浅野 博美, Yoshie Imai, Takae Bando, Aki Takahashi, Yuta Inoue and 森 裕香 : Palliative Care Unit Nurses Perceptions of Intentions toward Sedation of Terminally Ill Cancer Patients., Shikoku Acta Medica, Vol.80, No.1,2, 27-36, 2024.
Yuka Mori, Yoshie Imai, Takae Bando, Aki Takahashi, Yuta Inoue and Tomoka Sakamoto : がん自壊創を有する患者に関わる看護師の困難感の要素, Journal of Japanese Society of Cancer Nursing, Vol.37, 147-155, 2023.
杉本 沙紀, Yoshie Imai, 上田 伊佐子, Kazuya Kondo, 高開 登茂子, 長谷 奈生己, Takae Bando, Aki Takahashi, Yuta Inoue, Yuka Mori, 阪本 朋香 and 蔭山 恵美 : Self-evaluation of Nursing Practice for Elderly Cancer Patients with Dementia Receiving Treatment in Acute Care Hospitals and Factors Influencing It, Shikoku Acta Medica, Vol.79, No.1,2, 79-80, 2023.
(Summary)
The purpose of this study was to clarify the current status of nursing practice for elderly cancer patients with dementia receiving treatment in acute care hospitals and related factors An anonymous self-administered questionnaire survey was conducted from May to July 2021 involving 400 people with experience of providing nursing care for elderly cancer patients with dementia Factor analysis identified <considering situations where patients have difficulty in managing their own safety> and <making arrangements to help patients maintain ordinariness> as factors of self-evaluation of nursing practice for elderly cancer patients with dementia receiving treatment in acute care hospitals Such evaluation was influenced by <years of nursing experience> <years of providing nursing care for elderly cancer patients with dementia> <participation in study groups/training seminars on dementia> <knowledge of dementia> <status of nursing practice for dementia> and <ethical behavior>
Linwan Zhang, Kazuya Kondo, Takae Bando, Naoya Kawakita, Hiroaki Toba, Yoshie Imai and Hiromitsu Takizawa : Assessment of dyspnea, ADL, and QOL in the perioperative period in lung cancer patients treated with minimally invasive surgery, The Journal of Medical Investigation : JMI, Vol.70, No.3.4, 388-402, 2023.
(Summary)
Patients with lung cancer generally undergo minimally invasive surgery, such as video-assisted thoracoscopic surgery (VATS). This study examined the changes in health conditions and symptoms of patients with lung cancer using the European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire (EORTC QLQ) C-30 questionnaires after surgery. This was a longitudinal descriptive study. One hundred and three patients with lung cancer who underwent lung resection at Tokushima University Hospital between 2012 and 2021 were eligible. They completed EORTC QLQ-C30, QLQ-LC13, the Cancer Dyspnea scale (CDS), and pulmonary-ADL (P-ADL) before and 1, 3, and 6 months after surgery. Regarding functional scale scores, impairments in physical and role functions persisted for 6 months after surgery. In symptom scale scores, fatigue, pain, dyspnea, and appetite loss continued for 6 months after surgery. In CDS, sense of effort, discomfort, and total dyspnea scale scores were elevated for 6 months after surgery. In P-ADL, most ADL were impaired 1 month after surgery, but recovered by 3 months. The dyspnea index of ADL was lower for 6 months after surgery. Impairments in health conditions and symptoms persisted for 6 months after surgery despite its minimally invasive nature. J. Med. Invest. 70 : 388-402, August, 2023.
(Keyword)
Humans / Lung Neoplasms / Quality of Life / Activities of Daily Living / Dyspnea / Perioperative Period / Minimally Invasive Surgical Procedures / Surveys and Questionnaires
Leqi Sun, Kazuya Kondo, Takae Bando and Yoshie Imai : Resillience in cancer care : What should nurses do?, The Journal of Medical Investigation : JMI, Vol.70, No.1,2, 1-6, 2023.
(Summary)
Cancer is a serious threat to human health worldwide. Attention to the quality of life (QoL) of cancer patients is increasingly recognized as an important component of and a fundamental task in cancer care. Recent studies illustrate that resilience is a key biological factor affecting cancer patients' health status and QoL. However, few studies have focused on resilience during medical procedures of cancer patients from the perspective of nursing. In this study, we summarize recent literature exploring the clinical significance of resilience in oncology nursing, propose strategies for cancer care to improve the QoL of patients through interventions on resilience, and focus on emerging theories in oncology nursing. In summary, this will emphasize the importance of resilience in oncology nursing and benefit the clinical practices that improve patients' QoL and reduce the social burden caused by cancer. J. Med. Invest. 70 : 1-6, February, 2023.
Takae Bando, Kazuya Kondo, Misuzu Matsumoto, Shizuka Kuroshima, Hiromitsu Takizawa, Yoshie Imai, Aki Takahashi and Isako Ueta : Psychological Adjustment and Related Factors in Patients with Recurrence/Metastatic Lung Cancer after Curative Surgery, The Journal of Medical Investigation : JMI, Vol.70, No.1,2, 200-207, 2023.
(Summary)
The purpose of study was to clarify the psychological adjustment and related factors in lung cancer patients with recurrence/metastasis after curative surgery. Forty-one with lung cancer who were informed of a recurrence/metastasis after curative surgery completed a questionnaire comprised of the Mental Adjustment to Cancer Scale (MAC), Psychological Adjustment scale for Cancer Survivors (PACS), and information pertaining to demographic variables. When healthcare providers intervene in patients with lung cancer that has recurred/metastasized after curative surgery, it is necessary to assess patients' psychological adjustment based on demographic information, such as age, sex, marital status, and employment status, and to provide effective support promptly. Factors associated with psychological adjustment with recurrent/metastatic lung cancer after curative surgery were 1) female, 2) having a job, 3) over 65 years of age, 4) having a spouse, and 5) advanced-stage cancer. There was no difference in psychological adjustment between treatment and the period from cancer incidence to recurrence/metastatic. J. Med. Invest. 70 : 200-207, February, 2023.
