1.Development and evaluation of a training program for support group facilitators for cancer patients
Minako Morita ; Mituko Yoshida ; Takashi Asakura ; Hidemori Okuhara ; Satomi Fukui ; Kimihisa Endo
Palliative Care Research 2006;1(1):114-120
Purpose: The purpose of this study was to develop and evaluate a training program for facilitators operating a support group (SG) for cancer patients. Methods: The training program was structured and implemented as a two-day program for members of the nursing profession with experience in providing care for cancer patients. An original questionnaire, developed to ascertain knowledge regarding SG operation, and for evaluating anxiety and self-efficacy was designed for use before and after going through the program to allow for comparative evaluation. The subjects of this analysis were 58 nurses taking part in the program. Results: As a result, the knowledge of how to operate SG increased significantly (p<0.05) following participation. Of the 12 items addressing anxiety and self-efficacy regarding SG operation, lessening of anxiety was noted in 3 items, and self-efficacy was seen to improve significantly in 7 items. Motivation and resolve concerning SG operation following participation in the program also increased significantly. Conclusion: This was a useful training program for facilitators operating support groups for beginners.
2.Action research of the comprehensive support program for the cancer patient
Mitsuko Yoshida ; Minako Morita ; Satomi Fukui ; Yoshie Higuchi ; Azusa Yorimori ; Hidemori Okuhara ; Kimihisa Endo ; Emi Oiyama ; Haruko Suzuki
Palliative Care Research 2010;6(1):201-208
This study examined the content validity and issues in the program management of a comprehensive support program for cancer patients. The program included a seminar for patients, a newsletter, a support cafe, support group, a yoga and stretching class, and a hand and foot care class. Program evaluation was conducted three times (before program, During program: 6 months later, After program) using an original questionnaire, MAC, and FACIT-SP. Forty subjects were included in the study. Subjects responded that they were satisfied with the knowledge and information obtained through the program, as well as the personal connections established with medical personnel. The physical intervention portion of the program was positively evaluated, and the emotional and spiritual QOL of patients improved significantly after the program. These results suggest that the program effectively supports the active lives of cancer patients. Palliat Care Res 2011; 6(1): 201-208
3.Meaning of Long-term Cancer Survivors Who Established and Have Managed a Self-help Group: Experiences over Ten Years after Diagnosis
Satomi FUKUI ; Mitsuko YOSHIDA ; Minako MORITA ; Hidemori OKUHARA ; Kimihisa ENDO
Palliative Care Research 2019;14(2):79-88
Objective: In Japan, consultations by self-help groups (SHGs) and peers play an important role in supporting cancer survivors. This study aimed to clarify motives of cancer survivors who established and have managed an SHG for over 10 years. Methods: (1) Study participants: We recruited participants from cancer patient associations and support center of cancer core hospitals all over Japan. Among 18 applicants, 12 applicants who had experience with establishing an SHG were chosen as subjects. (2) Study procedure: We conducted semi-structured interviews between December 2015 and August 2016 to ask about motives for establishment and intentions to continue. (3) Analysis: We analyzed the data both qualitatively and inductively with a focus on the significance of continuing the activity of SHG. Results: Reasons for long-term continuation of SHG were: ‘a mission as a long-term survivor/witness’, ‘firm belief in the importance of sharing an experience with a cancer’, ‘significance of participant’s increasing autonomy and involving repaying is becoming a life work’, ‘continuation of the connection with medical staff’, ‘features of consultations by professionals and those by peer supports’, ‘equal relationship with medical staff’, ‘continuation by developing successors’, and ‘suggestions for medical care’. Conclusion: The study showed that a sense of fulfilment, a mission as a lifework, fear of recurrence even after 10 years, and desire to connect with medical staff supported the activity of SHG. For future research it is necessary to accumulate data targeting a longer term survivor more widely.
4.A Systemic Lupus Erythematosus Patient with Cutaneous Mycobacterium haemophilum Infection under Belimumab Treatment: A Case Report
Jonghun KIM ; Toshio HASEGAWA ; Kurisu TADA ; Yuki UEHARA ; Yukiko FUKUI ; Ayako NAKAMURA ; Satomi TAKEI ; Satoshi MITARAI ; Akio AONO ; Shigaku IKEDA
Annals of Dermatology 2023;35(Suppl1):S63-S66
A 38-year-old female with systemic lupus erythematosus (SLE) initiated belimumab treatment. One month later, she presented with a reddish painful swelling on her right lower leg.She was treated with ceftriaxone and vancomycin. However, novel erythematous papules and indurated nodules appeared on both her lower legs. Skin biopsy revealed microabscess formation with mixed cell granuloma surrounded by inflammatory cell infiltration within the dermis with subcutaneous fat tissue. A large number of acid-fast bacilli were observed with Ziehl–Neelsen staining. DNA sequencing of both the hsp65 and the 16S rRNA sequences showed a 100% match with the corresponding region of Mycobacterium haemophilum. Mycobacterial culture revealed satellite growth enhancement on Middlebrook 7H11 agar plates around a paper strip containing hemin. She was treated with levofloxacin, rifabutin, and ethambutol. Within 13 months, her cutaneous lesions improved markedly without any side effects. The B cell-targeted biologic belimumab, a fully humanized IgG1γ monoclonal antibody that inactivates B lymphocyte stimulator, has been considered to be beneficial for active SLE. However, this therapy could increase the risk for the development of biologic therapy-associated mycobacterial infections, both tuberculosis and nontuberculous mycobacteria infections.
5.Social and family factors as determinants of exercise habits in Japanese elementary school children: a cross-sectional study from the Super Shokuiku School Project.
Satomi SAWA ; Michikazu SEKINE ; Masaaki YAMADA ; Yugo FUKAZAWA ; Yusuke HIRAKU
Environmental Health and Preventive Medicine 2020;25(1):54-54
BACKGROUND:
Many studies have already reported on the relationship between exercise habits and health among schoolchildren. However, few have examined social and/or family factors as determinants of exercise habits.
METHODS:
This study's participants included 1721 schoolchildren aged between 6 and 13 who were involved in the Super Shokuiku School Project in January 2016. A survey was conducted to assess gender, grade level, physical activity, lifestyle, overall health, enrichment of school life, social background, and parental lifestyles. Both dislike and lack of physical activity were used to measure poor exercise habits; correlates were analyzed using logistic regression.
RESULTS:
"Lack of close friends" had the strongest links with both dislike (adjusted odds ratio [OR] 5.30; 95% confidence interval [CI], 2.78-10.1) and lack of (adjusted OR 5.40; 95% CI, 2.81-10.4) physical activity. Further, children who engaged in long periods of screen time and lacked parental communication also tended to dislike and lack physical activity. Children with mothers who were unemployed (housewives) and had unhealthy lifestyles, as well as those with poor health, were also more likely to lack physical activity.
CONCLUSION
Social and family factors (e.g., having close friends) may be determinants of exercise habits among schoolchildren, independent of their own lifestyle factors. Although a longitudinal study is needed to determine causality, substantial attention may thus be required to these factors when promoting physical activity in children.
Adolescent
;
Age Factors
;
Child
;
Cross-Sectional Studies
;
Exercise
;
psychology
;
Family Characteristics
;
Female
;
Habits
;
Humans
;
Japan
;
Life Style
;
Male
;
Sex Factors
;
Socioeconomic Factors