Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research
Date (from‐to) : 2001 -2003
Author : TAKETANI Hideko; YANO Hisako; HOSHIYAMA Yoshiharu; SUZUKI Keiko; MIYACHI Yuki
The purpose of this research is the economic evaluation of the nursing service in a cancer patient by the amount of nursing estimated to be needed with a quantification model. We investigated the amount of nursing services of the family, the nurse, the helper and the friend / acquaintance about a cancer patient's nursing services. 183 cancer patients of a university hospital general ward and 52 cancer patients in a palliative care unit, whose consent and cooperation were obtained to this research, were investigated about the amount of nursing services of a nurse and a family. The nurse carried out by the self-entry system, and the family carried out with the interviewing method by a nurse.
As a result, the nurse judged that it was insufficient about nursing of a university hospital general ward cancer patient. The family also judged that it was insufficient about "daily attendant care" and "counseling and guidance". However, judgment of both in "assistance in medical treatment" was not in agreement. In a palliative care unit cancer patient, the judgments of the nurse and the family were insufficient about "daily attendant care" and "counseling and guidance". For a university hospital general ward cancer patient's family, "counseling and guidance" and "help with household chores" were burdens. However, a palliative care unit cancer patient's family wanted to carry out not a burden but further nursing. We are analyzing these results including the data of the amount of nursing care of the home cancer patient who is precedence research, from many sides for instance needs / demands. We are tackling the economic evaluation of the nursing service to medical-treatment / nursing and caregiving systems configuration which supports Quality of Life of a cancer patient and a family.