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Volume 32 (2009)
- Issue 5 Pages 5_51-
- Issue 4 Pages 4_59-
- Issue 3 Pages 3_70-
- Issue 2 Pages 2_85-
- Issue 1 Pages 1_47-
Volume 32, Issue 2
Displaying 1-11 of 11 articles from this issue
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Kayoko Yamamoto, Akiko Okumiya2009 Volume 32 Issue 2 Pages 2_13-2_21
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study is to examine the reliability and validity of The Japanese language version of the Health Care Climate Questionnaire (HCCQ), the Treatment Self-Regulation Questionnaire (TSRQ), and the Perceived Competence Scale (PCS). These have been developed to assess constructs contained within Self-Determination Theory as the theory relates to health-care behavior. HCCQ, TSRQ and PCS were translated into Japanese (for fluid management of hemodialysis treatment) and back translation was performed. Effective responses were obtained from 323 (Retest was 199) patients with hemodialysis treatment. There mean age was 61.3 years (SD=10.6).
The coefficients of reliability (Cronbach's alpha) ranged from 0.74 to 0.94, and the correlation coefficients between retests were ranged from 0.69 to 0.77 and respectively.
In terms of criterion related validity, HCCQ related to Patient Trust in Nurse Scale, and PCS related to Dietary Management Self-efficacy Scale. The construct validity of TSRQ was confirmed because its relationship with Health Locus of Control Scale was relations that were predicted. By using these questionnaires, it is possible to measure patients' perceptions of "autonomy support by their healthcare providers" (HCCQ), "their motivation for a particular behavior (autonomous or controlled)" (TSRQ) and "their competence about a change toward a healthy behavior" (PCS).View full abstractDownload PDF (516K) -
Hiroe Hayashi2009 Volume 32 Issue 2 Pages 2_23-2_34
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to shed light on difficulties shared by visiting nurses supporting people with mental disorders. Nine nurses serving at two home-visit nursing stations were individually interviewed both formally and informally, and the data obtained were analyzed by the Modified Grounded Theory Approach (M-GTA).
The results of the study reveal that difficulties in supporting people with mental disorders receiving in-home care fall into the following four categories: (a) difficulties in carrying out a contract, (b) difficulties in assisting patients in their homes, (c) difficulties in establishing cooperative relations with the people concerned, and (d) difficulties in mutual support among the nurses. These four categories interact with one another and make the problems even more difficult to solve, resulting in a situation where a visiting nurse feels a sense of isolation.
The study suggests the necessity for (a) education of visiting nurses, (b) creating a special management position responsible for the community care of people with mental disorders, and (c) establishing a system that enables the home-visit nursing care service to function fully.View full abstractDownload PDF (604K) -
Narumi Fujino, Fumi Yamaguchi, Hitoshi Okamura2009 Volume 32 Issue 2 Pages 2_35-2_43
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purposes of this study were to show specific detail of suffering of family caregivers of patients with schizophrenia who underwent long-term hospitalization and to make suggestion for presenting specific measures for expanding support for the family caregivers. The subjects were 23 family caregivers of schizophrenic patients utilizing home-visit nursing station. The study used semi-structured interviews and a qualitative and inductive analysis was performed. As a result, 1) the patients' future after losing parents, and 2) suffering for family caregivers of their own, the following five suffering were specified: 1) difficulties of responses to psychiatric symptoms, 2) fear for recurrence, 3) economic hardship, 4) poor physical condition of family caregivers of their own, and 5) the absence of secondary caregiver. This result showed the family caregivers experienced suffering that were generated in chain reaction as they were primarily worrying about their children's future. Therefore, it is suggested that implementing support measures to enrich personnel, material, economic and social support is important rather than perspective of decreasing caregiver burdens, so that the patients can lead independent lives in the community.View full abstractDownload PDF (566K) -
Hiroko Kunikata, Keiko Honda2009 Volume 32 Issue 2 Pages 2_45-2_53
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSA qualitative, inductive study using a modified grounded theory approach was conducted to identify components of self-concept of members of a Mentally Disabled Anonymous meeting talking about their experience of the disease while living in the community and discuss nursing care. As a result, three components were found. The self-concept of members participating in activities for disseminating knowledge of mental health is the self they became conscious of through meeting needs, consisting of the self who has regained self who has a hierarchy of needs and the self who is strongly influenced by the environment and remains unable to regain self who has a hierarchy of needs. It is suggested that caregivers should perceive mentally disabled persons as social beings who are influenced by the environment, accept their painful cries as they are, help them attach meanings to their experiences, play a more important role in creating a bridge between mentally disabled people and the community, establish a closer interpersonal relationship to accept them without reserve, and provide them with more opportunities for activities in the community.View full abstractDownload PDF (564K) -
Mina Takami, Yukiko Sato, Hitoshi Shiwaku2009 Volume 32 Issue 2 Pages 2_55-2_63
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study is to examine the influence of parental role-acceptance and parental role behavior to family function and the mental health of adolescents. The subjects were 1037 sets of parents and children in grades 5 to 9. A self-administered survey was conducted with 424 effective data sets obtained. Using path analysis, our hypothetical model consisted of parents' role-acceptance at work and at home, parental role behavior, family function, and the mental health of adolescents was tested.
