Evaluation of the Usefulness of the Constipation Improvement Program Based on People-Centered Care and Health Promotion
This study was aimed to verify the usefulness of the “Constipation Improvement Program Based on People-Centered Care and Health Promotion”. In this program, a nurse and the target person partnered to improve constipation. Four web interviews were conducted every 2 weeks. Then, the program was struct...
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| Published in | Japanese Journal of Nursing Art and Science Vol. 23; pp. 85 - 95 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of Nursing Art and Science
20.08.2024
日本看護技術学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1349-5429 2423-8511 |
| DOI | 10.18892/jsnas.23.0_85 |
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| Abstract | This study was aimed to verify the usefulness of the “Constipation Improvement Program Based on People-Centered Care and Health Promotion”. In this program, a nurse and the target person partnered to improve constipation. Four web interviews were conducted every 2 weeks. Then, the program was structured such that the cause of the participant’s constipation could be found and self-care and maintenance of self-care were feasible for the participant. Defecation frequency, constipation symptoms, and quality-of-life (QOL) scores before and after the program were determined for 21 participants. It was found that the average number of regular stools, Constipation Assessment Scale Middle Term score, and the Japanese version of the Patient Assessment of Constipation-QOL score improved from 1.5±1.5 to 3.2±3.1, 8.5±1.9 to 5.2±2.6, and 55.3±12.5 to 43.5±14.3 (P=.005, P<.001, P<.001 respectively) . Furthermore, the urinary indoxyl sulfate level, which can be used to assess the intestinal environment, improved from 87.3±62.9 to 52.1±32.8 (P=.026) . Thus, this program improved defecation frequency, constipation symptoms, QOL, and the intestinal environment. These findings are attributable to the use of nursing skills and knowledge to improve participants’ life by addressing causal factors, such as lifestyle habits and stress. This study showed that this programs to encourage health promotion behaviors with partner nurses was very useful. |
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| AbstractList | This study was aimed to verify the usefulness of the “Constipation Improvement Program Based on People-Centered Care and Health Promotion”. In this program, a nurse and the target person partnered to improve constipation. Four web interviews were conducted every 2 weeks. Then, the program was structured such that the cause of the participant’s constipation could be found and self-care and maintenance of self-care were feasible for the participant. Defecation frequency, constipation symptoms, and quality-of-life (QOL) scores before and after the program were determined for 21 participants. It was found that the average number of regular stools, Constipation Assessment Scale Middle Term score, and the Japanese version of the Patient Assessment of Constipation-QOL score improved from 1.5±1.5 to 3.2±3.1, 8.5±1.9 to 5.2±2.6, and 55.3±12.5 to 43.5±14.3 (P=.005, P<.001, P<.001 respectively) . Furthermore, the urinary indoxyl sulfate