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  1. Article ; Online: Exploring Psychiatric Home-Visit Nursing Practices for Patients with Schizophrenia and Hikikomori with a Thematic Analysis.

    Miou, Maki / Fujimoto, Hirokazu / Yotsumoto, Kayano / Hirota, Misato / Nishigaki, Satoshi / Hashimoto, Takeshi

    International journal of environmental research and public health

    2024  Volume 21, Issue 2

    Abstract: The phenomenon of some patients with schizophrenia withdrawing and becoming hikikomori needs to be resolved. In some countries, outreach methods are being employed. In Japan, psychiatric home-visit nursing for patients with schizophrenia and hikikomori ... ...

    Abstract The phenomenon of some patients with schizophrenia withdrawing and becoming hikikomori needs to be resolved. In some countries, outreach methods are being employed. In Japan, psychiatric home-visit nursing for patients with schizophrenia and hikikomori is being implemented. However, it is not based on sufficient evidence and relies on the experience and intuition of individual nurses. This study explored the underlying themes in the nursing practices of psychiatric home-visit nurses via semi-structured interviews with 10 nurses and a thematic analysis. Nine key themes emerged. Four themes-(i) understanding the patient's world, (ii) supporting the patients as they are, (iii) providing a sense of relief, and (iv) having equal relationships-highlighted the nurses' commitment to respecting patients' individuality while building and sustaining relationships. Two themes-(v) exploring the right timing and (vi) waiting for the appropriate timing-illustrated the nurses' anticipation of proactive patient engagement. Finally, three themes-(vii) working together on things, (viii) continuing care for expanding the patient's world, and (ix) nursing care for the patient's future-underscored the nurses' gradual and methodical approach to working alongside patients. Nursing practices based on these nine themes cultivated meaningful relationships and secured a sense of relief for the patients. Additionally, they awaited patients' proactive engagement and delivered timely support to facilitate positive daily life changes. These findings contribute to the establishment of evidence-based nursing practices for patients with schizophrenia and hikikomori.
    MeSH term(s) Humans ; Schizophrenia ; Psychiatric Nursing ; Patients ; Japan ; Phobia, Social ; Shame
    Language English
    Publishing date 2024-02-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph21020181
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Individual Nurse-Led Active Listening Intervention for Spouses of Individuals With Depression: A Pre-/Posttest Pilot Study.

    Hirota, Misato / Chiba, Rie / Aoyama, Shinsuke / Hirano, Yoshihiko / Ichikawa, Kengo / Greiner, Chieko / Fujimoto, Hirokazu / Yotsumoto, Kayano / Hashimoto, Takeshi

    Journal of psychosocial nursing and mental health services

    2023  Volume 61, Issue 12, Page(s) 19–25

    Abstract: The current pre-/posttest pilot study investigated the impact of an individual nurse-led active listening intervention for spouses of individuals with depression (herein referred to as patients) on spouses' psychological states and patients' depressive ... ...

    Abstract The current pre-/posttest pilot study investigated the impact of an individual nurse-led active listening intervention for spouses of individuals with depression (herein referred to as patients) on spouses' psychological states and patients' depressive symptoms. Sixteen couples participated in the study. Individual sessions were conducted over 10 weeks to help spouses express their thoughts and feelings. Psychological measurement scale scores did not change markedly postintervention for spouses; however, their subjective evaluations of the intervention were positive. In the qualitative analysis, spouses stated that they were able to express their thoughts and feelings and that the sessions were meaningful. Moreover, postintervention depressive scores of patients improved significantly. Findings suggest that the nurse-led intervention of active listening for spouses may provide a better environment for improving the depressive symptoms of patients. [
    MeSH term(s) Humans ; Spouses/psychology ; Pilot Projects ; Adaptation, Psychological ; Depression/therapy ; Depression/psychology ; Nurse's Role
    Language English
    Publishing date 2023-06-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 225817-1
    ISSN 1938-2413 ; 0279-3695
    ISSN (online) 1938-2413
    ISSN 0279-3695
    DOI 10.3928/02793695-20230524-01
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Association between sleep, care burden, and related factors among family caregivers at home.

