Researchers Database

ueno mari

    GerontologicalNursing Professor
Contact: mariuenojichi.ac.jp
Last Updated :2021/10/17

Researcher Information

J-Global ID

Research Interests

  • Home nursing   Visiting nursing   

Research Areas

  • Life sciences / Gerontological and community health nursing

Academic & Professional Experience

  • 2019/04 - Today  Jichi Medical UniversitySchool of Nursing教授

Published Papers

  • 荒木 晴美, 正野 逸子, 本田 彰子, 菊池 和子, 上野 まり, 栗本 一美, 平山 香代子, 王 麗華, 土平 俊子, 炭谷 靖子
    日本看護福祉学会誌 日本看護福祉学会 22 (2) 203 - 217 1344-4875 2017/03 [Not refereed][Not invited]
  • 上野 まり, 渋谷 得江, 岡村 圭子, 佐藤 美穂子
    千葉大学大学院看護学研究科紀要 千葉大学大学院看護学研究科 (38) 75 - 80 2185-9698 2016/03 [Not refereed][Not invited]
     
    【研究目的】 東日本大震災後の応急仮設住宅に暮らす住民に対して,看護職が実施したアウトリーチの実態と住民の健康状態の変化を調べ,今後想定される大規模災害発生後の看護職による長期的な支援活動に資するための基礎資料とする.【研究方法】 被災地A市の応急仮設住宅に暮らす住民1,669名と看護職によるアウトリーチを研究対象とした.看護職が判断した住民個々の健康上の課題と住民の健康状態について,支援開始時と18か月後を比較することによりその変化を捉えた.その結果から被災住民への看護職によるアウトリーチのあり方を考察する.【結果】 看護職が継続して1か月以上支援した住民は39.2%でそのうち72.5%の住民には12か月以上支援していた.看護職は安否確認・持病の有無とその状況・受診勧奨・服薬管理など顕在する健康上の課題を把握し,3か月以内に約8割が解決されていた.しかし自殺企図・家庭内不和・アルコール依存症など潜在的課題は18か月後も約8割が未解決であった.また18か月後の時点で住民の日常生活上の課題は7割以上が安定したが,「健康悪化の予防」の達成率は3割未満と低く,各課題の安定には差が見られた.【考察】 被災住民には,生活環境の急激な悪化から持病が急速に悪化したり新たな病気に罹患する危険性がある.このような潜在する健康悪化のリスクに早期に気づき対処できる技術を磨き,多職種チームで課題解決に臨む態勢を整備することが支援の強化と有効な結果につながると考える.
  • Katahira Nobuko, Fujikawa Aya, Honda Akiko, Ueno Mari, Kitaoka Hideko, Watanabe Tsukiko, Hirokawa Seiko
    Journal of Japan Academy of Community Health Nursing 一般社団法人 日本地域看護学会 15 (3) 70 - 77 1346-9657 2013 [Not refereed][Not invited]
     
    目的:認知症高齢者グループホーム(以下,GH)と契約して利用者の健康管理を行っている訪問看護ステーション(以下,ST)からみた,GHとSTの連携の効果および課題を明らかにすることを目的に調査を行った.方法:医療連携体制加算を算定したGHと契約している2県のST管理者10人を対象として,インタビューガイドを用いた半構成的面接調査を行う.結果:STの管理者がとらえたGH-ST間の連携の効果としては,【GHの医療面への対応の機能が強化される】【利用者の受診の回数が減らせる】【利用者が適切な治療を受けられる】【介護職員の力量が向上する】【介護職員が安心・満足を得られる】【訪問看護師の力量の向上につながる】の6カテゴリーが抽出された.STの管理者がとらえたGH-ST間の連携の課題としては,【業務量に採算が伴わない】【GHとの契約がSTの業務に影響する】【介護職員の力量に課題がある】【情報共有に課題がある】【算定されるSTの活動が明らかでない】【STの活動評価がない】【GHでの看取りはむずかしい】【GHへの要望はない】の8カテゴリーが抽出された.考察:GH,ST双方に連携による効果があると考えられている一方,採算性の低さを含めて負担を感じているSTがあることが示された.
  • Itabashi Yuko, Bessho Yuko, Ueno Mari
    Journal of Japan Academy of Community Health Nursing 一般社団法人 日本地域看護学会 15 (1) 5 - 15 1346-9657 2012 [Not refereed][Not invited]
     