(Keyword)
lung cancer / surgery / psychological adjustment / recurrence/metastasis
Yoshie Imai, Akiko Abe, 村上 好恵, 武田 祐子, 川崎 優子, Takae Bando, Aki Takahashi, Yuta Inoue, 阪本 朋香 and Kanako Yoshida : Emotions of patients with hereditary breast and ovarian cancer syndrome after risk reducing salpingo-oophorectomy, Journal of Hereditary Tumors, Vol.22, No.3, 68-74, 2022.
(Keyword)
乳癌患者 / 遺伝性乳癌卵巣癌症候群患者 / リスク低減卵管卵巣摘出術 / breast cancer patients / hereditary breast and ovarian cancer syndrome(HBOC) / risk reducing salpingo-oophorectomy (RRSO)
徳永 亜希子, Yoshie Imai, Takae Bando, Aki Takahashi and 雄西 智恵美 : 初期治療終了後の初発乳がんサバイバーの就労継続のプロセス, Journal of Japanese Society of Cancer Nursing, Vol.36, 2022.
The purpose of this study was to characterize periods of hospital-to-home care transition for elderly cancer patients by extracting definitions of such periods and their characteristics as situations from the literature, and to discuss effective nursing support toward hospital-to-home care transition. Relevant research papers published within the period between 2010 and 2020 were searched for using Ichushi Web and PubMed. Descriptions related to periods of transition, characteristics of situations, and hindering/promoting factors were extracted without any changes and categorized based on descriptive content similarities. In these papers, a period of hospital-to-home care transition was described as 1 week to 1 year after discharge. As a situation, it was characterized as ``a time when the patient rebuilds his/her life'', and therefore, ``a time of instability''. Factors hindering and promoting hospital-to-home care transition were represented by6categories, which suggested the following commonalities between them : [ physical management],[patients'/families' intentions],[home care systems],[other family members' commitments to home care], [collaboration systems], and[nurses' home care experience].
(Keyword)
Elderly Cancer Patients / Hospital-to-home Care Transition / Literature Review
木村 有里, Yoshie Imai, Takae Bando and Aki Takahashi : 治療を受けている再発転移後の肺がん患者が持つ見通し, Shikoku Acta Medica, Vol.77, No.5,6, 243-248, 2022.
(Summary)
This study aimed at clarifying prospects that lung cancer patients undergoing treatment after recurrence and metastasis have. The study method is based on the qualitative descriptive study design. A semi-structured interview was performed for 13 lung cancer patients undergoing treatment after recurrence and metastasis. As a result, the following five categories were extracted[; Since it is recurrence and metastasis, the death is coming to me][, I am undergoing treatment so I'm alright now but I'll die someday][, Let a matter take its own course][, My life will be going as before]and[I will be living as long as I receive treatment]. Characteristics of the above are that all of the patients are ready to accept death and they had more than two prospects. They were characteristic of patients after recurrence and metastasis that symptoms that remind them of repeated treatment and death appear and there is uncertainty for their future. The above results have suggested the need to capture the state of each prospect while confirming the prospects of lung cancer patients under treatment after recurrence and metastasis.
(Keyword)
recurrence and metastasis / lung cancer patient / prospect
兵庫 哲平, Yoshie Imai, Takae Bando and Aki Takahashi : The desires of the families of patients with end-stage lung cancer, Journal of Japanese Society of Cancer Nursing, Vol.35, No.0, n/a, 2021.
Takae Bando, Chiemi Onishi, Yoshie Imai, Aki Takahashi and Kazuya Kondo : Effect of Observing Surgery during Clinical Adult Nursing Practicum on Postoperative Nursing from the Perspective of Students, Shikoku Acta Medica, Vol.77, No.5,6, 221-227, 2021.
(Summary)
Aim:To clarify the effects of observing surgery during clinical adult nursing practicum on postoperative nursing from the perspective of students. Methods:Semi-structured interviews were conducted with10students in their third year at a nursing college. The obtained data were qualitatively and inductively analyzed. Results:When observing surgery for the patients they were caring for, the students were aware of[the importance of observing and assessment with the influence of surgery and anesthesia taken into account]. Subsequently, they performed[postoperative pain management based on findings from the observation of actual surgical settings], while providing various approaches, including[Approaches to the promotion of patients' awareness of the current situation in order to prevent postoperative confusion and to protect safety]. Through this process, they developed[a sense of responsibility for nursing care inspired by patients・families' coping behaviors]． Discussion:The experience of observing surgery during clinical training was suggested to help students develop practical insights for care to promote postoperative recovery and a sense of responsibility for nursing care inspired by patients・families' coping behaviors.
Michiyo Mizuno, Kaori Yagasaki, Yoshie Imai, Isako Ueda, Takae Bando, Aki Takahashi, Hiroko Komatsu, Chie Asanuma and Linda Sarna : Impact of a web-based educational program on Japanese nurses tobacco cessation practice and attitudes in oncology settings, Journal of Nursing Scholarship, Vol.8, 2021.
