Object: To clarify the emotional and instrumental support influencing male caregivers for people with dementia living at home.

Patients/Materials and Methods: The subjects were 298 male caregivers. Nursing care burden was assessed using the Zarit Caregiver Burden Scale. Ability to cope with care problems was assessed using the Nursing Care Problems Coping Scale for Male Caregivers for People with Dementia Living at Home (NCSM). Emotional support was assessed using the Emotional Support Network Scale. Instrumental support was assessed using the question “Do you have someone to help when you have a problem with nursing care?”.

Results: There was a significant correlation (P < 0.04) between the point (index) of NCSM and Zarit Caregiver Burden Scale. A positive significant correlation was found in three coping styles. A negative significant correlation was found in one coping style, and no significant correlation in one coping style. The ‘Solve the problem’ coping style was linked to support from both within and beyond the family. Both ‘Emotional avoidance’ and ‘Cognitive transformation’ coping styles were linked to support from within the family, and “Request assistance” style only to external support. There were no correlations between the source of support and the “Careful supervision and waiting” coping style.

Conclusion: Emotional and instrumental support for male caregivers was more than three times more likely to be obtained from within the family than outside it. With families becoming smaller, it is becoming more important for communities and society in general to provide emotional and instrumental support for male caregivers. Male caregivers need support from someone with whom they feel comfortable. It is particularly necessary to consider how to support male caregivers who use the “Emotional avoidance” coping style.

　　This study sought to elucidate self-care, self-monitoring, and related factors among outpatients who underwent coronary artery bypass graft (CABG) surgery within the previous 12 months, and to discuss important fundamental issues regarding educational support provided by nurses to inpatients. A questionnaire survey was mailed to participants who responded anonymously. Each item was analyzed by simple tabulation and relations between the items were analyzed by cross tabulation. Of 52 surveys sent, 36 responses were obtained. Execution rates of self-monitoring were 75.0% for body weight measurement, 55.6% for blood pressure measurement, 47.2% for taking own pulse, 19.4% for recording number of daily steps, and 2.8% for recording contents of each meal. The three main reasons that participants did not self-monitor these five elements were “do not have a measurement instrument”, “feel it is unnecessary to self-monitor”, and “difficult or bothersome to record the results”. The top three responses for the self-care execution rates were “I go up and down stairs at my own pace”, “I try to eat vegetables with every meal” and “I take my time when doing something”. These findings suggest that it is important for nurses who care for inpatients who have undergone CABG to help patients clearly establish the frequency and timing of measuring their body weight and taking their blood pressure and pulse after discharge. Also, nurses should help such inpatients realize the importance of self-care after discharge in terms of exercise and diet, including regular measuring or recording of these parameters.

Surrogate decision-making support in the critical care field is a highly challenging form of support owing to its urgency and the fact that families are in crisis situations. Given this context, the diversification of families as a feature of modern society is thought to bring further difficulties to nurses who are involved in surrogate decision-making support. Therefore, this study sought to clarify the content of such support for diverse families that skilled nurses provided in the critical care field. We conducted semi-structured interviews with nine skilled nurses and a qualitative and inductive analysis of the obtained data. We extracted the following five categories of surrogate decision-making support. Even when there was no spare time in the critical care field, skilled nurses operated on the premise that family relationships and values are diverse while (1) “creating a foundation for surrogate decision-making that satisfied families” and (2) “making decisions based on a broad view of family relationships without being bound by preconceptions”, and they realized individualized support by (3) “adjusting the role of surrogate decision-makers based on family characteristics”. In cases where responses were difficult, it became clear that support was provided while (4) “responding to families in accordance with social norms” and demonstrating the ability to (5) “involve medical teams and finds solutions in difficult cases”.[[Please check that this conveys your intended meaning]]

This study investigated subjective health and its associated factors among community residents who participated in a meeting on nursing care and health held at a local commercial facility. An anonymous self-administered questionnaire was distributed to a total of 441 participants. Of these, 403 responded to the questionnaire. Respondents comprised 326 healthy individuals (80.9%) and 77 unhealthy individuals (19.1%). Mean age was 66.3 ± 11.6 years. Factors significantly associated with subjective health were age, non-smoking, regular exercise, need for daily living assistance, emotional support, and psychological status. Analysis according to age (elderly group vs. non-elderly) showed that the subjective health of the non-elderly group was not significantly associated with any of the factors, while that of the elderly group was significantly associated with non-smoking, need for daily living assistance, emotional support, and psychological status. Continuation of independent daily living through efforts to maintain or improve physical function is needed to promote subjective health, especially for the elderly. It is also important to establish a support system to facilitate communication with the family and community in order to maintain good psychological health even when these individuals become physically dependent.