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Concept Development and Implementation of Family Care/Caring Theory in Concentric Sphere Family Environment Theory

Open Journal of Nursing 2015年第9期5卷 749-757页

作者： Naohiro Hohashi junko honda Division of Family Health Care Nursing Department of Nursing Graduate School of Health Sciences Kobe University Kobe Japan

Caring is directed toward a variety of things. One of them is thought to be the concept of “family caring” aimed at families. This study attempts to clarify family caring and develop Family Care/ Caring Theory (FCCT), with the aim of implementing it in conjunction with an existing family nursing theory, the Concentric Sphere Family Environment Theory (CSFET). In Japan and in Hong Kong, family ethnography (including formal interviews) was conducted. As a result, the item “family health care nurses and their colleagues” was added to the family external environment of the CSFET. In the family environment, evidence was obtained to the effect that the family system unit is cared for by the nursing professional, and conversely the family system unit cares for the nursing professional, in a circular transaction. Observing the two-dimensional plane formed by the structural distance and functional distance, family caring assumes a structure of concentric circles, and according to transactions, the structural distance and functional distance between the nursing professional and family system unit are gradually approached, and through deepening of mutual trust maintain an appropriate distance. Moreover observing the three-dimensional space-time continuum which is created through addition of the temporal distance, family caring forms a helical structure. As transactions are repeated along the temporal axis, the family system unit’s self-actualization of other individuals and the self-actualization of the nursing professional are realized. Through these processes, a family care/caring relationship is reinforced and established. This is the concept of FCCT. Through future utilization in clinical settings this will be empirically substantiated, and it will be necessary to continue making creative corrections and revisions.

关键词： Family Caring Family Care/Caring Theory (FCCT) Concentric Sphere Family Environment Theory (CSFET) Family Health Care Nurses and Their Colleagues

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Development of an Assessment Tool for Domestic Elder Abuse: Creation of Items from a Literature Review

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Advances in Aging Research 2015年第6期4卷 195-204页

作者： Qinqiuzi Yi junko honda Naohiro Hohashi Division of Family Health Care Nursing Department of Nursing Graduate School of Health Sciences Kobe University Hyogo Japan

Background: With the “super-aging” of society, the prevalence of elder abuse can be expected to come under greater scrutiny. It will be important, therefore, to evaluate the presence and severity of elder abuse so as to prevent abuse and provide greater support for families. Aim: The aim of this study is to identify acts of elder abuse from a literature review in order to develop items for an assessment tool for domestic elder abuse. Methods: For the literature search, ICHUSHI Web, China National Knowledge Infrastructure (CNKI), and PubMed were utilized with the keywords “elder abuse” and “elderly abuse”. A search limited to original articles over the last five years containing descriptions of elder abuse was used in this study. In addition, through hand search, books and websites concerning elder abuse were also studied. Descriptions of the acts of elder abuse from the materials were extracted and categorized by content analysis based on seven subtypes of elder abuse (physical abuse, neglect, psychological abuse, sexual abuse, economical abuse, self-neglect, and social abuse). Results & Conclusions: The final analysis included 18 original articles, two books, and eight websites on elder abuse prevention. A total of 38 acts were extracted as items for the assessment tool, which can be used to evaluate the presence and severity of elder abuse. Further research will be needed to examine the validity and reliability of the assessment tool.

关键词： Domestic Elder Abuse Assessment Tool Literature Review

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Reliability and Validity of the Chinese Version of the Survey of Family Environment (SFE)

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Open Journal of Nursing 2016年第9期6卷 820-832页

作者： junko honda Naohiro Hohashi Sharron Kam Leung Division of Family Health Care Nursing Graduate School of Health Sciences Kobe University Kobe Japan School of Nursing Hong Kong Baptist Hospital Kowloon Hong Kong China

This study, in which 519 child-rearing families in Hong Kong participated, examined the reliability and validity of Chinese-language version of the Survey of Family Environment (SFE-C). The SFE-C is a self-administered questionnaire containing 30 items that examines family functioning and family support needs. It is designed to yield an instrument satisfaction score (SS score: family functioning score). Internal consistency was estimated at 0.92 (Cronbach’s alpha for SS scores). In a test-retest study of 33 families, the correlation coefficient for families’ mean SS score over a two-week period was 0.93, indicating high test-retest reliability. Confirmatory and exploratory factor analysis using the Concentric Sphere Family Environment Theory indicated that the SFE-C’s structure included seven factors, thereby supporting the SFE-C’s construct validity. The SFE-C demonstrates good reliability and validity and may be used to evaluate Chinese families’ functioning.

