Research on nurses' roles in ambulatory care for contribution to community health care

护士在门诊护理中的角色对社区卫生保健的贡献研究

• 批准号: 09672418
• 负责人: INOUE Tomoko
• 金额: $ 1.98万
• 依托单位: Osaka Prefectural College of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1997
• 资助国家: 日本
• 起止时间: 1997 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09672418/
• 关键词: ambulatory nursing; work study; consultation; informative asymmetry; breast cancer; 治療選択; 情報提供; インフォームド・コンセント; 医療サービス効率化

It has been suggested that the quality of ambulatory care contributes to the community health care. However, in the ambulatory care setting, medical professionals have hard time for giving enough information about medical treatments and caring patients. As a result of this situation, the quality and the quantity of information shared with a physician and a patient dissociate from each other. It produces asymmetry of information. Therefore, there is a need for developing a supporting health care system that a patient can understand a disease and his/her health condition and receive sufficient health care services in the ambulatory care setting.The purpose of this study was to explore the possibility to improve the asymmetry of information based on the planning to strengthen nurses' roles of consultation and providing enough information to patients.As the results of the study, it was evident that the patients spent much energy for understand their medical treatments. Therefore, it was implied that in order to support the patients' understanding, the most important thing in the ambulatory care setting was that a nurse has to provide an individualized consultation service about medical treatments.

有人建议，门诊护理的质量有助于社区卫生保健。然而，在门诊护理环境中，医疗专业人员很难提供有关医疗治疗和护理患者的足够信息。这种情况的结果是，医生和患者共享的信息的质量和数量相互分离。它产生了信息的不对称。因此，有必要建立一个支持性的医疗保健系统，使患者能够了解疾病及其健康状况，并在门诊医疗环境中获得足够的医疗保健服务。本研究的目的是探索改善的可能性基于信息不对称的规划，加强了护士的会诊作用，为患者提供了足够的信息。研究结果显示，患者花费了很大的精力来了解自己的治疗情况。因此，这意味着为了支持患者的理解，门诊护理环境中最重要的是护士必须提供有关医疗的个性化咨询服务。

项目成果

田中 克子: "乳がん手術を受けた患者の治療選択に関する研究"セミナー医療と社会. 17. (2000)

田中克子：“接受乳腺癌手术的患者的治疗选择研究”医学与社会研讨会17。（2000）。

TANAKA Katsuko: "Researches on patient's selection of conservative treatment for breast cancer"Journal of Health Care, Medicine and Community. No.17 (be in press). (2000)

田中克子：“乳腺癌患者保守治疗选择的研究”《卫生保健、医学和社区杂志》。

田中克子: "乳がん手術を受けた患者の治療選択に関する研究"セミナー医療と社会. 17. (2000)

田中克子：“接受乳腺癌手术的患者的治疗选择研究”医学与社会研讨会17。（2000）。