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.

本研究的目的是为非癌症患者及其家人构建家庭姑息治疗的护理实践，然后阐明关注其结果的最佳实践。该研究分三个阶段进行；实地调查收集国内外从业者的经验知识，案例研究方法，预后预测调查。结果表明，非癌症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，从而使家庭护理站的医生和护士能够根据日常就诊的观察结果分享预后预测，以稳定临床状况。同时，建立一个系统，通过向患者及其家属提供充分的解释来最大程度地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