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Talking with Children about Cancer: A Content Analysis of Text in Children’s Picture Books

Health 2020年第7期12卷 750-763页

作者： Noyuri Yamaji Megumi Sawaguchi erika ota Department of Global Health Nursing Graduate School of Nursing Science St. Luke’s International University Tokyo Japan Department of Child Health Nursing School of Nursing Tokyo Women’s Medical University Tokyo Japan

Introduction: To tell children that they are diagnosed with cancer is challenging for any healthcare professional and family. Pictures books are one of the communication tools for talking with children about severe diseases. However, little research is available about the contents of picture books about cancer for children. Therefore, this study aimed to examine the contents of children’s picture books about cancer and explore the advantages and disadvantages of using picture books to communicate with children about cancer. Methods: We searched the picture books about cancer written for children aged under ten years old on the *** Web site on 5 July 2019 and hand-searched on the cancer-related institutes’ Web site. We extracted the texts of relevant picture books and conducted a content analysis of them. Results: We identified 2555 picture books and included 30 of them. We identified three main contents, 1) cancer-related knowledge, 2) impacts of cancer, and 3) dealing with cancer. These contents were written with simple words and illustrations. Some of them included the essential contents, which might be misunderstood by children. Conclusions: Picture books might be helpful for children to understand about cancer. However, as these books do not include all contents, it is necessary to select and use multiple books depending on the content which is wanted to tell the child. Further research should evaluate the impacts of these books as a communication tool when talking with children diagnosed with cancer.

关键词： Cancer Oncology Pediatrics Communication Picture Books Contents Analysis

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People-Centered Care: Concept Analysis

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Health 2022年第11期14卷 1130-1142页

作者： Aya Nitamizu Noyuri Yamaji erika ota Department of Global Health Nursing Graduate School of Nursing Science St. Luke’s International University Tokyo Japan Tokyo Foundation for Policy Research Tokyo Japan

Purpose: This study aims to clarify the definition, attributes, antecedents, and consequences of the concept of people-centered care (PCC). Method: Rogers and Knafl’s evolutionary method was used to analyze the concept of People-centered care. The cords such as “Attributes,” “Antecedent,” and “Consequences” were extracted on the coding sheet. The extracted contents of each of the “Attributes,” “Antecedent,” and “Consequences” from the created coding sheets were summarized as codes, and similar codes were categorized. Result: We included 33 studies in the analysis. As a result of the analysis, we identified four attributes (the subject is people, approaches to improving and enhancing health issues, relationships as a basis for partnership building, and behavioral attitudes for building partnerships), four antecedents (changes in social conditions, increasing people’s ownership of their health, health issues in modern society, and care in a variety of settings), and three consequences (achieving goals set by the people themselves, self-transformations of both people and healthcare providers, and social transformations). Discussion: Based on the analysis results, PCC was defined as “an initiative in which people step forward and partner with health care providers to improve and enhance health issues in individuals and communities.” In various social and individual changes, the realization of PCC is expected to result in the achievement of goals set by the people themselves together with health care providers and the transformation of individuals and society.

关键词： People-Centered Care Community Members Health Care Providers Partnership Concept Analysis

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Factors Affecting Disease Risk Perception and Self-Management Behaviors among Japanese Long-Term Overseas Volunteers

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Health 2021年第1期13卷 16-30页

作者： Kiriko Sasayama Stuart Gilmour erika ota Department of Global Health Nursing Graduate School of Nursing Science St. Luke’s International University Tokyo Japan Graduate School of Public Health St. Luke’s International University Tokyo Japan

Introduction: Many overseas volunteers have worked in low and middle-income countries. However traveling abroad and staying in an unfamiliar environment with inadequate medical infrastructure exposes volunteers to a wide range of health risks. The aim of this study was to clarify the relationships among disease knowledge and symptoms, disease risk perception, and self-management skills. Methods: This was a questionnaire survey of 189 Japanese who were preparing to volunteer abroad. A factor analysis was conducted on 13 items (six general risk events and seven major diseases) of risk perception. Correlation analysis was performed between the identified risk perception factors and disease knowledge and symptoms. Risk perception scores by factors from the seven disease items were compared between the Self-management Score (SMS) group and disease knowledge and risk of symptoms group, using T-tests. St. Luke’s International University Ethics Committee (19-A092) approved this study. Results: Many participants expected to suffer from digestive diseases (69.3%) and dermatitis (55%) in the field. On the other hand, few expected high risk of malaria (26.5%) or dengue fever (36%). Factor analysis yielded robust factor loadings creating a “Dread” and an “Unknown” factor accounting for 62.2% of total variance. Strong correlation was not found between SMS and disease risk perception. A weak negative correlation was observed in dengue fever, digestive disorders, and dermatitis (r = −0.20 to −0.25, p Conclusions: Self-management skills and disease