    Objective : This study focused on the characteristics of the sense of burden and positive feelings experienced by male caregivers providing defecation care for their spouses at home, to obtain information for the support given by visiting nurses. Methods : An anonymous self-report questionnaire survey was conducted on 229 spouses providing defecation care for individuals with a bedridden level of B or C who were using visiting nurse services. Survey contents were the characteristics of the caregiver and care recipient, conditions of defecation and defecation care, and sense of burden and positive feelings regarding defecation care. The 140 valid responses obtained were classified by sex for statistical analysis. Results : Compared to wife caregivers, husband caregivers had a significantly higher sense of burden regarding defecation care for "expenditures for care services", as well as the positive feelings of "promotion of kindness toward each other" and "provision of defecation care as a way of giving back to the spouse", but had a significantly lower "use of funding system for purchasing welfare equipment". Husband caregivers also had a significantly lower frequency of adjusting medications and meals in defecation care, and a significantly higher proportion of delegating defecation care to visiting nurses or helpers. Conclusion : Visiting nurses must confirm that husband caregivers are appropriately managing medications and meals without burden for defecation control, and support the use of healthcare and welfare information that maintains and promotes positive feelings such as a desire to give back and kindness among husband caregivers, or alleviates economic burden.
  • Yuko Hirano, Noriko Yamamoto-Mitani, Mari Ueno, Shiho Takemori, Masayo Kashiwagi, Izumi Sato, Noa Miyata, Mari Kimata, Hiroki Fukahori, Masako Yamada
    QUALITATIVE HEALTH RESEARCH 21 (2) 199 - 213 1049-7323 2011/02 [Refereed][Not invited]
     
    In this article we describe our study of assistance for family decisions and caregiving by Japanese home care nurses to families of elderly relatives at the end of life. The participants were 31 nurses who had been evaluated as providing good end-of-life care. We carried out semistructured interviews concerning the practice of family support in two cases (cancer and noncancer). We conducted a qualitative analysis using the constant comparative approach and derived several categories inductively. Home care nurses are responsible for (a) estimating the possibility of dying at home, (b) visualizing what is coming and what can be done, (c) proposing where and how the family can say goodbye, (d) building family consensus, (e) coordinating resources, and (f) offering psychological support for end-of-life care. End-of-life family care by home care nurses is a process in which multiple components of care are provided with changing content as death approaches.
  • Sato Izumi, Yamada Masako, Yamamoto-Mitani Noriko, Takemori Shiho, Hirano Yuko, Miyata Noa, Fukahori Hiroki, Ueno Mari, Kashiwagi Masayo, Kimata Mari
    Journal of Japan Academy of Nursing Science 公益社団法人 日本看護科学学会 31 (1) 68 - 76 0287-5330 2011 [Not refereed][Not invited]
     
