基本情報
- 所属
- 自治医科大学 看護学部 看護学部長
- 学位
- 博士(看護学)
- 研究者番号
- 80266642
- J-GLOBAL ID
- 201401092881609681
- researchmap会員ID
- B000237768
- 外部リンク
経歴
1-
2015年4月 - 現在
論文
22-
Geriatrics & gerontology international 23(7) 517-523 2023年7月AIM: This study assessed the validity and reliability of the Integrated Palliative Care Outcome Scale for non-cancer patients. METHODS: We recruited 223 non-cancer patients receiving palliative care and their healthcare providers (222) across two home care facilities and two hospitals for a cross-sectional study. We assessed the construct validity and known-group validity of the Integrated Palliative Care Outcome Scale. The weighted kappa and interclass correlation coefficients were assessed to ascertain reliability. RESULTS: The scale scores were significantly higher for the 'non-stable' group (worsening condition group) measured in the palliative care phase than for the 'stable' group (P < 0.001). Regarding validity, Spearman's correlations between similar items on the Integrated Palliative Care Outcome Scale and Edmonton Symptom Assessment System ranged from 0.61 to 0.94. Regarding reliability, the weighted kappa coefficients ranged from 0.53 to 0.81 for patients and from 0.58 to 0.90 for healthcare providers. For inter-rater reliability between patients and healthcare providers, the weighted kappa coefficients for each item ranged from 0.03 to 0.42. CONCLUSION: This study confirmed the validity and reliability of the Integrated Palliative Care Outcome Scale for non-cancer patients requiring palliative care. However, the inter-rater reliability indicates poor agreement between the assessments of patients and healthcare providers. This highlights the discrepancies between both their assessments and the importance of the patient's assessment. Geriatr Gerontol Int 2023; 23: 517-523.
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Journal of cancer education : the official journal of the American Association for Cancer Education 2023年4月6日Clinical nurses need learning programs that are useful in nursing support for patients' decision-making (NSPDM) regarding cancer clinical trials (CCTs). The usefulness of the learning program can be evaluated if the practices of NSPDM before and after participation in the learning program can be compared. We developed a scale to measure the level of self-assessed NSPDM regarding participation in a CCT. Thirty-two items of scale were developed in Japanese based on previous literature. Based on the results of a pilot study, items with similar meanings were removed and the validity of the 26 scale items was statistically examined in terms of construct validity and reliability. The study population was clinical nurses and included clinical research nurses. We received 102 valid responses from clinical nurses. Based on the bias of the boxplot distribution and the ceiling and floor effects for the items analysis of the 26-item draft scale, 17 items remained. Exploratory factor analysis (EFA) revealed that the scale consisted of three subscales and 17 items. Regarding fit indices of the model, the goodness-of-fit index (GFI), adjusted GFI (AGFI), comparative fit index (CFI), and root mean square error of application (RMSEA) were 0.775, 0.704, 0.477, and 0.081, respectively. The Cronbach's alpha coefficient for the overall scale was 0.951, with subscales ranging from 0.820 to 0.942. The validity and reliability of this scale were acceptable. This scale may be helpful to evaluate the usefulness of learning programs, i.e., the practice level of NSPDM.
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International journal of clinical oncology 28(3) 454-467 2023年3月OBJECTIVES: Patients often struggle with their financial situation during cancer treatment due to treatment-related costs or loss of income. This resulting negative effect is called financial toxicity, which is a known as a side effect of cancer care. This study aimed to evaluate the association between financial toxicity and health-related quality of life among patients with gynecologic cancer using validated questionnaires. METHODS: In this multicenter study, patients with gynecologic cancer receiving anti-cancer drug treatment for > 2 months were recruited. Patients answered the COmprehensive Score for Financial Toxicity (COST) tool, EORTC-QLQ-C30, disease-specific tools (EORTC-QLQ-OV28/CX24/EN24), and EQ-5D-5L. Spearman's rank correlation coefficient was used to determine associations. RESULTS: Between April 2019 and July 2021, 109 cancer patients completed the COST questionnaire. The mean COST score was 19.82. Strong associations were observed between financial difficulty (r = - 0.616) in the EORTC-QLQ-C30 and body image (r = 0.738) in the EORTC-QLQ-CX24, while weak associations were noted between the global health status/quality of life (r = 0.207), EQ-5D-5L index score (r = 0.252), and several function and symptom scale scores with the COST score. CONCLUSIONS: Greater financial toxicity was associated with worse health-related quality of life scores, such as financial difficulty in gynecologic cancer patients and body image in cervical cancer patients as strong associations, and weakly associated with general health-related quality of life scores and several function/symptom scales.
MISC
32-
看護管理 26(5) 402-406 2016年5月
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インターナショナルナーシングレビュー 32(3) 104-108 2009年5月15日
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自治医科大学看護学ジャーナル = Jichi Medical University journal of nursing 7 13-24 2009年
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自治医科大学看護学ジャーナル = Jichi Medical University journal of nursing 7 73-79 2009年
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医療 57(1) 19-23 2003年近年, 治験実施体制の整備を目的に治験管理室の設置が進められてきた. 当院では, 平成11年5月の治験管理室開設以降に開始されたすべての治験および市販後臨床試験にCRCが派遣され, 実際の業務を評価しながら治験管理室の体制を整備してきた. 中でもCRCの増員と定着の促進, 現任教育と業務の質の向上は重要な課題として取り組み, CRCは開設当時の2.5倍に増員され, 現任教育プログラムの充実, 看護師・薬剤師などの専門性を考慮したCRC間での業務分担体制が図られた. 治験管理室内の体制整備が進むにつれCRCの役割は他職種より徐々に認知され, 治験業務の円滑化, 治験の推進に対する認識の向上につながっている. 院内の体制整備において, 実施される治験の特徴に合わせたCRCの配置や教育, 治験管理室内の業務体制づくりは優先されるべき課題と考える.
書籍等出版物
1講演・口頭発表等
24共同研究・競争的資金等の研究課題
11-
日本学術振興会 科学研究費助成事業 基盤研究(C) 2022年4月 - 2025年3月
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日本学術振興会 科学研究費助成事業 基盤研究(C) 2022年4月 - 2025年3月
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日本学術振興会 科学研究費助成事業 基盤研究(C) 2019年4月 - 2022年3月
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日本学術振興会 科学研究費助成事業 基盤研究(C) 2018年4月 - 2022年3月
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日本学術振興会 科学研究費助成事業 基盤研究(C) 2016年4月 - 2019年3月