All issues
Volume 35 (2012)
- Issue 5 Pages 5_105-
- Issue 4 Pages 4_83-
- Issue 3 Pages 3_64-
- Issue 2 Pages 2_11-
- Issue 1 Pages 1_137-
Volume 35, Issue 5
Displaying 1-14 of 14 articles from this issue
- |<
- <
- 1
- >
- >|
-
Tomoe Yamane, Yumiko Momose, Hiroko Matsuoka2012 Volume 35 Issue 5 Pages 5_1-5_11
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to determine how support mechanisms are established for elderly men who live alone and are certified in the two lowest levels of required care under the Long-Term Care System. We conducted semi-structured interviews with fourteen elderly men that lived alone and analyzed the data based on the modified grounded theory approach. Individuals who used their own capability as much as possible in difficult situations in addition to receiving some assistance/services from others had acquired a higher quality of life. The elderly men felt various levels of anxiety, uncertainty, desire, and life prospects while they continued single living. These thoughts influenced how they obtained support, particularly, the desire to want to assume the role of husband. It is important that specialists dealing with elderly men that live alone try to understand the patient’s relationships with relatives and friends, as well as the patient’s hopes, and it is necessary to support the patient’s intentions.View full abstractDownload PDF (1027K) -
Akira Nagata, Masami Hasegawa2012 Volume 35 Issue 5 Pages 5_13-5_24
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe objective of this study is to clarify what cultural factors lead live liver transplant donors to exhibit ‘clam up behavior'. A qualitative research method was conducted with the semi-structured interviews with 10 donors and 3 recipients, followed by data analysis within Geertz' hermeneutical anthropological framework. It was revealed that transplant donors were often motivated by purposes of idealization (i.e. saving the patient's family and the resultant sense of nobility and increasedself-esteem) and compliance with the regulations (e.g. disclosure and discretion） concerning the patient, their family, and the transplantation itself. On the other hand, they suffered from the pretense of being a "wonderful donor"; a savior to the patient and their family. Also revealed was that they maintained silence about being a donor for the following reasons: they were denied due postoperative care and attention, myths abound regarding the safety of donors, voluntarism, as well as doctors eager in live liver transplantation, and the general ignorance regarding live liver donors and transplantation. It is suggested that it is necessary to listen with careful consideration.View full abstractDownload PDF (991K) -
Takako Yamada, Noriko Akimoto2012 Volume 35 Issue 5 Pages 5_25-5_34
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis study aimed to clarify the process for inpatients with alcoholic liver diseases to decide to stop and continue abstaining from drinking in order to review nursing support to effectively help the patients.
We conducted semi-structured interviews involving six inpatients with alcoholic liver diseases and analyzed the results by the modified grounded theory approach (M-GTA). As the result, we observed, in the process for inpatients with alcoholic liver diseases to decide to stop and continue abstaining from drinking, [reviewing one’s own addiction to alcohol] and [learning about the drawbacks of heavy drinking] strongly motivated the patients to [decide to abstain from drinking and receive treatment], and the achievement of abstinence from drinking further motivated them to [decide to continue abstaining from drinking even after leaving the hospital] and actually do so.
The results suggest the need for nurses to help the patients review how they became addicted to alcohol and learn about the drawbacks of heavy drinking.View full abstractDownload PDF (997K) -
The Lesson of Encouraging Other PeopleMami Yamamoto, Akiko Kadoma, Ayako Furuzawa, Yukimi Ohashi, Akiko Mori ...2012 Volume 35 Issue 5 Pages 5_35-5_43
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to determine how a paper airplane exchange exercise by mothers of children with autism spectrum disorder (ASD) would influence their relationship with other mothers, as well as their stance toward child-rearing. Participants were eight mothers of children with ASD. The exchange exercise involved participants writing about their "difficult experiences" in child-rearing on paper, followed by making paper airplanes out of these. They then simultaneously threw the paper airplanes into the air and randomly picked up an airplane. Participants read the difficult experiences written on the airplanes and wrote "encouraging messages" on them. The process of writing encouraging messages was repeated, and finally all participants shared their episodes and messages. Relationships among the mothers and stance toward child-rearing were documented during the exchange, and the contents were qualitatively analyzed.
The analysis revealed that the exchange exercise may have influenced: 1) the stance of mothers toward child-rearing, 2) building of relationships in which diversity is accepted, and 3) changes in perspective by altering the relationship between problems and oneself.View full abstractDownload PDF (871K) -
Kanae Hamano, Keiko Horiuchi2012 Volume 35 Issue 5 Pages 5_45-5_55
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSObjective: This study aimed to clarify the effects of informal support and other services on the QOL of the elderly population living on A Island.