Results indicated that a higher level of parental home role-acceptance was associated with acceptance of their child, which in turn was associated with improved child-evaluated family function. Family function contributed to the adolescents' mental health. In addition, paternal home role-acceptance was associated with increased confidence in their nurturing, which in turn was associated with improved girls'-evaluated family function. Maternal home role-acceptance was associated with confidence in their nurturing, which in turn was associated with improved boys'-evaluated family function. In this way, the childevaluated family function was more significantly influenced by the opposite sex parents' role behavior.
We propose that nurses and other health-care professionals should support parental home role-acceptance and parental role behavior to improve adolescents-evaluated family function.View full abstractDownload PDF (539K) -
Masae Satoh2009 Volume 32 Issue 2 Pages 2_65-2_74
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSObjective: To develop a method for assessing quality of life in patients after total hip arthroplasty (THA), the present study was conducted to identify dwelling life environmental factors associated with revision THA.
Methods: In 104 THA patients (35 with revision, 69 without revision), a self-administered questionnaire survey was conduced. Logistic regression analysis was conducted using revision as a dependent variable, and a McNemar's test was used to analyze dwelling life environmental factors before and after surgery.
Results: Revision was required due to avascular necrosis of the femoral head (disease, OR=7.3), lack of device preparation (physical environment, OR=7.9) or imprudent behaviors related to excretion (physical environment, OR=18.8). When comparing factors before and after surgery, recommended behaviors related to eating, excretion, bathing, sleeping and taking breaks increased significantly following the first THA for the group without revision (p<0.001).
Conclusions: Regarding dwelling life environmental factors related to the risk of revision THA, preoperative preparation of the physical environment and assessment of lifestyle factors before and after surgery were important. As a result, nursing support needs to be provided to take into account these issues.View full abstractDownload PDF (718K) -
Noriko Ogura, Teruko Abe, Kumiko Saitoh, Kaoru Ishioka, Tomoko Ichinoh ...2009 Volume 32 Issue 2 Pages 2_75-2_83
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSWe investigated what nursing professionals thought about patient coaching and how they practiced it in order to obtain basic data used to develop education programs to improve their ability to educate patients in the coaching process and tools to assess their education and coaching skills. Our investigation showed that they considered patient coaching to be important but did not give patients effective coaching. Especially, they failed to work with patients for effective coaching and to ensure prior coordination required for well-planned coaching. It became clear that in coaching, they tended greatly to educate patients with a focus on knowledge communication and had inadequate coaching planning. Those problems might be caused partly by failure to help such nursing practitioners develop sufficient expertise to educate patients including learning theories. From the above results, we conclude that fundamental knowledge on educational methodology and skills and basic principles of education need to be included in education programs for nursing practitioners in order to improve the ability of incumbent nursing professionals to educate patients in the coaching process.View full abstractDownload PDF (521K) -
Kumi Watanabe, Sanae Oriyama, Hiroko Kunikata, Aki Okamoto, Michiyo Ka ...2009 Volume 32 Issue 2 Pages 2_85-2_92
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe objective of this study is to show the actual situations of cases in which nurses feel difficulty in taking care of psychiatric patients and their families at home-visit nursing stations and explore the support needs of visiting nurses. The objects were 116 home-visit nursing stations in A prefecture, and 48 stations answered to our questionnaire. We implemented a questionnaire research about the experiences of difficult cases by mailing method and interviewed 10 visiting nurses of 6 cooperative stations about their 13 difficult cases and their support needs. The difficult cases were reported by 14 stations (29.2%) for patients and by 12 stations (25.0%) for families. Also, it was reported that visiting nurses have "the anxiety for the difficulty in understanding psychiatric patients" and their support needs were "the knowledge of the effective way to respond according to each situation" and "nursing advice of psychiatry experts". Detailed countermeasures, consultation services by psychiatric specialists, and network as the support for the relationship of visiting nurses are considered to be required.View full abstractDownload PDF (494K) -
