{"created":"2023-07-25T09:52:52.654544+00:00","id":241,"links":{},"metadata":{"_buckets":{"deposit":"6f94fca2-ae69-41eb-a475-3dd30fc97ae4"},"_deposit":{"created_by":11,"id":"241","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"241"},"status":"published"},"_oai":{"id":"oai:gcnr.repo.nii.ac.jp:00000241","sets":["2:13"]},"author_link":["149"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"113","bibliographicPageStart":"103","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"岐阜県立看護大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of Gifu College of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　本研究の目的は、A県の終末期がん患者の在宅療養支援において看護職が捉えている課題を明らかにし、終末期がん患者の在宅療養支援体制整備に向けた対策のあり方を検討することである。まず、A県の訪問看護ステーションに対する質問紙調査を実施し、終末期がん患者の在宅療養および在宅での看取りに関わる訪問看護ステーションの現状と支援上の課題を明らかにした。次いで、病棟・外来・退院支援部門に所属する看護職に面接調査を実施し、終末期がん患者の在宅移行の課題を明らかにした。\n　訪問看護ステーションの調査では、79事業所に質問紙を郵送し、27事業所より回答が得られ、回答率は34.2％であった。分析の結果、がん患者の支援における課題は【在宅介護に伴う家族の心身の負担や経済的負担】【在宅緩和ケアや看取りを担う診療所の不足】【訪問看護における支援上の困難さ】【訪問看護の導入時期の遅れ】を含む11項目が、整備すべき社会資源としては【がん患者の在宅療養を支援できる診療所の増加】【麻薬を取り扱う薬局の増加と情報提供】【経済的負担軽減を目的とした手続きの迅速化や助成制度の充実】を含む8項目が見出された。医療機関の看護職への調査は9名に対して面接調査を実施した。分析の結果、【在宅療養に伴う患者・家族の不安やストレス】【終末期における積極的治療の実施・選択】を含む8項目が見出された。\n　今回の調査結果から、A県において終末期がん患者の在宅療養支援体制を整備していく上で、在宅療養への移行や継続に伴う患者や家族の不安や負担への支援、在宅療養支援診療所や訪問看護ステーションの充実、医療機関における円滑な在宅移行に向けた取り組み、がん特有の症状を捉えた支援の充実、地域住民に向けた在宅療養に関する啓発、といった5つの視点が重要であると考える。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"研究報告","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"岐阜県立看護大学","subitem_publisher_language":"ja"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11546486","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-2520","subitem_source_identifier_type":"PISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Okumura, Minako","creatorNameLang":"en"},{"creatorName":"奥村, 美奈子","creatorNameLang":"ja"},{"creatorName":"オクムラ, ミナコ","creatorNameLang":"ja-Kana"}],"familyNames":[{"familyName":"Okumura","familyNameLang":"en"},{"familyName":"奥村","familyNameLang":"ja"},{"familyName":"オクムラ","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Minako","givenNameLang":"en"},{"givenName":"美奈子","givenNameLang":"ja"},{"givenName":"ミナコ","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"149","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"00233479","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/nrid/1000000233479"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-02-20"}],"displaytype":"detail","filename":"1301_P103.pdf","filesize":[{"value":"443.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"A県における終末期がん患者在宅療養支援体制の課題","url":"https://gcnr.repo.nii.ac.jp/record/241/files/1301_P103.pdf"},"version_id":"fd43b852-4709-4064-836b-056a5921eaa8"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"終末期がん患者","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"在宅療養","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"支援体制整備","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Terminal cancer patients","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"home nursing care","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"improvement in support system","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"本文言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"A県における終末期がん患者在宅療養支援体制の課題","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"A県における終末期がん患者在宅療養支援体制の課題","subitem_title_language":"ja"},{"subitem_title":"Issues of Home Care Support System for Terminal Cancer Patients in A Prefecture","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"11","path":["13"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-09-22"},"publish_date":"2023-09-22","publish_status":"0","recid":"241","relation_version_is_last":true,"title":["A県における終末期がん患者在宅療養支援体制の課題"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-12-09T11:03:41.103886+00:00"}