{"created":"2023-07-25T08:14:33.911807+00:00","id":15632,"links":{},"metadata":{"_buckets":{"deposit":"784d79fe-f76d-4e43-acbe-6040aef39a19"},"_deposit":{"created_by":18,"id":"15632","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"15632"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:00015632","sets":["228:275:5995","99:103"]},"author_link":[],"item_7_biblio_info_5":{"attribute_name":"収録雑誌名","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"22","bibliographicPageStart":"15","bibliographicVolumeNumber":"30","bibliographic_titles":[{"bibliographic_title":"鹿児島大学医学部保健学科紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University","bibliographic_titleLang":"en"}]}]},"item_7_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2020-03-31","subitem_date_issued_type":"Issued"}]},"item_7_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"目的：レポドパ・カルビドパ配合経腸用液（LCIG）療法導入指導時の患者・家族の訴えを通しての思いと，看護師が感じた指導上の困難を明らかにする。\n方法：対象はLCIG 療法導入指導経験がある看護師。半構造化面接を行い，クリッペンドルフの内容分析で分析した。\n結果：12名に面接を行った。全員女性で看護師経験年数の平均は９年だった。患者・家族の訴えは，５つのカテゴリーに分類され〈導入で病気が治ると思っていた〉〈症状が大幅に改善すると思っていた〉〈治療効果が感じられない〉〈治療効果が実感できた〉〈器械が重い〉だった。指導上の困難も５つのカテゴリーに分類され，〈ウエアリング・オフ現象による指導の困難さ〉〈患者には手技が難しい〉〈指導の評価ができない〉などだった。\n結論：患者と家族は治癒や症状軽減を期待し，看護師はオフ時間の指導や評価の難しさを抱えていた。多職種連携の強化や定期的なカンファレンス開催が必要である。","subitem_description_language":"ja","subitem_description_type":"Other"},{"subitem_description":"Purpose: To clarify patients' and their families' feelings about treatment and education when starting levodopa/carbidopa intestinal gel therapy, and nurses' difficulties when providing patient education.\nMethod: The subjects were nurses who had experience in introducing treatment. Semi-structured interviews were conducted with 12 nurses (All of them were females) with an average of 9 years' experience as a nurse. Interview data were analyzed by Krippendorff's content analysis.\nResults: Five categories of patients' and families' feelings that were revealed included “the disease could be cured by this treatment”, “the symptoms could be significantly improved”, “didn't feel the treatment effect”, “felt the treatment effect”, and “medical equipment is heavy”. Five categories of difficulties when providing patient education that were identified included “difficulty of teaching due to levodopa wearing-off”, “application is difficult for the patients” and “difficulty of evaluation”.\nConclusion: Patients and their families expected healing and symptom relief, and nurses had difficulty in teaching due to levodopa wearing-off and evaluating the effectiveness of the education. These results suggest that nurses should strengthen their multi-professional collaboration and hold regular conferences.","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_7_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"鹿児島大学","subitem_publisher_language":"ja"},{"subitem_publisher":"Kagoshima University","subitem_publisher_language":"en"}]},"item_7_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13462180","subitem_source_identifier_type":"PISSN"}]},"item_7_source_id_9":{"attribute_name":"NII書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA11358555","subitem_source_identifier_type":"NCID"}]},"item_7_subject_15":{"attribute_name":"NDC","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_7_version_type_14":{"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":"屋久, 裕美","creatorNameLang":"ja"},{"creatorName":"YAHISA, Hiromi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"三原, 静花","creatorNameLang":"ja"},{"creatorName":"MIHARA, Shizuka","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"鷲塚, 麻衣","creatorNameLang":"ja"},{"creatorName":"WASHITSUKA, Mai","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"平島, 佳林","creatorNameLang":"ja"},{"creatorName":"HIRASHIMA, Karin","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"坂之上, 奈々","creatorNameLang":"ja"},{"creatorName":"SAKANOUE, Nana","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"武, 亜希子","creatorNameLang":"ja"},{"creatorName":"TAKE, Akiko","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"清水, 佐智子","creatorNameLang":"ja"},{"creatorName":"SHIMIZU, Sachiko","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-01-12"}],"displaytype":"detail","filename":"AA11358555_v30_n1_p15-22.pdf","filesize":[{"value":"1.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AA11358555_v30_n1_p15-22","objectType":"fulltext","url":"https://ir.kagoshima-u.ac.jp/record/15632/files/AA11358555_v30_n1_p15-22.pdf"},"version_id":"b31c00a0-a047-492f-8d8e-91990b075d97"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"レボドパ・カルビドパ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"患者教育","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"パーキンソン病","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"看護師","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ウエアリング・オフ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"levodopa carbidopa","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"patient education","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Parkinson’s disease","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"nurse","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"wearing off","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"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":"レボドパ・カルビドパ配合経腸用液療法導入に対する患者・家族の思いと看護師が感じた指導上の困難","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"レボドパ・カルビドパ配合経腸用液療法導入に対する患者・家族の思いと看護師が感じた指導上の困難","subitem_title_language":"ja"},{"subitem_title":"Patients’ and families’ feelings about treatment and patient education when starting levodopa/carbidopa intestinal gel therapy, and nurses’ difficulties when providing patient education","subitem_title_language":"en"}]},"item_type_id":"7","owner":"18","path":["103","5995"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-01-07"},"publish_date":"2021-01-07","publish_status":"0","recid":"15632","relation_version_is_last":true,"title":["レボドパ・カルビドパ配合経腸用液療法導入に対する患者・家族の思いと看護師が感じた指導上の困難"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2024-01-30T01:37:20.090033+00:00"}