Maki Nunokawa, Midori Kose2009 Volume 32 Issue 2 Pages 2_93-2_100
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe objective of the present study is to clarify how cancer patients receiving outpatient chemotherapy perform self-care and continue with therapy. Subjects were 11 patients with stage III gastrointestinal cancer who were undergoing outpatient chemotherapy. Semi-structured interviews were conducted in order to ascertain their daily routines while undergoing outpatient chemotherapy. Data were analyzed by Modified Grounded Theory Approach. The process for patients' self-care and continuation with therapy involved the following: the perception of physical changes caused by therapy, self-care behaviors, conditions with which health could be judged, supporters, satisfaction about therapy, and "want to live long to protect a family." The patients' self-care behaviors involved use the weight as a guideline of self-care, normalize daily living, separate daily living from therapy and maintenance of effective relationships with a doctor. Through self-care behaviors, the patients were able to evaluate their own health and they had a high level of satisfaction with therapy. In addition, satisfaction with therapy facilitated self-care behaviors. The present findings suggest that in order to support outpatient chemotherapy patients to continue with their therapy, it is necessary to guide them so that they can judge their own health and provide outpatient services to improve the degree of satisfaction.View full abstractDownload PDF (497K) -
Shinobu Yoshii, Miki Yatsuzuka2009 Volume 32 Issue 2 Pages 2_101-2_111
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSWe performed the semi-structured interviews to ten nurses except a newcomer and a managerial position for the purpose of structuring the actual situation of the self-management of them and analyzed it by KJ method. The staff nurses were shaking between [Physical anxiety to keeping on working as the nursing-personnel] and [Existence of those who can speak about the inside of the heart; Official and personal balance can be maintained; Confidence in which training has been overcome]. And they kept oneself by [For oneself, I possess it on mind and body both sides so that duties don't have a hindrance], [The moment of joy that I can realize because there is it with a patient became a driving force, and it keeps present oneself], [As a member of a team, it cooperates mutually], [I'll accomplish one's mission without expressing the badness of physical condition and ups and downs of feelings]. On the other hand, they hesitated in [I stagnate to oneself who cannot follow a demanded thing], [Oneself who cannot readily arrive at an ideal nursing-personnel image], [Uncontrollable anger is felt]. For support of the self-management of nursing-personnel, necessity of environmental maintenance to surround medical care was suggested.View full abstractDownload PDF (677K) -
Yuko Nishina, Shizuko Tanigaki2009 Volume 32 Issue 2 Pages 2_113-2_121
Published: June 01, 2009
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to clarify the factors related to intragroup conflict in the workplace among visiting nurses. We carried out this study by mail questionnaire in 2005. The questionnaire included these following scales: intragroup conflict, assertion, social skills, social support in the workplace (from the supervisor and coworkers), social support outside of work (from family and friends), and some other individual factors. Subjects were 145 visiting nurses who responded to the questionnaire whose average age was 43.8±8.0 years. Multiple regression analysis was used to clarify the factors. The results showed that social support in the workplace and work opportunity (full-time or part-time) were significantly related to intragroup conflict. This means that visiting nurses who worked full-time and had a low perception of the social support in the workplace recognized higher intragroup conflict in the workplace. This suggests that it's important to enrich the social support system in the workplace to reduce intragroup conflict.View full abstractDownload PDF (552K)
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