(Summary)
To evaluate the effects of a short web-based educational program on Japanese nurses' self-reported attitudes toward tobacco cessation and their use of interventions to help smokers to quit. Prospective, single-group design with a pre-educational survey, a short web-based educational program, and a follow-up survey at 3 months. Clinical nurses were asked to view two prerecorded webcasts about helping smokers quit. They completed two online surveys, one at baseline and one at a 3-month follow-up. Generalized linear models were used to determine changes in nurses' self-reported routine practice after the study intervention. A total of 1401 nurses responded to the baseline survey, 678 of whom completed the follow-up survey. Compared with baseline, nurses at follow-up were more likely to advise smokers to quit (odds ratio [OR] = 1.45, 95% confidence interval [CI: 1.15, 1.82]), assess patients' interest in quitting (OR = 1.46, 95% CI [1.01, 1.04]), and assist patients with smoking cessation (OR = 1.34, 95% CI [1.04, 1.72]). However, the proportion of nurses who consistently recommended resources for tobacco cessation did not significantly improve at follow-up. This study provides preliminary evidence that a web-based educational program can increase nurses' implementation of tobacco dependence interventions in cancer care practice. Sustaining these educational efforts could increase nurses' involvement in providing these interventions, encourage nurses to refer patients to cessation resources, and support nurses' attitudes towards their role in smoking cessation. Our short web-based educational program can increase nurses' use of tobacco-dependence interventions in cancer care practice. This role can be enhanced with additional information about existing cessation resources that nurses could use to refer patients for support post-discharge. Japanese nurses, when properly educated, are willing and significant contributors to promote tobacco use cessation for cancer patients. The contribution can be facilitated through nursing care protocol that integrate tobacco use cessation interventions within evidence-based cancer care approaches.
兵庫 哲平, Yoshie Imai, Takae Bando and 横田 三樹 : The Lived Experience of Nurses Who Cared for Patients with Cancer during the Terminal Phase, JNI : The Journal of Nursing Investigation, Vol.19, No.1, 1-7, 2021.
(Summary)
<p>This study aimed to describe the lived experiences of nurses who cared for patients with cancer and their families during the terminal phase. A semi-structured interview was conducted with twenty-two nurses who cared for patients with cancer at their terminal stage. These interviews were transcribed and analyzed by identifying words, phrases and statements that describe the experiences of the nurses. As a result, the findings of the study discovered the following six thematic categories : Regret for failing to rid of distress peculiar to lung cancer ; Cowardliness for lack of competency in their nursing skills ; Disheartening feeling during the last moments of the patient's life ; Expressing EOLC process for the family ; Worthiness to be involved during the last moments of the patient's life ; and Earnest desire to understand the patient's death. While nurses may have emotional distress and personal conflicts while taking care of patients, particularly those with lung cancer, this study revealed that The nurses' experiences of caring for patients with lung cancer during the terminal stage is critical to understanding the humanness during the EOLC. As a recommendation from this study, it is important to include the patients' families in their care. Family participation may lead them to have an easier acceptance of the patients' death, by focusing on the situation as a natural occurrence, and for the patients to have a good death. Moreover, the experience of the nurses have deepened their views of life and death situations impacting their practice, and enhancing their growth as nurses during EOL.</p>
森本 樹里, Yoshie Imai, Takae Bando, Aki Takahashi, 高開 登茂子, 中野 あけみ, 長谷 奈生己 and Kazuya Kondo : Experience of a nurse with a dilemma of hope to recover of cancer patients who have stopped treatment, Shikoku Acta Medica, Vol.77, No.3,4, 123-130, 2021.
(Summary)
In this study, the authors clarified experience of nurses with the dilemma toward the wish for recovery of cancer patients who discontinued treatment. An interview survey was performed for 14 nurses who had ever care cancer patients who discontinued their treatment. Experience of nurses with the dilemma toward the wish for recovery of cancer patients who discontinued treatment consisted of the following categories ;[ I am not able to respond to the patient's wish though I want to],[There is difference how to spend the time remained between the patient and me],[I do not have a sufficient power to support the end of the patient's life],[I feel disconsolate being unable to realize the patient's wish for recover]and[I'm a nurse. I never run from my patients]. The nurses with dilemma had experience in facing nursing cares driven by the sense of responsibility as a nurse while holding pain in their heart. Ethical problems may be underlying in this experience, and the need of team work, not individual responses, has been suggested. Therefore, support to reveal experience of nurses in daily nursing care is needed.
(Keyword)
cancer patients who have stopped treatment / hope to recover / experience of a nurse with a dilemma
Takae Bando, Kazuya Kondo, Chiemi Onishi, Hiromitsu Takizawa, Yoshie Imai and 山田 和代 : The Development of the Arm Fixation Method to Prevent Ipsilateral Shoulder Pain in Patients Undergoing Lung Resection, Journal of PeriAnesthesia Nursing, 1-7, 2021.
(Summary)
The aim of the present study was to investigate the efficacy of a new upper limb fixation method-body pillow position for preventing postoperative ipsilateral shoulder pain (ISP) in patients undergoing lung resection. An experimental study design was used. We conducted two comparisons (group A: the previous position using the arm fixation device; group B: the body pillow position) at random and examined an arm fixation method that is effective for ISP prophylaxis in patients undergoing surgery in the lateral decubitus position. We approached 87 patients, two were excluded, and, thus, 85 were randomly assigned to group A (n = 43) or group B (n = 42). No significant differences were observed in the frequency of ISP between groups A and B (25.6% vs 26.2%). The intensity of ISP between both groups was analyzed by a repeated-measures analysis of variance and was shown to decrease over time in 22 patients (P = .010). The intensity of ISP on postoperative days 0 to 3 was slightly lower in group B than in group A (P = .158). Risk factors for ISP were the duration of surgery (odds ratio, 1.01; 95% confidence interval, 1.00 to 1.01) and pre-existing shoulder stiffness (odds ratio, 5.15; 95% confidence interval, 1.07 to 24.83). There was no significance in the frequency of ISP between group A and group B. The intensity of ISP on postoperative days 0 to 3 was lower in group B than in group A, although there was no significant difference. It is important perspective for perioperative care providers to prevent ISP for early postoperative recovery and improvement of postoperative quality of life. These results suggested that we must consider a better position for preventing postoperative ISP in patients undergoing lung resection.