Method: Surveys were conducted twice between December 2009 and September 2010.
Results: The QOL score was 3.29 (actual range = 2.75－3.83) in the first survey for the 94 elderly people surveyed, whose mean age was 77.2 years. The second survey was conducted for five men and three women in the higher QOL-scoring group, whose mean age was 78.1 years, and for two men and seven women in the lower QOL-scoring group, whose mean age was 77.3 years. Differences between the two groups' lifestyles were caused by the following factors: health condition, financial ability to obtain treatment, quality of human relationships, and formal or informal support. Formal support is concerned physical aspects of an individual's condition, while informal support refers to psychosocial and material aspects. Individuals' conditions include both what they possess and what they can do.
Conclusion: Good physical condition, a network of family-based informal support, and utilization of one's own potential are all required for a high quality of life among the elderly population on A Island.View full abstractDownload PDF (1334K) -
Taisuke Katayama, Chieko Hatamochi2012 Volume 35 Issue 5 Pages 5_57-5_66
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis study aimed to clarify the influence of other people and the understanding of the benefits and adverse costs of IFN therapy on the decision-making of chronic hepatitis C patients to receive this therapy. An analysis of questionnaire responses and medical recordings of 89 patients indicated that the patient's opinion was the main influence in deciding to receive IFN therapy in both the treated and untreated groups. Univariate analysis revealed that while deciding to receive IFN therapy, more patients in the treated group considered the side effects to be manageable. Multivariate analysis revealed that patients who were living with family members, had a short commuting distance to the hospital, were not using television or newspapers to obtain information about the disease, and patients who believed the therapy was curative tended to begin receiving the therapy. A support system should be established for the chronic hepatitis C patients to thoroughly understand IFN therapy and to decide whether to receive this therapy. Nurses should confirm the patients' understanding about therapy and provide them with information including treatment for the side effects.View full abstractDownload PDF (1017K) -
Mayuko Kajitani(Shiba), Hiromi Uchida, Yuko Tsumoto2012 Volume 35 Issue 5 Pages 5_67-5_74
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of the present study was to clarify the characteristics and the influence factors of self-management skill (SMS) in knowledgeable nurses. The subjects were 564 female knowledgeable nurses (experience range: 4-10 years). Anonymous questionnaires were sent to the participants, and answers were collected by mail. After analyzing the SMS by the factors, its relationships with mental health (well-being), professional identity, social skill, and social support were investigated. The results indicated that the SMS of knowledgeable nurses are consisted of "problem-solving ability", "emotional control", and "positive mind", which were similar to the findings of the previous reports. Knowledgeable nurses had higher scores in "emotional control" than ordinary adult women. Intermediate correlations were found between the SMS and the social skill, professional identify, and social support, and weak to intermediate correlations were found between the SMS and other factors. The SMS of knowledgeable nurses is considered to be enriched through mutual effects with social skill, professional identity, and social support.View full abstractDownload PDF (915K) -
Seiko Enomoto, Sachiko Matsushita, Kayoko Kawahara2012 Volume 35 Issue 5 Pages 5_75-5_85
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSObjective: To analyze the current situation of school support for diabetic children since the adoption of intensive treatment, and to obtain some insight into nursing practice.
Method: A questionnaire created by the researchers was given to 997 Yogo teachers (school nurses) in Saitama Prefecture. Included were (1) knowledge questions about diabetes, and how to judge the hypoglycemic risk, (2) how the school administration supports those children, and (3) the level of cooperation between schools and local hospitals. There were 451 valid responses. 204 Yogo teachers had experienced supporting diabetic children who had had intensive treatment.