关键词： Survey of Family Environment (SFE) Chinese Instrument Development Family Functioning Concentric Sphere Family Environment Theory (CSFET)

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Factors Affecting the Perception of Family Functioning among Couples in Child-Rearing Japanese Families

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Open Journal of Nursing 2015年第5期5卷 407-415页

作者： junko honda Yuuri Nakai Shota Kakazu Naohiro Hohashi Division of Family Health Care Nursing Department of Nursing Graduate School of Health Sciences Kobe University Hyogo Japan Department of Nursing Faculty of Health Sciences School of Medicine Kobe University Hyogo Japan

In family healthcare nursing, the family system unit (i.e., a group in which the members, seen as a whole, mutually interact) is the target of care. As nurses tend to obtain family-related information from particular family members in the clinical setting, when assessing families, they often confront the issue of the differences between the theoretical level and methodological level. Although this issue needs resolving for evidence-based family nursing practice, sufficient research is lacking on the methodology related to family assessment. The present study aimed to clarify the factors that affected evaluation of family functioning among couples. Semi-structured interviews were conducted with 10 child-rearing families (couples) using the Survey of Family Environment (SFE) as a family functioning scale. Content analysis identified 12 factors that affected discrepancies in the couples’ evaluations and eight factors that affected agreement in those evaluations. These factors were classified into three categories: factors concerning family or family members;factors concerning questions related to the SFE;and factors concerning the view of the family as a whole. The results of this study should contribute to the development of family assessment tools and effective methods for evaluation of family care.

关键词： Family Functioning Discrepancy Survey of Family Environment (SFE) Japan Concentric Sphere Family Environment Theory (CSFET)

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Early Results of Omitting Completion Axillary Lymph Node Dissection in Sentinel Lymph Node Metastasis-Positive Breast Cancer Patients

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Advances in Breast Cancer Research 2013年第4期2卷 126-132页

作者： junko honda Hisashi Matsuoka Chieko Hirose Taeko Nagao Takahiro Yoshida Masako Takahashi Issei Imoto Mitsunori Sasa Department of Human Genetics Institute of Health Biosciences The University of Tokushima Graduate School Tokushima Japan Department of Oncological and Regenerative Surgery Institute of Health Biosciences The University of Tokushima Graduate Scholl Tokushima Japan Department of Surgery National Hospital Organization Higashitokushima Medical Center Tokushima Japan Department of Surgery Tokushima Breast Care Clinic Tokushima Japan

Background: We investigated the early results of omitting completion axillary lymph node dissection (ALND) for axillary node metastasis-negative (N0), sentinel node (SN) metastasis-positive breast cancer patients. Patients and Methods: 489 patients had invasive N0 breast cancer treated without completion ALND, regardless of their SN metastasis status. Analyses included the associations between the SN metastasis status, clinicopathological findings and recurrence, between recurrence and clinicopathological findings, and recurrence-free survival. Results: 430 patients were SN biopsy (SNB)-negative, and 59 were SNB-positive. The SNB-positive patients received significantly more potent adjuvant therapy than the SNB-negative patients. Median follow-up was 3.7 years, and the axillary node recurrence was seen in 6 patients (1.2%) and recurrence in 21 patients. The SN status showed no associations with the clinicopathological findings or recurrence. Univariate analysis showed recurrence was associated with absence of hormonal therapy, ER-negative, PgR-negative, HER2-positive or triple-negative (TNBC) disease, a tumor ≥2.1 cm and higher nuclear grade. Multivariate analysis showed recurrence was associated with absence of hormonal therapy and a tumor ≥2.1 cm. Cox proportional hazards model showed recurrence was extremely early in ER-negative and TNBC patients. Conclusion: Completion ALND can be skipped in N0 breast cancer patients even if they are SNB-positive, but adjuvant therapy is essential.

关键词： Axillary Lymph Node Dissection Breast Cancer Sentinel Node Biopsy

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Risk factors for deterioration of long-term liver function after radiofrequency ablation therapy

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World Journal of Hepatology 2016年第13期8卷 597-604页

作者： Koichi honda Masataka Seike Junya Oribe Mizuki Endo Mie Arakawa Hiroki Syo Masao Iwao Masanori Tokoro junko Nishimura Tetsu Mori Tsutomu Yamashita Satoshi Fukuchi Toyokichi Muro Kazunari Murakami Department of Gastroenterology Faculty of Medicine Oita University Department of Gastroenterology and Hepatology National Hospital Organization Oita Medical Center

AIM:To identify factors that influence long-term liver function following radiofrequency ablation(RFA)in patients with viral hepatitis-related hepatocellular ***:A total of 123 patients with hepatitis B virus-or hepatitis C virus-related hepatocellular carcinoma(HCC)(n=12 and n=111,respectively)were *** rates of worsening Child-Pugh(CP)scores(defined as a 2-point increase)were ***:CP score worsening was confirmed in 22patients over a mean follow-up period of 43.8±*** analysis identified CP class,platelet count,and aspartate aminotransferase levels as significant predictors of a worsening CP score(P=0.000,P=0.011 and P=0.024,respectively).In contrast,repeated RFA was not identified as a risk factor for liver function ***:Long-term liver function following RFA was dependent on liver functional reserve,the degreeof fibrosis present,and the activity of the hepatitis condition for this ***,in order to maintain liver function for an extended period following RFA,suppression of viral hepatitis activity is important even after the treatment of HCC.

关键词： Radiofrequency ablation Hepatocellular carcinoma Liver function Hepatitis B Hepatitis C

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