(Keyword)
arm fixation method / ipsilateral shoulder pain / lung resection
宮下 由佳, Yoshie Imai, Takae Bando, Aki Takahashi, 高開 登茂子, Akemi Nakano, 長谷 奈生己 and Kazuya Kondo : Practical Approaches of Nurses Certified for Cancer Chemotherapy, Shikoku Acta Medica, Vol.77, No.1 2, 71-80, 2021.
(Summary)
To clarify the practical approaches of nurses in cancer chemotherapy, semi-structured interviews were conducted with 10 nurses certified for cancer chemotherapy in Tokushima Prefecture. The interview data were classified into the following categories : [not neglecting any step, as failure is unacceptable], [accurately predicting the symptoms of chemotherapy, rather than simply waiting for patients to report them], [making efforts to fulfill patients' desire to live], [bearing a heavy responsibility for handling toxic drugs], and [playing a role in generalizing chemotherapy]. The results suggest that the practical approaches of nurses in cancer chemotherapy three features place importance on "achieving positive effects while minimizing risks", "not narrowing down the scope of life", and "reducing resistance to chemotherapy".
(Keyword)
Cancer Chemotherapy Nursing / practical approach / nurses certified for cancer chemotherapy
Yoshie Imai, Aki Takahashi, Takae Bando, 上田 伊佐子 and Kazuya Kondo : Nursing Students' Understanding of Orem's Power Components in Gerontological Nursing Clinical Practice, Shikoku Acta Medica, Vol.77, No.1 2, 63-70, 2021.
(Summary)
The purpose of this study was to analyze trends in nursing students' assessments of the 10 powers of self-care agency in Gerontological Nursing and to identify educational support for students. The subjects were the practice records of 66 third-year nursing students who completed Gerontological Nursing from September 2019 to February 2020. The results showed that they had a perspective of directing their attention to the patient's interest, will, motivation, and reasoning among 10 power items that all students were able to assess, and that they approached their care with a respectful attitude toward the patient's perceptions and intentions for self-care. In addition, it could be inferred that they understood self-care in terms of patients' behaviors and activities by appearance. Conversely, from the items that more than half of the students were unable to assess, it could be inferred that they were unable to assess how to apply self-care agency to the patient's prospect and lives in future.
(Keyword)
Nursing Students / Orem's Power Components / Gerontological Nursing Clinical Practice
森 美樹, 雄西 智恵美, Yoshie Imai, Takae Bando, Aki Takahashi and 長楽 雅仁 : Stress Coping in Families Caring for End-stage Cancer Patients with Difficulty Controlling Pain at Home, Shikoku Acta Medica, Vol.76, No.5 6, 279-290, 2021.
(Summary)
To clarify stress coping in families caring for end-stage cancer patients with difficulty controlling pain at home, semi-structured interviews were conducted with family caregivers using home-visit nursing services, and the obtained data were qualitatively, inductively analyzed. Stress responses in these family caregivers were summarized into5categories, including :[ having no idea what to do with the patient suffering from pain]and[being unsure on how to consult with medical professionals about pain]. In addition,6categories, representing the characteristics of their stress coping, such as[discharging negative emotions through recreational activities and catharsis]and [managing pain based on experience], were created. Families caring for end-stage cancer patients with difficulty controlling pain at home experienced several types of stress, but it was suggested that they personally grew through the process by adopting various coping strategies.
Takae Bando, Chiemi Onishi and Yoshie Imai : Hope-related experiences of lung cancer patients during postoperative recovery, Journal of Japanese Society of Cancer Nursing, Vol.34, 41-49, 2020.
森 美樹, Yoshie Imai, Takae Bando, Aki Takahashi and 出口 憲市 : 在宅で緩和ケアが必要ながん患者を支援する訪問看護師の困難感, Shikoku Acta Medica, Vol.75, No.5,6, 191-200, 2020.
(Summary)
This study aimed to identify difficulties of visiting nurses who provide assistance to home-based cancer patients requiring palliative care. In survey1, a questionnaire survey was conducted involving30visiting nurses working for visiting nursing stations(valid response rate :90%), and the data were analyzed using descriptive statistics. In survey 2, a semi-structured interview based on an interview guide was conducted involving4visiting nurses working for visiting nursing stations, and the data were analyzed using a qualitative and inductive approach. The results of survey1showed that the visiting nurses were more likely to experience difficulties with the worsening of a patient's health status and at the initiation of home-based care. They also experienced difficulties with understanding medical conditions of patients and their families, supporting decision-making, and cooperating with visiting physicians. Their level of understanding about the explanation given by physicians and the sense of value of patients and families were factors that affected such difficulties, and so, in order to resolve them, the importance of cooperating to secure medical and nursing personnel and creating a setting where they can share their knowledge of patients' conditions and treatments was indicated. In survey 2, the following 6 categories were extracted as difficulties encountered by visiting nurses providing assistance to home-based cancer patients requiring palliative care :[dealing with the worsening of the disease], [predicting the end of life], [being unable to care for patients without cooperation],[being involved with patients by understanding their life before illness],[preparing a home care environment for a patient's end-of-life], and[limits of current work situations]. The findings suggest the need not only to provide palliative care knowledge for the prediction and understanding of illness, but also to establish a system that allows multiple medical providers to assess patients' conditions, in order to deal with their difficulties.
(Keyword)
Patients who need palliative care / difficulty of visiting nurses
Yoshie Imai, Chiemi Onishi and Takae Bando : Relationship between Older persons with cancer' Coping Attitudes and Mental Adjustment, The Journal of Medical Investigation : JMI, Vol.67, No.1,2, 44-50, 2020.