level, which can be used to assess the intestinal environment, improved from 87.3±62.9 to 52.1±32.8 (P=.026) . Thus, this program improved defecation frequency, constipation symptoms, QOL, and the intestinal environment. These findings are attributable to the use of nursing skills and knowledge to improve participants’ life by addressing causal factors, such as lifestyle habits and stress. This study showed that this programs to encourage health promotion behaviors with partner nurses was very useful. This study was aimed to verify the usefulness of the “Constipation Improvement Program Based on People-Centered Care and Health Promotion”. In this program, a nurse and the target person partnered to improve constipation. Four web interviews were conducted every 2 weeks. Then, the program was structured such that the cause of the participant’s constipation could be found and self-care and maintenance of self-care were feasible for the participant. Defecation frequency, constipation symptoms, and quality-of-life (QOL) scores before and after the program were determined for 21 participants. It was found that the average number of regular stools, Constipation Assessment Scale Middle Term score, and the Japanese version of the Patient Assessment of Constipation-QOL score improved from 1.5±1.5 to 3.2±3.1, 8.5±1.9 to 5.2±2.6, and 55.3±12.5 to 43.5±14.3 (P=.005, P<.001, P<.001 respectively) . Furthermore, the urinary indoxyl sulfate level, which can be used to assess the intestinal environment, improved from 87.3±62.9 to 52.1±32.8 (P=.026) . Thus, this program improved defecation frequency, constipation symptoms, QOL, and the intestinal environment. These findings are attributable to the use of nursing skills and knowledge to improve participants’ life by addressing causal factors, such as lifestyle habits and stress. This study showed that this programs to encourage health promotion behaviors with partner nurses was very useful. 本研究の目的はPeople-Centered Careとヘルスプロモーションを基盤として作成した便秘改善プログラムの有用性を検証することである. 本プログラムは, 便秘改善に向けて看護師と当事者がパートナーシップを組み, 初回のweb面談を含めて2週間ごと計4回のweb面談を実施し, 対象者固有の便秘の原因を対象者が主体的にみつけ, 取り組む方法を身につけ, 維持することができるように構成している. 21名のプログラム実施前後の排便状況, 便秘症状 (CAS-MT) , Quality of Life (JPAC-QOL) のスコアを比較した結果, 普通便の平均回数：1.5±1.5対3.2±3.1 (P＝.005) , CAS-MT：8.5±1.9対5.2±2.6 (P＜.001) , JPAC-QOL：55.3±12.5対43.5±14.3 (P＜.001) と改善を示した. また, 腸内環境を推定する尿中のインドキシル硫酸値も87.3±62.9対52.1±32.8 (P＝.026) と改善を示した. 以上より, 本プログラムは, 排便状況, 便秘症状の改善, QOLの向上, 腸内環境の改善をもたらすことが示された. |
| Author | Katogi, Masashi Nawa, Hideshi Hikatsu, Ayako Sakyo, Yumi Kanomata, Minako Suzuki, Ayaka Kameda, Norihiro |
| Author_FL | 佐居 由美 亀田 典宏 鈴木 彩加 鹿股 美奈子 樋勝 彩子 縄 秀志 加藤木 真史 |
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| Author_xml | – sequence: 1 fullname: Katogi, Masashi organization: Faculty of Health and Social Services, Kanagawa University of Human Services – sequence: 1 fullname: Kameda, Norihiro organization: Graduate School of Nursing Science, St. Luke's International University – sequence: 1 fullname: Sakyo, Yumi organization: Graduate School of Nursing Science, St. Luke's International University – sequence: 1 fullname: Kanomata, Minako organization: Graduate School of Nursing Science, St. Luke's International University – sequence: 1 fullname: Suzuki, Ayaka organization: Graduate School of Nursing Science, St. Luke's International University – sequence: 1 fullname: Hikatsu, Ayako organization: Graduate School of Nursing Science, St. Luke's International University – sequence: 1 fullname: Nawa, Hideshi organization: Graduate School of Nursing Science, St. Luke's International University |
