到临终姑息治疗的决定

• 发表时间: 2012
• 作者: Masako Sakai;Hiroko Nagae;Chihoko Sakurai;et al;Chihoko Sakurai
• 通讯作者: Chihoko Sakurai

超高齢社会を迎える中でのEnd-of-Life Careを考える 看護のスタンスで高齢者のQOLを考える

面对超老龄社会对临终关怀的思考 从护理角度思考老年人的生活质量

• 作者: Nagae;H.;Sakurai;C.,Imamura;E.,Izumi,S;長江弘子;長江弘子;長江弘子
• 通讯作者: 長江弘子

英国サウスウェールズの緩和ケアシステム(1)地域ケアシス テムの概要とその特徴

英国南威尔士姑息治疗体系（一）社区护理体系概况及其特点

• 发表时间: 2011
• 期刊: がん看護
• 作者: 櫻井智穂子;長江弘子
• 通讯作者: 長江弘子

The development of a nursing care assessment tool for ensuring the quality of end-of-life care for elderly people at home: a pilot study ofvisiting nurses to evaluate its practicality

确保居家老人临终关怀质量的护理评估工具的开发：上门护士评估其实用性的试点研究

• 发表时间: 2012
• 作者: Masako Sakai;Hiroko Nagae;Chihoko Sakurai;et al
• 通讯作者: et al