(Summary)
Objective Purpose is to examine the relationship between older persons with cancer coping attitudes and patterns of mental adjustment during treatment. Methods : Coping attitudes and patterns of mental adjustment were measured using an original questionnaire and the Mental Adjustment Cancer Scale (MAC) in 193 patients with cancer aged 65 or over under treatment with surgical therapy, chemotherapy, or radiotherapy. Results : The mean scores for "Do my best to cope with cancer" ,"Make my own decisions on treatment" in coping attitudes showed a significant positive correlation with [fighting spirit] scores in MAC, and "Cancer is just a part of my life", "At my age, no complaint about cancer development", "Face cancer in an easy-going manner", "Do my best to cope with cancer" "Be anxious about my future" were significantly correlated with [fatalism] scores. Conclusions : In conclusion, [fighting spirit] [fatalism] were shown to form the basis for elderly's mental adjustment. [Fatalism] was shown to be a main component of mental adjustment for elderly to develop affirmative coping skills based on their life experiences. In addition, [fighting spirit] was also essential to fulfill their lives, and it may be necessary to support them to keep [fighting spirit] to the end of their lives. J. Med. Invest. 67 : 44-50, February, 2020.
Yoshie Imai, Chiemi Onishi and Takae Bando : Experience of the Nursing Students Who Took Charge of End-of-life Cancer Patients in Clinical Practice of Gerontological Nursing, Palliative Care Research, Vol.15, No.1, 1-8, 2020.
(Summary)
<p>In this study, we clarify the experiences of students through providing nursing care for end-of-life cancer patients and examine the guidance of clinical practice necessary to link the experiences with the result of learning. We conduct interview survey of 15 nursing third graders who take care of terminal older cancer patients in clinical practice in gerontological nursing. The students' experience was classified into six categories ; "Repentance for doing nothing", "Involvement actively with patients", "Awareness of life preciousness", "Concentration on daily nursing", "Repentance for insufficient care", "Respect for patients' own lives". The student's experience focused on the terminal stage situation, and it was an experience to learn the importance of making them live with dignity, reflecting on their own care. It was suggested that widening students' view of patients' individual lives was quite useful to consider terminal care based on the characteristics of people. </p>
(Keyword)
end-of-life cancer patients / nursing students / clinical practice in gerontological nursing
Yoshie Imai, Takae Bando, Aki Takahashi and Kazuya Kondo : The actual situation on how nursing students understand older patients using Orem's nursing theory in the Geriatric Nursing Training, Shikoku Acta Medica, Vol.75, No.5 6, 179-184, 2019.
(Summary)
The purpose of this study was to clarify how the students understand the older patients based on Orem's nursing theory in Geriatric Nursing Training. The participants were17nursing students in third grade. The interview was carried out using semi-structured interview with students for how they felt older patients. As a result, two categories were extracted ; [ they need limited care for deficient parts]and[they have toughness cultivated through their long life]. The students understood the older patients as having self-caring abilities and thought that limited care should be provided only for deficient parts of patients. Also, they understood older patients as having strength cultivated through their long life. It is necessary for teachers to assess the Self-care agency more severely for students to get hold of mature elements characteristic of older patients.
(Keyword)
older patients / nursing students / Geriatric Nursing Training
Takae Bando, Chiemi Onishi and Yoshie Imai : Treatment associated symptoms and coping of postoperative patients with lung cancer in Japan: Development of a model of factors influencing hope, Japan Journal of Nursing Science : JJNS, Vol.20, No.3, 1-12, 2017.
(Summary)
Aim Postoperative patients with lung cancer have a high recurrence rate and poor prognosis; hence, it was aimed to identify the factors affecting hope to develop a care-oriented perspective that focuses on the levels of hope of postoperative patients with lung cancer. Methods In the study, postoperative patients with lung cancer were included and data were collected for treatment-related symptoms, coping, and support-related factors as the primary variables. The Herth Hope Index, Quality of Life Questionnaire Lung Cancer Module of the European Organization for Research and Treatment of Cancer, Japanese version of the Coping Inventory for Stressful Situations, and Social Support Scale for Cancer Patients were used. Results For the 82 patients that were included in this study, 55% of the variance in the level of hope was explained by using a model that included the following: (i) symptoms of dyspnea, sore mouth, and chest pain; (ii) support, including satisfaction with postoperative symptom control by healthcare providers, satisfaction with the amount of information provided by healthcare providers, and the level of trust in the nurses during treatment and recovery; and (iii) task-oriented and social diversion coping behaviors. Conclusion As a result of this study, the support-related factors had no direct influence on hope, but they did have a significantly negative influence on the treatment-related symptoms, with improved symptoms also influencing hope.
(Keyword)
hope / lung cancer / model / postoperative patients
Takae Bando, Kazuya Kondo, Chiemi Onishi, Koichiro Kajiura, Hiromitsu Takizawa, Yamada Kazuyo, Sato Hiromi and Yoshie Imai : Ipsilateral shoulder pain in patients following lung resection in the decubitus position, Journal of Clinical Nursing, Vol.27, No.5-6, 1192-1197, 2017.
(Summary)
Aims and objectives: To examine the frequency, influencing factors and clinical course of shoulder pain in patients following lung resection. Background: Thoracoscopes have been introduced in the surgical treatment of lung cancer and allow for less invasive surgery with a minimal incision. However, decubitus position-related shoulder pain on the operated side has not yet been investigated. Design: A longitudinal descriptive study. Methods: Patients who underwent lung resection in the decubitus position. Patients were interviewed 2 days before surgery and once daily for 5 days after surgery. Interview items included background data, the concomitant use of epidural anaesthesia, operative duration, the presence of preoperative shoulder stiffness (excluding shoulder pain), type of surgery and site of operation. The intensity of pain was approximately 5 on an 11-point numerical rating scale. Descriptive statistics on patient backgrounds were obtained using SPSS Statistics 22 for Windows. Results: Of the 74 patients who underwent lung resection in a decubitus position, 30 (40.5%) developed shoulder pain on the operated side. The highest rating occurred 1 day after surgery and decreased over time. The following two factors were found to influence shoulder pain on the operated side: operative duration (Z = 2.63; p = .01) and the presence of preoperative shoulder stiffness (excluding shoulder pain) (X2= 4.16; p = .04). Conclusions: This study demonstrated that approximately 40% of patients who underwent lung resection in the decubitus position developed shoulder pain. Relevance to clinical practice: The presence of postoperative shoulder pain was related to both the duration of the operation and to the presence of preoperative shoulder stiffness. Although the shoulder pain resolves within 4 days, it causes the patient additional discomfort and distress. Therefore, further research is needed on positioning for thoracotomy in order to investigate ways to reduce or eliminate this complication of lung surgery.