关键词： Overseas Volunteers Risk Perception Self-Management-Skills Travel-Related Diseases

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Preventing Pregnant Women’s Exposure to Secondhand Smoke: Development and Suitability Assessment of an Educational Comic Booklet

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Health 2020年第9期12卷 1186-1201页

作者： Kimiko Inaoka Ishak Halim Octawijaya Windy Mariane Virenia Wariki erika ota Graduate School of Nursing Science Pediatric Nursing International University of Health and Welfare Narita Japan Global Health Nursing Graduate School of Nursing Science St. Luke’s International University Tokyo Japan Global Public Health Department Graduate School of Comprehensive Human Sciences University of Tsukuba Tsukuba Japan Faculty of Medicine Sam Ratulangi University Manado Indonesia

Aim: The aim of this mixed methods research was to develop an educational comic booklet to prevent pregnant women’s exposure to secondhand smoke. Methods: We assessed the suitability of the comic booklet by measuring participant response to content, literacy demand, graphics, layout and typography, learning stimulation, motivation, and cultural appropriateness. The participants were 17 Indonesians living in Japan who were recruited through Respondent-Driven-Sampling and met all criteria for the survey. Means and standard deviations were used to determine the suitability of the educational comic. Results: About 80% of participants rated the comic as “superior” on a rating scale with options of “superior”, “adequate”, “not suitable”, or “not applicable”. The most successful aspects of the comic were content and cultural appropriateness, as it provided clear contents and the graphics showed realistic Indonesian smoking behavior. The least successful aspect of the comic was the literacy demand because there were long sentences using difficult words. Conclusions: The results of this study may be used to conduct a randomized controlled trial using this comic booklet with some modifications.

关键词： Comic Booklet Health Education Indonesia Pregnant Women Secondhand Smoke

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The effects of an exercise program on health-related quality of life in postpartum mothers: A randomized controlled trial

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Health 2013年第3期5卷 432-439页

作者： Megumi Haruna Etsuko Watanabe Masayo Matsuzaki erika ota Mie Shiraishi Ryoko Murayama Mikako Yoshida SeonAe Yeo Department of Midwifery and Women’s Health Division of Health Sciences and Nursing Graduate School of Medicine The Uni-versity of Tokyo Tokyo Japan University of North Carolina at Chapel Hill School of Nursing North Carolina United State of America

Background and Objective: There is controversy on the psychological effects of postpartum exercise. The study aimed to evaluate the effectiveness of a postpartum exercise program on health-related quality of life and psychological well-being. Methods: We conducted a randomized controlled trial in Tokyo, Japan. The intervention groups participated in ball-exercise classes (weekly exercise of 90 minutes for four weeks) at three months postpartum. The exercise class included the following: 1) greeting and warm-up;2) aerobic exercise involving bouncing on an exercise ball 55 or 65 cm in diameter;3) rest and self-introduction;4) stretching and cooling down. The primary outcome measure was health-related Quality of Life (QOL) assessed using the MOS Short-Form 36-Item Health Survey (SF-36v2). The secondary outcome measures were Rosenberg Self-Esteem Scale (RSES) and Edinburgh Postnatal Depression Scale (EPDS) scores. The intervention group was compared to the control group at four months postpartum. Results: Of the 120 women screened, 110 women met the study criteria. Nine could not be included and the remaining 101 were allocated randomly into intervention and control groups (50 and 51 participants respectively). Analysis of covariance adjusting for baseline values indicated that the SF36 subscales of physical functioning (p = 0.018) and vitality (p = 0.016) significantly improved in the intervention group compared to the control group, although there were no significant differences between the groups in the SF36 Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. The RSES increased in the intervention group (p = 0.020) compared to the control group. No significant group differences were observed in EPDS scores. Conclusions: The postpartum exercise class program provided to healthy postpartum women appears to have contributed to promoting health-related QOL and self-esteem.

关键词： Exercise Health Related Quality of Life Postpartum Depression Randomized Controlled Trial Self-Esteem

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Factors Affecting Disease Risk Perception and Self-Management Behaviors among Japanese Long-Term Overseas Volunteers

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Health（健康） 2021年第1期

作者： Kiriko Sasayama Stuart Gilmour erika ota

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People-Centered Care: Concept Analysis

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Health（健康） 2022年第11期

作者： aya nitamizu noyuri yamaji erika ota

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Preventing Pregnant Women’s Exposure to Secondhand Smoke: Development and Suitability Assessment of an Educational Comic Booklet

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Health（健康） 2020年第9期

作者： Kimiko Inaoka Ishak Halim Octawijaya Windy Mariane Virenia Wariki erika ota

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