Results: 1) While there was a basic understanding about diabetes, knowledge about long-term complications and hemoglobin- A1c (HbA1c) was insufficient. 2) Yogo teachers with proper expert knowledge and experience had made an accurate judgment to the hypoglycemic risk. 3) Yogo teachers and hospital nurses had rarely communicated with each other. 4) The proportion of Yogo teachers who had medical care treatment requested of them was 11-15%, and some of them consented to the request. 5) The cooperation of hospital nurses and Yogo teachers is believed to have led to the improvement of the quality of school nursing practices.View full abstractDownload PDF (1182K) -
Katsunori Kimura, Hitoshi Matsumura2012 Volume 35 Issue 5 Pages 5_87-5_96
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSIn order to find out a strategy to improve the nursing functioning of inpatients' wards of psychiatric hospitals, we carried out a questionnaire survey, which was prepared based on our previous work. The valid response was received from 406 nurses working for private psychiatric hospitals in various regions of Japan. The data was analyzed by the covariance structure analysis. The final path diagram was a statistically approved model. The model indicated that a promotion of mutual understanding among the nursing staff could improve the psychiatric nursing care (path coefficient = .91, p< .001), which is currently undergoing multiple confusions and conflicts. The confusions and conflicts in the nursing care activities, however, did not cause insufficient mutual understanding among the nursing staff. It was shown that an improvement in the nursing care was useful for the advancement of the relationship of nurses to other professions in the psychiatric hospitals and for the development of the patients' after-discharge environment. The model also indicated that esteeming patients and improving the nursing care are mutually correlated. Furthermore, it was advised to make hospital rules and provisions of the law to be realistic in regard to the daily nursing practice.View full abstractDownload PDF (1066K) -
Kumi Watanabe, Kayo Nomura, Hiroko Kunikata, Sanae Oriyama, Reiko Mura ...2012 Volume 35 Issue 5 Pages 5_97-5_104
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this research was to clarify the strategies used by general visiting nurses to build constructive relationships with psychiatric patients and their families. Semi-structured interviews were conducted with 10 general visiting nurses who had continued to visit psychiatric patients. An analysis of the data with M-GTA identified 8 categories: "mode switching to psychiatric nursing", "reacting to speech and behavior", "groping for cues of involvement", "developing a routine for helping with personal hygiene", "prompt reaction to a request for help ", "acting as a refuge for the patient", "exploring family collaboration in patient care", and "caring for the patient without proper understanding". These categories led to one core category "A phased approach to the perceived defense line". The nurses' perceive a defense line consisting of three stages: being allowed to touch the patient for bathing and personal hygiene, being accepted by the family to participate in the patient's life and receiving assistance in caring for the patient from the people. These findings suggest that general visiting nurses may effectively build helping relationships by attaining the goal of breaking through the above described defense line in stages.View full abstractDownload PDF (968K) -
Chizuko Yoshikawa, Emiko Nakasima, Shinobu Suzaki, Chinami Yamashita, ...2012 Volume 35 Issue 5 Pages 5_105-5_115
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESS -
Ikue Watanabe, Toshiko Sugiyama2012 Volume 35 Issue 5 Pages 5_117-5_128
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSObjectives: We evaluate the inpatients' and nurses' views of the hospital environment, and assess the differences therein.
Method: Twenty inpatients admitted to the internal medicine ward and 20 nurses working therein were interviewed using the Evaluation Grid Method. The participants' evaluation of 29 pictures of patient rooms and wards of various hospitals were recorded.
Results: 1.The nurses had more points of the evaluation than the patients. 2.Both inpatients and nurses preferred the environments where they could maintain privacy. While inpatients preferred multi-bed rooms where they could keep privacy and enjoy companionship with other inpatients, the nurses preferred the places where the inpatients could enjoy the company of their families. 3.The inpatients preferred environments that were utilitarian and relaxing, while the nurses preferred environments where the inpatients would be safe and can be easily provided care. 4.The inpatients valued environments where equipment is ready to be set up as required, while the nurses valued environments where equipment is always set up.
Conclusions: The differences in the inpatients' and nurses' evaluation of the hospital environment are indicative of the need to incorporate the inpatients' viewpoints when providing medical services.View full abstractDownload PDF (1426K) -
-- References Limited to Only Japanese Literature --Yoko Yahiro, Yuko Nakai, Ayumi Higashi2012 Volume 35 Issue 5 Pages 5_129-5_136
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESS -
Yoko Honda, Yoko Aso, Aki Ibe, Megumi Katayama, Tomoko Tamaru2012 Volume 35 Issue 5 Pages 5_137-5_144
Published: December 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to examine the fall prevention effect of the foot bath in the fall prevention program. We measured the foot function and conducted a telephone survey. The foot function included 3 components: ankle dorsiflexion angle, the dynamic plantar pressure and step length. The telephone survey examined the presence of the fall of three months after the fall prevention program had ended.
In this study, we compared foot function before (baseline) and after (post-experiment) each fall prevention program. An intervention group took foot baths prior to each session of program, while a control group undergoing the same program did not.
The result of the foot function was as follows. The intervention group increased ankle dorsiflexion, the dynamic plantar pressure of the toe and step length compared with the control group. The result of the telephone survey was as follows. There were three falling participants in the control group and no one fell in the intervention group.
These data indicated that the foot bath in the fall prevention program improves the foot function. In conclusion, it was implicated that the foot bath is effective in the fall preventionView full abstractDownload PDF (1105K)
- |<
- <
- 1
- >
- >|