(Keyword)
decubitus position / lobectomy / postsurgery / shoulder pain on the operated side
Yoshie Imai, Chiemi Onishi and Takae Bando : Students' Care-related Attitudes during Geriatric Nursing Training, International Journal for Human Caring, Vol.21, No.4, 176-184, 2017.
Takae Bando, Chiemi Onishi and Yoshie Imai : Postopearative Discomfort and Its Influence on daily Life in Patients with Lung cancer: A study Concerning the Period from Hospital Discharge to 6 Months After Surgery, Journal of Japanese Society of Cancer Nursing, Vol.29, No.3, 18-28, 2016.
Yoshie Imai, Chiemi Onishi and Takae Bando : Elements of How Older Patients with Metastatic Cancer Come to "Nattoku" with Treatment, Journal of Japanese Society of Cancer Nursing, Vol.30, No.3, 19-28, 2016.
(Summary)
The objective of this study was to identify elements of how older patients with metastatic cancer become "<i>nattoku</i>" with treatment. In this study, <i>nattoku</i> was defined as "a state of cognitive and emotional acceptance of treatment" by older cancer patients. A qualitative descriptive study was employed, and semi-structured interviews were carried out with 20 metastatic cancer patients aged 65 years or older who were currently undergoing cancer treatment on their own volition. We extracted six elements that involve becoming <i>nattoku</i> with treatment: a strong intention to save oneself, certainty that the treatment was required in order to live, expectations of the potential of treatment, trusting that they chose the optimum treatment, the desire to give something back to those around them, and accepting to live life to the fullest, even while undergoing treatment. Our results suggested that the values of patients themselves were affected by their treatment status. Also, patients were not solely concerned with their own interests, but sensed the feelings of those around them and took them into consideration. A third characteristic suggested by our findings was their acceptance of treatment, and their attitude towards life and the way in which they have lived. This was characteristic of older patients with advanced illness who were in the final stage of life. These elements were fostered during the lives of older patients with metastatic cancer, and our study suggested that support that encourages patients to commit to a lifestyle and their current circumstances may help them become <i>nattoku</i> with treatment.
Yoshie Imai, Chiemi Onishi, Keiko Mori and Takae Bando : Students' assessments of their patients' self-care agency during gerontological nursing practicum, JNI : The Journal of Nursing Investigation, Vol.13, No.1 2, 12-19, 2015.
Yoshie Imai, Misako Nakagawa, Chiemi Onishi, Takae Bando, Kazuya Kondo, 森 恵子 and Akira Tangoku : Actual condition of lymphedema prevention behavior of postoperative breast cancer patients without lymphedema, JNI : The Journal of Nursing Investigation, Vol.12, No.1, 12-23, 2013.
Yoshie Imai, Chiemi Onishi, Takae Bando, Keiko Mori, Toshiko Tada and Hiroko Ohta : An actual condition survey on "career development regarding cancer nursing", JNI : The Journal of Nursing Investigation, Vol.11, No.1,2, 41-51, 2013.
Takae Bando, Chiemi Onishi, Yoshie Imai, Keiko Mori and Takako Ichihara : Leaning Experiences of Students during Operating Room Visits in a Nursing Practicum Forcusing on Adult surgical Patients, Journal of Japan Academy of Nursing Education, Vol.22, No.2, 13-25, 2012.
Yoshie Imai, Chiemi Onishi and Takae Bando : 治療過程にある高齢がん患者の''がんと共に生きる''ことに対する受けとめ, Journal of Japanese Society of Cancer Nursing, Vol.25, No.1, 14-24, 2011.
(Keyword)
高齢患者 / がん患者 / がんサバイバー / がんと共に生きる / elderly patient / cancer patient / cancer survivor / living with cancer
Ayako Tamura, Takako Ichihara, Shinjiro Takata, Takako Minagawa, Yumi Kuwamura, Takae Bando, Natsuo Yasui and Shinji Nagahiro : Study on factors related to loss of lower extremity muscle mass in elderly acute stroke patients, JNI : The Journal of Nursing Investigation, Vol.6, No.1, 23-27, 2007.
(Summary)
The present study investigated the factors contributing to the loss of upper and lower extremity muscle mass in three elderly stroke patients with right hemiplegia in whom our rehabilitation program could not be performed at 1‐2 weeks after onset. The results revealed common factors such as prolonged accurate microinjection of hypotensive agents, severe hemiplegia(Brunnstrom stage I or Ⅱ), diarrhea and delayed initiation of tube feeding at 3 to 8 days after onset. With regard to individual differences, while all patients were recovering in bed, the degree of decrease in muscle mass varied among patients because they moved their extremities differently.
(Keyword)
elderly / acute stroke patients / loss of lower extremity muscle mass / related factors
Takako Minagawa, Ayako Tamura, Takako Ichihara, Yumi Kuwamura, Hiroko Kondo and Takae Bando : Learning of the students who have undertaken the patients necessitating rehabilitation, JNI : The Journal of Nursing Investigation, Vol.6, No.1, 11-17, 2007.