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| References | 三輪洋人, 林俊宏, 兵頭慎一郎 (2017). 日本人における慢性便秘症の症状および治療満足度に対する医師/患者間の認識の相違. Therapeutic Research, 38(11), 1101-1110. 中西守, 大木誠, 向井準, 内田景博, 原納優 (2017). 腸内環境を反映する尿中インドキシル硫酸の簡易測定法の開発. 日本未病システム学会雑誌, 23(3), 1-5. 日本消化器病学会関連研究会 (2017). 慢性便秘症診療ガイドライン2017, 南江堂. 坂野雄二, 東條光彦 (1986). 一般性セルフ・エフィカシー尺度作成の試み. 行動療法研究, 12(1), 73-82. doi: 10.24468/jjbt.12.1_73 滝井寛, 西嶋智彦, 高見和代, 杉村春日, 田中祥之, 犬上潤, …馬渡隆志 (2012). Bifidobacterium animalis subsp. lactis GCL2505を含有する発酵乳の摂取による便秘傾向を有する健常成人の排便回数, 便性状, および糞便菌叢の改善. 薬理と治療, 40(8), 657-665. Pender, N. J. (1996). Health Promotion in Nursing Practice (3rd ed.) , USA: Appleton & Lange. 細野恵子, 加藤木真史, 吉良いずみ, 菱沼典子, 田中美智子, 井垣通人, …加藤京里 (2016). 排便パターン分類のためのフローチャートの開発－調査研究データの再分析から－. 日本看護技術学会誌, 15(1), 74-80. doi: 10.18892/jsnas.15.1_74 深井喜代子, 杉田明子, 田中美穂 (1995). 日本語版便秘評価尺度の検討. 看護研究, 28(3), 201-208. doi: 10.11477/mf.1681900299 田妻進 (2021). 生活習慣病と腸内細菌叢. 生物工学会誌, 99(11), 573-576. doi: 10.34565/seibutsukogaku.99.11_573 吉良いずみ (2013). 日本語版The Patient Assessment of Constipation Quality of Life Questionnaireの信頼性と妥当性の検討. 日本看護研究学会雑誌, 36(2), 119-127. doi: 10.15065/jjsnr.20130421012 Glia, A., & Lindberg, G. (1997). Quality of life in patients with different types of functional constipation. Scandinavian Journal of Gastroenterology, 32(11), 1083-1089. doi: 10.3109/00365529709002985 加藤木真史, 細野恵子, 久賀久美子, 丸山朱美, 秋山雅代, 加藤京里, …矢野理香 (2020). フローチャートを用いた排便パターンの分類精度の評価－模擬排便記録を用いた調査から－. 日本看護技術学会誌, 19, 1-13. doi: 10.18892/jsnas.19.0_1 Waller, P. A., Gopal, P. K., Leyer, G. J., Ouwehand, A. C., Reifer, C., Stewart, M. E., & Miller, L. E. (2011). Dose-response effect of Bifidobacterium lactis HN019 on whole gut transit time and functional gastrointestinal symptoms in adults. Scandinavian Journal of Gastroenterology, 46(9), 1057-1064. doi: 10.3109/00365521.2011.584895 Belsey, J., Greenfield, S., Candy, D., & Geraint, M. (2010). Systematic review: impact of constipation on quality of life in adults and children. Alimentary Pharmacology & Therapeutics, 31(9), 938-949. doi: 10.1111/j.1365-2036.2010.04273.x 高橋恵子, 亀井智子, 大森純子, 有森直子, 麻原きよみ, 菱沼典子, …朝澤恭子 (2018). 市民と保健医療従事者とのパートナーシップに基づく「People-Centered Care」の概念の再構築. 聖路加国際大学紀要, 4, 9-17. Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. doi: 10.1037//0033-295x.84.2.191 Beleli, C. A., Antonio, M. A., Santos, R. D., Pastore, G. M., & Lomazi, E. A. (2015). Effect of 4’galactooligosaccharide on constipation symptoms. The Journal of Pediatrics, 91(6), 567-573. doi: 10.1016/j.jped.2015.01.010 Jenq, R. R. (2015). How’s your microbiota? Let’s check your urine. Blood, 126(14), 1641-1642. doi: 10.1182/blood-2015-08-661504 Wald, A., Scarpignato, C., Kamm, M. A., Mueller-Lissner, S., Helfrich, I., Schuijt, C., …Petrini, O. (2007). The burden of constipation on quality of life: results of a multinational survey. Alimentary Pharmacology & Therapeutics, 26(2), 227-236. doi: 10.1111/j.1365-2036.2007.03376.x |