    <b>Objective:</b> We examined the duration of specific stages in the end-of-life period of older adults living at home, and the changes in the frequency and other structures of nurses' home visits during these stages. We compared cancer and non-cancer cases.<br><b>Method:</b> Thirty-one nurses from home care nursing stations where &ldquo;good&rdquo; nursing care is provided, were interviewed concerning the practice of end-of-life care for patients that were 65 years and over, in both cancer and non-cancer cases. The end-of-life period was classified into onset, maintenance, worsening, and dying stages, and the differences in duration, visit frequency and other structural characteristics in each stage were statistically compared between cancer and non-cancer cases.<br><b>Results:</b> The length of the onset and worsening stages among non-cancer cases was significantly longer and more varied than that among cancer cases. The visit frequency for cancer cases became significantly higher in the dying stage, while it became higher from the worsening stage among non-cancer cases. On-call home visits were provided for almost half of the non-cancer cases in the dying stage.<br><b>Conclusion:</b> The findings suggest that the necessary end-of-life care, and the frequency of nurses' home visits were different between cancer and non-cancer cases. In order to provide appropriate care for each patient, improvement in the reimbursement system for home care nursing, as well as the skills of individual nurses, may need to be considered.
  • 上野 まり, 間瀬 由記, 廣川 聖子
    Journal of Kanagawa University of Human Services 神奈川県立保健福祉大学 7 (1) 3 - 13 1349-4775 2010 [Not refereed][Not invited]
  • 上野 まり, 廣川 聖子, 間瀬 由記
    Journal of Kanagawa University of Human Services 神奈川県立保健福祉大学 6 (1) 3 - 11 1349-4775 2009 [Not refereed][Not invited]
  • Katahira Nobuko, Honda Akiko, Ueno Mari, Kitaoka Hideko, Hirokawa Seiko, Watanabe Tsukiko, Takeda Yumiko, Hatanaka Takako, Bessho Yuko
    Journal of Japan Academy of Community Health Nursing 一般社団法人 日本地域看護学会 12 (1) 59 - 64 1346-9657 2009 [Not refereed][Not invited]
     
    Objectives : This study investigates current conditions and problems regarding health care provision for residents of group homes (GH) for elders with dementia, staff responses to changes in residents' medical conditions or accidents, and nursing systems. Methods : Survey questionnaires were mailed to 442 GH facilities in Kanagawa prefecture, Japan. Results : We collected survey questionnaires from 175 facilities (response rate, 39.6%). More than 70% of the facilities had residents who needed regular visits to physicians or physician home visits. Regarding daily medical treatments in GHs, 49.7% of the facilities provided dermatological treatments, and 19.4% of the facilities offered enema or stool extraction. In the previous three months, there were about 460 cases of changes in medical conditions or accidents, and 76 facilities (43.4%) requested ambulance transport. There were 65 facilities (37.2%) that had nursing staff, and 80 facilities (45.7%) used reimbursement for medical coordination systems. Facilities that used reimbursement for medical coordination systems to contract with visiting nurse stations comprised 14 facilities. The following were found as effects of visiting nurse services: improvement in responses to medical care needs, and availability for consultation when assessing symptoms. A problem to be addressed concerned the occasional differences between nurse and physicians judgments, which resulted in confusion. Discussion : While GH resident needs for medical and nursing care were assumed to be high, less than half of the facilities used reimbursement for medical coordination systems. This suggests that GHs should seek adequate nursing services through medical coordination systems.
  • 上野 まり
    千葉看護学会会誌 千葉看護学会 6 (1) 42 - 48 1344-8846 2000/06 [Not refereed][Not invited]
     
