Aki Takahashi, Yukie Iwasa, Suhonen Riitta, Ueta Mika, Akemi Nakano, Hase Naomi, Kawahara Miyuki, Miki Yukiyo, Miki Kozue, Shibahashi Hidehiro, shikone Hiroyo, Manabe Rie, Sasai Tomoko, Yokota Miki and Chikako Kane : Development and Validation of the Japanese Version of the Individualized Care Scale-Nurse (JICS-Nurse), The Journal of Medical Investigation, 73, 1,2, 121-128, 2026.
2.
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, 80, 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, 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, Tomoka Sakamoto 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, 79, 1,2, 79-90, 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>
(Keyword)
elderly cancer patients with dementia / acute-phase hospitals / nursing care
岡本 恵, Yoshie Imai, Takae Bando, Aki Takahashi, Yuta Inoue and Tomoka Sakamoto : Dealing with Reality as a Cancer Patient when Continuing Current Cancer Treatment without Possibility of New Treatment as Determined by Cancer Panel Examination, Journal of Japanese Society of Cancer Nursing, 37, 1, 52-59, 2023.
(Summary)
<p>To clarify cancer patients' experience of dealing with reality after being notified of their cancer genomic profiling results which did not lead to new treatments, a qualitative descriptive study was performed. Semi-structured interviews were conducted with 10 cancer patients who had received cancer genomic profiling and had been notified that their results did not lead to new treatments. Their experience of dealing with reality after being notified of such results was summarized into the following 5 categories: accepting the results in a constructive manner by deeming that genetic information paves the way for future treatments, finding the situation acceptable because of one's stable condition even without new treatments, controlling one's emotional ups and downs by not clinging to something as a ray of hope, believing in oneself for having survived until now, and having people understand oneself as someone with no way out. Cancer patients' experience of dealing with reality after being notified of their cancer genomic profiling results which did not lead to new treatments were characterized by ``having fewer options, but feeling that one can live a little more'' and ``using one's strength of fully understanding one's present self for emotional control''. The results suggest that these patients need to find circumstances that allow them to think about their future even in a severe situation, and medical staff need to promote their understanding of the characteristics of genomic profiling, understand their emotions, and continuously support them to help them deal with reality.</p>
(Keyword)
cancer genomic profiling / cancer patients / dealing with reality
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, 70, 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, Tomoka Sakamoto and Kanako Yoshida : Emotions of patients with hereditary breast and ovarian cancer syndrome after risk reducing salpingo-oophorectomy, Journal of Hereditary Tumors, 22, 3, 68-74, 2022.
(Keyword)
breast cancer patients / hereditary breast and ovarian cancer syndrome(HBOC) / risk reducing salpingo-oophorectomy (RRSO)
Yoshie Imai, Chiemi Onishi, Yasue Kawabata, Mika Machida, Akiko Tokunaga, Aoi Enomoto, Hiromi Arahori, Isako Ueda, Takae Bando, Yuta Inoue, Aki Takahashi and Tomoka Sakamoto : Development of a Cancer Treatment Acceptance Scale, Journal of Japan Academy of Nursing Science, 42, 0, 281-290, 2022.
(Summary)
Objective: This study aims to develop a scale for measuring cancer treatment acceptance and to examine its reliability and validity, which will help patient accept and complete cancer treatment. Methods: A questionnaire survey was conducted, involving 294 cancer patients receiving treatment. The reliability and validity of the developed cancer treatment acceptance scale were confirmed by examining evidence in content, from substantive, structural, generalizability, and external aspects. Results: Responses were obtained from 235 patients (response rate: 79.9%), and 210, who returned valid responses, were analyzed. To verify the reliability and validity of the scale, item analysis was performed. Through factor analysis for 28 items finally adopted, 2 factors, [the value of treatment] and [a positive feeling about treatment], and 18 items were identified. The goodness of fit of this model was represented by GFI = 0.901, AGFI = 0.853, CFI = 0.919, and RMSE = 0.049. The correlation coefficient with Decisional Conflict Scale was r = 0.589 to 0.667. Cronbach's alpha for each factor ranged from 0.915 to 0.945. Conclusions: We developed a scale consisting of 2 factors with 18 items to measure cancer treatment acceptance and confirmed its reliability and validity.
(Keyword)
acceptance / cancer treatment / development of a scale
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, 77, 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, 35, 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, 77, 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, 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.
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, 77, 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
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, 77, 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, 77, 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, 76, 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.
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, 75, 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, 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, 75, 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
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.
Michiyo Mizuno, Yoshie Imai, Kaori Yagasaki, Isako Ueta, Takae Bando, Aki Takahashi, Chie Asanuma, Hiroko Komatsu, 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.
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.
Proceeding of Domestic Conference:
1.
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.
2.
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.
3.
Yukie Iwasa, 上田 美香, Akemi Nakano, 横田 三樹, Naomi Hase and Aki Takahashi : 個別化された看護尺度日本語版(ICN-Nurse)の信頼性と妥当性の検証, 第42回日本看護科学学会学術集会集録, Dec. 2022.
Development of a nursing care model to support the acceptance of elderly patients with advanced cancer during the transition to home care (Project/Area Number: 20K10785 )
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 )