(Summary)
The learning of the students who experienced rehabilitation nursing of patients having disturbance of motility and/or impairment of consciousness was analyzed from their reports after the clinical practice. As the result, 203 codes were extracted and classified into 39 sub categories and 11 categories. The categories were ``understanding of the method of the rehabilitation nursing and consciousness of its necessity'', ``importance of the grasp and difficulty of the judgment of the patient situation'', ``thought of the patients who need rehabilitation'', ``consciousness of the role as a nurse'', ``necessity of the assist to the family'', ``actual feeling of worth doing of the nursing'', ``importance of the cooperation of the medical person'', ``importance and difficulty of the communication'', ``importance and difficulty of safety ensuring'', ``importance and difficulty of explanation, guidance and education'', and ``others''. It was found that the knowledge obtained through the rehabilitation nursing was mainly characterized with ``importance of safety ensuring'', ``thought of the patients'', and ``actual feeling of worth doing of the nursing''.
Ayako Tamura, Takako Minagawa, Shinjiro Takata, Takako Ichihara, Yumi Kuwamura, Takae Bando, Hiroko Kondo, Natsuo Yasui and Shinji Nagahiro : Effects of intervention with back-lying exercises with bent knees pointing upwards to prevent disuse muscle atrophy in patients with post-stroke hemiplegia, JNI : The Journal of Nursing Investigation, Vol.5, No.2, 53-58, 2007.
(Summary)
The present study measured lower extremity muscle mass using DXA (Dual energy X-ray Absorptiometry) in order to verify the effectiveness of intervention with a series of movements, including lying hip raise exercise with bent knees pointing upwards, among bedridden patients with post-stroke hemiplegia in the acute post-stroke period. Subjects in the intervention group were required to perform 10 repetitions of a series of back-lying exercises once a day with researchers, in addition to the exercises performed by those in a control group. The first measurement of muscle mass was conducted at three to five days after onset, and the second measurement was conducted seven days after the first. Muscle mass in the lower extremities was reduced by approximately 600g (decrease rate : 9%)on the paralyzed side and by 280g on the non-paralyzed side(decrease rate: 5%)in one week in the Brunnstrom stage ≤ II subgroup(site of measurement : lower extremities) (n＝8) of the control group (n＝23). The decrease in muscle mass in the Brunnstrom stage ≤ II subgroup (n＝4) of the intervention group (n＝15) was approximately 260g on the paralyzed side (decrease rate : 5%) and approximately 280g (decrease rate : 5%)on the non-paralyzed side. Thus, muscle mass decreased on both sides, and this occurred regardless of degree of paralysis. Comparison of the Brunnstrom stage ≥ III subgroups between the control and intervention groups also confirmed that the decease in muscle mass was smaller in the latter group. Thus, it was confirmed that back-lying exercises combining lower extremity movements, including hip raises with bent knees pointing upwards, prevented the decrease in lower extremity muscle mass on the paralyzed side in post-stroke patients. The present study also suggests that these exercise movements can be applied to preventive care for bedridden patients with other severe diseases.
(Keyword)
effects of intervention / acute post-stroke period / lower extremity muscle / prevent disuse muscle atrophy / hip raise exercises
Ayako Tamura, Takako Ichihara, Shinjiro Takata, Takako Minagawa, Yumi Kuwamura, Takae Bando, Hiroko Kondo, Natsuo Yasui and Shinji Nagahiro : Changes in lower extremity muscle mass among bedridden patients with post-stroke hemiplegia in the acute post-stroke period, JNI : The Journal of Nursing Investigation, Vol.5, No.1, 18-21, 2006.
(Summary)
The present study analyzed16patients who were bedridden for one week immediately after onset of post-stroke hemiplegia. We used DXA(dual energy X-ray absorptiometry)to determine changes in muscle mass in the lower extremities on both paralyzed and non-paralyzed sides. The first measurement was conducted 3 to 5 days after the onset, and the second measurement was conducted 7 days after the first. Muscle mass in the lower extremities was reduced by approximately 600g (9%) on the paralyzed side with and by 200g on the non-paralyzed side (3%) in the Brunnstrom stage≤II group (n＝5). Although the decrease of muscle mass in the Brunnstrom stage≥III group(n＝11, relatively slight degree of functional motion impairment)was not significant, a decrease of approximately 300g (decrease rate : 5%)was observed on the paralyzed side and approximately 100g (decrease rate : 1．5%)was seen on the non-paralyzed side. Hence, muscle mass declined on both sides, and this occurred regardless of degree of paralysis. The findings suggested that conventional range of motion exercises, functional position maintenance, and postural changes are inadequate to prevent disuse muscle atrophy in post-stroke patients ; thus, it is necessary to develop a new rehabilitation program which adopts different exercises such as trunk motion, even for patients in the acute stage after stoke onset.
(Keyword)
acute post-stroke period / hemiplegia / lower extremity muscle / disuse muscle atrophy / dual energy X-ray Absorptiometry(DXA)
Takako Minagawa, Takako Ichihara, Takae Bando and Ayako Tamura : 転倒・転落の予測のためのアセスメントツール, Brain Nursing, Vol.23, No.7, 16-21, 2007.
Proceeding of International Conference:
1.
高西 裕子, Yoshie Imai, Takae Bando, Aki Takahashi and 小川 佳宏 : The experiences of patients with lymphedema who underwent ICG fluorescence lymphangiography and lymphatic mapping, The 9th Asia Pacific Enterostomal Therapy Nurse Association Conference, Jul. 2021.
2.
水野 道代, Yoshie Imai, 矢ヶ崎 香, 上田 伊佐子, Takae Bando, Aki Takahashi, 浅沼 智恵, 小松 浩子, L Sarna and S. Bialous : Approaches to Recruiting Japanese Nurses to Build the Skill for Helping Cancer Patients Quit Smoking, Mar. 2020.
3.