    筆者自身が実施した訪問看護の3事例を用いて,訪問開始後の全援助過程における看護婦-対象の人間関係形成過程を明らかにした。そして看護婦と対象双方の感情のやりとりの場面を分析した。その結果,訪問看護婦と対象の二者関係は,看護婦側が発した働きかけを対象が受け入れる,対象が看護婦に働きかける,互いが理解を深め相手を思いやる,などの過程を経て形成され,その関係は毎回の訪問場面毎に深まったり,停滞するなど変化していた。また看護婦-対象関係に影響する要因も確認できた。看護婦-対象関係の形成過程は,より適切な看護援助を導き,安定した二者関係が対象側に効果的変化をもたらしていた。以上のことから,看護婦-対象関係の深まりに応じた援助の実施,看護行為に込められた看護婦の意図,患者と介護者の関係に配慮した看護介入,看護の責任性に基いた他職種との協働が,対象の生活の質の向上に関わっていることを確認した。The purpose of this study was to clarify the process in formation of nurse-client relationship on visiting nursing, and the factors concerned with this matter, and the changes of the clients through these process. The study is based on the nursing experiences made by the author's own practice of visiting nursing. The nurse-client relationship is focused on the "exchange of each feeling" in this study. The process of formation of their relationship starts when the client accepts the nursing care and then, he/she comes to relay on the visiting nurse. The nurse and client may apprehend each other and their relationship can promote a better understanding through the visitings. This relationship grows more intimate, or could becomes stagnent occasionally. It is influenced by the process of the relationship, consisted of such factors as each feeling, the ideas of the visiting nurse about her care giving, the patient's family's domestic relationship, and the partnership of the nurse and other care givers. It can be produced in the process of adequate nursing care, and a stable nurse-client relationship would affect the client's life more effectively. Accordingly, the following four are important factors in concerned with the quality of client's life; 1. Giving appropriate nursing care according to the process of nurse-client relationship. 2. The feelings and ideas of the visiting nurse concerning nurse care. 3. The professional nursing intervention into the patient's family relationship. 4. The partnership with the other care giver based on the responsibility of nurse profession.

Books etc

MISC

  • 上野 まり, 小沼 絵理, 佐藤 美穂子  保健の科学  54-  (11)  752  -759  2012/11  [Not refereed][Not invited]
  • 上野 まり, 窪川 眞佐美, 佐藤 美穂子  日本在宅ケア学会誌  15-  (2)  13  -18  2012/02  [Not refereed][Not invited]
  • SATO Izumi, YAMAMOTO MITANI Noriko, TAKEMORI Shiho, HIRANO Yuko, MIYATA Noa, FUKAHORI Hiroki, UENO Mari, KASHIWAGI Masayo, KIMATA Mari, YAMADA Masako  Journal of Japan Academy of Nursing Science  31-  (1)  68  -76  2011/03  [Not refereed][Not invited]
  • 上野 まり  コミュニティケア  12-  (3)  60  -62  2010/03  [Not refereed][Not invited]
  • 赤沼 智子, 本田 彰子, 正野 逸子, 牛久保 美津子, 近藤 仁美, 栗本 一美, 上野 まり, 鈴木 育子  Journal of School of Nursing,Chiba University.  (26)  45  -49  2004/03  [Not refereed][Not invited]
     
    著者らのこれまでの研究で,訪問看護師もその管理者にも高い学習ニーズがあることが明らかにされてきた.しかし,訪問看護という業務形態の特殊性等から,現任教育には様々な問題があり,訪問看護の持つ特殊性に合わせた職場内教育の必要性を確認した.そこで,訪問看護ステーションの管理者め実践教育に対する考え方を明確にすることを目的に調査を行った.その結果として,訪問看護師養成講習会等は9割近くのステーションが受講していることが分かった.その一方で,ステーションでは受講者が1人もいないところもあり,ばらつきがあった.また,非常勤職員は特に講習会の受講率が低く,病棟等の臨床経験だけで,訪問看護の即戦力として期待されていることが分かった.この様なことから,雇用形態の問題も踏まえて,非常勤職員へも可能な学習支援の必要性が示唆された.学習してほしい内容としては,ハイテクケアといわれるような技術や夕一ミナルケアの要望が高く,現代社会が訪問看護ステーションに求めているケア内容を反映していると考えられる.スタッフ育成上の問題では,「時間がない」「指導者がいない」ということがあがったが,これは管理者の多忙と共に,管理者の意識としてスタッフ育成の優先度が低いことも推察される.訪問看護ステーションでは基本的に,スタッフ育成には管理者が中心的にかかわるしかなく,その意識を高める必要性も分かった.スタッフ育成へのかかわり方としては,スタッフ個々の実践の場に管理者が立ち会うことが少ないので,スタッフの実践を適切に把握できる方法の重要性が示唆された.
  • 石垣 和子, 鈴木 育子, 上野 まり  保健の科学  43-  (10)  797  -802  2001/10  [Not refereed][Not invited]


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