| References_xml | – reference: 加藤木真史, 細野恵子, 久賀久美子, 丸山朱美, 秋山雅代, 加藤京里, …矢野理香 (2020). フローチャートを用いた排便パターンの分類精度の評価－模擬排便記録を用いた調査から－. 日本看護技術学会誌, 19, 1-13. doi: 10.18892/jsnas.19.0_1 – reference: 三輪洋人, 林俊宏, 兵頭慎一郎 (2017). 日本人における慢性便秘症の症状および治療満足度に対する医師/患者間の認識の相違. Therapeutic Research, 38(11), 1101-1110. – reference: Belsey, J., Greenfield, S., Candy, D., & Geraint, M. (2010). Systematic review: impact of constipation on quality of life in adults and children. Alimentary Pharmacology & Therapeutics, 31(9), 938-949. doi: 10.1111/j.1365-2036.2010.04273.x – reference: 高橋恵子, 亀井智子, 大森純子, 有森直子, 麻原きよみ, 菱沼典子, …朝澤恭子 (2018). 市民と保健医療従事者とのパートナーシップに基づく「People-Centered Care」の概念の再構築. 聖路加国際大学紀要, 4, 9-17. – reference: Waller, P. A., Gopal, P. K., Leyer, G. J., Ouwehand, A. C., Reifer, C., Stewart, M. E., & Miller, L. E. (2011). Dose-response effect of Bifidobacterium lactis HN019 on whole gut transit time and functional gastrointestinal symptoms in adults. Scandinavian Journal of Gastroenterology, 46(9), 1057-1064. doi: 10.3109/00365521.2011.584895 – reference: 吉良いずみ (2013). 日本語版The Patient Assessment of Constipation Quality of Life Questionnaireの信頼性と妥当性の検討. 日本看護研究学会雑誌, 36(2), 119-127. doi: 10.15065/jjsnr.20130421012 – reference: Jenq, R. R. (2015). How’s your microbiota? Let’s check your urine. Blood, 126(14), 1641-1642. doi: 10.1182/blood-2015-08-661504 – reference: Pender, N. J. (1996). Health Promotion in Nursing Practice (3rd ed.) , USA: Appleton & Lange. – reference: Glia, A., & Lindberg, G. (1997). Quality of life in patients with different types of functional constipation. Scandinavian Journal of Gastroenterology, 32(11), 1083-1089. doi: 10.3109/00365529709002985 – reference: 坂野雄二, 東條光彦 (1986). 一般性セルフ・エフィカシー尺度作成の試み. 行動療法研究, 12(1), 73-82. doi: 10.24468/jjbt.12.1_73 – reference: 日本消化器病学会関連研究会 (2017). 慢性便秘症診療ガイドライン2017, 南江堂. – reference: Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. doi: 10.1037//0033-295x.84.2.191 – reference: Beleli, C. A., Antonio, M. A., Santos, R. D., Pastore, G. M., & Lomazi, E. A. (2015). Effect of 4’galactooligosaccharide on constipation symptoms. The Journal of Pediatrics, 91(6), 567-573. doi: 10.1016/j.jped.2015.01.010 – reference: 深井喜代子, 杉田明子, 田中美穂 (1995). 日本語版便秘評価尺度の検討. 看護研究, 28(3), 201-208. doi: 10.11477/mf.1681900299 – reference: 細野恵子, 加藤木真史, 吉良いずみ, 菱沼典子, 田中美智子, 井垣通人, …加藤京里 (2016). 排便パターン分類のためのフローチャートの開発－調査研究データの再分析から－. 日本看護技術学会誌, 15(1), 74-80. doi: 10.18892/jsnas.15.1_74 – reference: Wald, A., Scarpignato, C., Kamm, M. A., Mueller-Lissner, S., Helfrich, I., Schuijt, C., …Petrini, O. (2007). The burden of constipation on quality of life: results of a multinational survey. Alimentary Pharmacology & Therapeutics, 26(2), 227-236. doi: 10.1111/j.1365-2036.2007.03376.x – reference: 滝井寛, 西嶋智彦, 高見和代, 杉村春日, 田中祥之, 犬上潤, …馬渡隆志 (2012). Bifidobacterium animalis subsp. lactis GCL2505を含有する発酵乳の摂取による便秘傾向を有する健常成人の排便回数, 便性状, および糞便菌叢の改善. 薬理と治療, 40(8), 657-665. – reference: 田妻進 (2021). 生活習慣病と腸内細菌叢. 生物工学会誌, 99(11), 573-576. doi: 10.34565/seibutsukogaku.99.11_573 – reference: 中西守, 大木誠, 向井準, 内田景博, 原納優 (2017). 腸内環境を反映する尿中インドキシル硫酸の簡易測定法の開発. 日本未病システム学会雑誌, 23(3), 1-5. |
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| Title | Evaluation of the Usefulness of the Constipation Improvement Program Based on People-Centered Care and Health Promotion |
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