Journal of Japan Academy of Nursing Science
Online ISSN : 2185-8888
Print ISSN : 0287-5330
ISSN-L : 0287-5330
Original Articles
Self-Management Education and Difficulties Faced by Home-Visit Nurses for Patients With Chronic Obstructive Pulmonary Disease: Focusing On the Clinical Experiences of Home-Visit Nurses
Naohiro MaedaHitoshi FujiiMinoru Itayama
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2025 Volume 45 Pages 25-38

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Abstract

Objective: This study aimed to clarify the actual conditions of the frequency of self-management (SM) education, nursing issues, frequency of collaboration with other professionals, difficulties faced by home-visit nurses for patients with chronic obstructive pulmonary disease (COPD), and the relationship between these experiences and home-visit nurses’ clinical experiences.

Methods: A postal questionnaire survey was conducted with 3,000 home-visit nurses nationwide. After calculating the basic statistics, the differences between the frequency of SM education, nursing issues, frequency of collaboration with other professions, and clinical experiences were analyzed using the Mann–Whitney U test. The free-description categories of difficulty were extracted using content analysis.

Results: The analysis included 305 participants. Regarding the frequency of SM education, instruction on the assessment of shortness of breath was the least common and significantly less common in the group with no experience in respiratory wards. Additionally, the group with no experience in respiratory wards was more likely to experience difficulties in home-visit nursing for patients with COPD.

Conclusion: To promote SM education among home-visit nurses, there is a need to disseminate expertise and reduce feelings of difficulties.

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© 2025 Japan Academy of Nursing Science
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