    Ryuno, Hirochika / Greiner, Chieko / Yamaguchi, Yuko / Fujimoto, Hirokazu / Hirota, Misato / Uemura, Hisayo / Iguchi, Hitoshi / Kabayama, Mai / Kamide, Kei

    Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society

    2020  Volume 20, Issue 4, Page(s) 385–390

    Abstract: Aim: Several studies have reported a negative correlation between depressive symptoms and family caregivers' (FCs) subjective sleep status. However, there is a paucity of information on the association between objective/subjective sleep status, care ... ...

    Abstract Aim: Several studies have reported a negative correlation between depressive symptoms and family caregivers' (FCs) subjective sleep status. However, there is a paucity of information on the association between objective/subjective sleep status, care burden, and related factors.
    Methods: Participants were 23 pairs of care receivers (CRs; M
    Results: The mean total sleep time over 2 weeks was 349.5 ± 69.6 min. The mean ZBI score over 2 weeks was 8.8 ± 6.8, which was significantly correlated with total sleep time (r = -0.42; P < 0.05), total time in bed (r = -0.44; P < 0.05), PSQI (r = 0.62; P < 0.01), frequency of going outdoors by CRs (r = -0.42; P < 0.05), and WHO-5 well-being among CRs (r = -0.50; P < 0.05). Multiple regression analyses revealed that total sleep time (β = -0.51; P < 0.05) was significantly associated with care burden (adjusted R
    Conclusions: Reduced objective total sleep time is significantly associated with the severity of care burden among FCs. Home-based care is critical in Japan; therefore, it is meaningful to determine how to reduce care burden.
    MeSH term(s) Aged ; Aged, 80 and over ; Caregivers/psychology ; Cost of Illness ; Female ; Home Care Services ; Humans ; Japan ; Male ; Retrospective Studies ; Sleep
    Language English
    Publishing date 2020-01-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2213105-X
    ISSN 1479-8301 ; 1346-3500
    ISSN (online) 1479-8301
    ISSN 1346-3500
    DOI 10.1111/psyg.12513
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Experiences of Violence and Preventive Measures Among Nurses in Psychiatric and Non-Psychiatric Home Visit Nursing Services in Japan.

    Fujimoto, Hirokazu / Greiner, Chieko / Hirota, Misato / Yamaguchi, Yuko / Ryuno, Hirochika / Hashimoto, Takeshi

    Journal of psychosocial nursing and mental health services

    2018  Volume 57, Issue 4, Page(s) 40–48

    Abstract: Home visit nurses (HVNs) are crucial in psychiatric home visit nursing (PHVN) in Japan. However, little is known about violence toward HVNs in PHVN and non-PHVN settings. The current study aimed to clarify nurses' experiences of violence in these ... ...

    Abstract Home visit nurses (HVNs) are crucial in psychiatric home visit nursing (PHVN) in Japan. However, little is known about violence toward HVNs in PHVN and non-PHVN settings. The current study aimed to clarify nurses' experiences of violence in these settings, their implementation of preventive measures, and related associations. Questionnaires were distributed to HVNs who provided PHVN and non-PHVN services. Sixty-nine (38%) of 184 participants had experienced at least one form of violence during the past 12 months, and 87 (47%) had experienced violence during their PHVN career. In non-PHVN settings, violence was experienced by 94 (51%) participants in the past 12 months and 119 (65%) participants during their career. Low use of preventive measures was found. The management of visiting schedules and confirmation of HVNs' locations during visits were negatively associated with exposure to violence in PHVN settings. It is important to promote measures to prevent high exposure to violence, emphasize the monitoring of visits, and have nursing agencies clarify HVNs' concerns in PHVN settings. [Journal of Psychosocial Nursing and Mental Health Services, 57(4), 40-48.].
    MeSH term(s) Attitude of Health Personnel ; Female ; House Calls ; Humans ; Japan ; Male ; Middle Aged ; Nurses, Community Health/psychology ; Psychiatric Nursing/methods ; Surveys and Questionnaires ; Violence/prevention & control ; Violence/psychology ; Workplace/psychology
    Language English
    Publishing date 2018-11-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 225817-1
    ISSN 1938-2413 ; 0279-3695
    ISSN (online) 1938-2413
    ISSN 0279-3695
    DOI 10.3928/02793695-20181023-04
    Database MEDical Literature Analysis and Retrieval System OnLINE

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