Michiyo Mizuno, Yoshie Imai, Kaori Yagasaki, Isako Ueta, Takae Bando, Aki Takahashi, Hiroko Komatsu, Chiemi Onishi, L. Sarna and S Bialous : Development of an Online Webcast to Build Tobacco Control Capacity of Nurses in Japanese Clinical Cancer Centers, Tobacco Induced Diseases, ムンバイ, Nov. 2019.
Yoshie Imai, Chiemi Onishi and Takae Bando : Acceptance of Living with Cancer by Elderly Patients Undergoing Treatment, International conference on cancer nursing, Auckland, Sep. 2018.
5.
Takae Bando, Chiemi Onishi and Yoshie Imai : Hope and coping behaviors in lung cancer patients with post-operative adjuvant therapy, International conference on cancer nursing, 43, Hong Kong, Sep. 2016.
6.
Takae Bando, Chiemi Onishi and Yoshie Imai : The level of hope in lung cancer patients after surgery and factors influencing the same, 19th East Asian Forum of Nursing Scholars, 56, Chiba, Mar. 2016.
7.
Takae Bando, Kazuya Kondo, Satou Hiromi and Yoshie Imai : EVALUATION OF EDUCATIONAL PROGRAM USING SURGERY VIDEO FOR THE NURSES WORKING IN THE OPERATING ROOM, 4th ASIORNA CONFERENCE 2014, 39, Fukuoka, Oct. 2014.
8.
Yoshie Imai, Misako Nakagawa, Chiemi Onishi, Keiko Mori, Takae Bando, Kazuya Kondo and Akira Tangoku : Symptoms and knowledge of lymphedema among postoperative breast cancer patients without lymphedema, Prague, Sep. 2012.
9.
Takae Bando, Chiemi Onishi, 山田 和代, Kazuya Kondo, Yoshie Imai, Keiko Mori, Shoji Sakiyama and Hiromitsu Takizawa : Acute sholder symptoms and related factors in patients undergoing lung cancer surgery, Prague, Sep. 2012.
10.
Chiemi Onishi, Masami Satou, Natuko Takahashi, Tatuko Hujimura, Chiemi Kawanishi, Yoshie Imai, Hiroko Ohta and Takae Bando : Development of a self-care support program centering on providing information for breast cancer patients, Singapore, Aug. 2008.
11.
Aki Takahashi, Takahiro Yoshida, Takae Bando, Yoshie Imai, Takeshi Nishino, Seiya Inoue, Akira Tangoku and Kazuya Kondo : Quality of Life and Psycholugical Status ofPatients with Esophageal Cancer Who Underwent Minimal Invasive Surgery, 2nd Technological Competrncy as Caring inthe Health Sciences 2018, 111, Aug. 2008.
12.
Yoshie Imai, Chiemi Onishi, Hiroko Ohta and Takae Bando : COPING SKILLS OF ELDERLY CANCER SURVIVORS, SINGAPORE, Aug. 2008.
Takae Bando and Chiemi Onishi : 手術室看護師の気分状態と自己効力に対する術中映像の効果, 第38回日本手術看護学会年次大会 抄録集, 176, Oct. 2024.
3.
Yuka Mori, Yoshie Imai, Takae Bando, Ayana Yokote, Yuina Sasaki and Hikaru Kinoshita : 看護基礎教育における自壊創のケアに対する教育的介入によるイメージの変化, 第38回日本がん看護学会学術集会, Feb. 2024.
(Keyword)
がん自壊創 / 看護基礎教育 / image
4.
蔭山 恵美, Yoshie Imai, Yuka Mori and Takae Bando : がん患者が抱えるスピリチュアルペインを捉えるがん看護専門看護師の思考, 第38回日本がん看護学会学術集会, Feb. 2024.
5.
Takae Bando, Kazuya Kondo, 植地 日菜子, 荒尾 心喜, 尾形 京香, Aki Takahashi, Yoshie Imai, Yuta Inoue, Yuka Mori and Hiromitsu Takizawa : 肺がん患者の術前のレジリエンス，心理的適応および健康関連QOL(第1報), 第64回 日本肺癌学会学術集会, Nov. 2023.
6.
ZHANG LIN WAN, Kazuya Kondo, Takae Bando, Aki Takahashi, Yoshie Imai, Mika Takashima, Shin-ichi Sakamoto, Naoki Miyamoto, Naoya Kawakita, Yukikiyo Kawakami, Mitsuteru Yoshida, Hiroaki Toba and Hiromitsu Takizawa : 高齢者機能評価を用いた癌患者の治療方針の決定(第二報), 第64回日本肺癌学会学術集会, Nov. 2023.
7.
池添 照代, 梶原 大宝, 秋山 幸子, Takae Bando and Yuta Inoue : 除圧型体位固定具を使用した大腸がん手術における皮膚トラブルの関連要因, Journal of Japan Operative Nursing Academy, Vol.19, No.1, 156, Oct. 2023.
8.
Yoshie Imai, Yoshie Murakami, Yuko Takeda, Yuko Kawasaki, Megumi Kishino, Yuka Mori, Megumi Kageyama, Tomoka Sakamoto, Takae Bando and Kazuya Kondo : Process of parenting a child with retinoblastoma while guiding him or her toward disease acceptance, Shikoku Acta Medica, Vol.79, No.1.2, 91-102, Jun. 2023.
Construction of a lung cancer rehabilitation nursing care model undergoing Hope-enhanced surgery (Project/Area Number: 18K10348 )
Development of a nursing intervention program to support the nattoku of elderly cancer patients in the process of treatment (Project/Area Number: 15K11624 )
Treatment-associated symptoms and coping of postoperative patients with lung cancer in Japan: Development of a model of factors influencing hope (Project/Area Number: 25862146 )
Research on the nursing support to advance self-care of postoperative discomfort of lung cancer patients (Project/Area Number: 21792219 )