Language：English   Publishing type：Research paper (scientific journal)  

INTRODUCTION: Japanese men with type 2 diabetes mellitus (T2DM) usually encounter work-related difficulties when engaging in dietary modifications. Hence, healthcare providers must understand the psychological factors, such as the needs and goals, that motivate them to engage in dietary modifications. OBJECTIVE: We aimed to describe the psychological factors motivating male Japanese workers with T2DM to engage in dietary modifications. METHODS: Using a qualitative descriptive design, we conducted semi-structured interviews with 11 male Japanese workers with T2DM and identified categories based on semantic differences using qualitative content analysis. RESULTS: The following eight categories emerged: (I want to) demonstrate my skills at work, be able to engage in dietary modifications on my own, avoid unpleasant symptoms caused by eating, avoid burdensome treatment, maintain my healthy life, get positive results in medical examinations, maintain my relationships with others, and enjoy healthy food. CONCLUSION: The factors motivating the participants to engage in dietary modifications were realistic and sincere desires rooted in their ideal lives. Their desire to prioritize work emerged as an important factor. Healthcare providers should identify an individual's ideal daily life, including work aspects, and encourage individuals to set realistic and valuable goals.

DOI： 10.1177/23779608231194412

PubMed

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Ovid Technologies (Wolters Kluwer Health)  

Little is known about how health care providers should conduct advance care planning to identify the values of East Asian patients who have serious illnesses. This study aims to explore whether and how patients from an East Asian culture and with advanced cancer express their values and priorities when nurses utilize the lifeline interview method to enable patients to reflect on their life trajectories and if it can bridge advance care planning discussions. Data obtained from individual, semistructured interviews of 11 patients with advanced lung cancer were analyzed using qualitative content analysis. Seven main themes were identified: (1) treatment and essential elements to maintaining everyday life, (2) beliefs regarding and support for being "myself", (3) emotional ups and downs in response to physical condition, (4) competency to cope, (5) what I want to do "now" to achieve my goals, (6) goals that bring hope for life, and (7) wishes and preferences for end-of-life decision-making. Results suggest that the lifeline interview method is an excellent means for nurses and other health care professionals to elicit patients' values and priorities. Moreover, it bridges advance care planning discussions to reflect on what matters to patients in future palliative care.

DOI： 10.1097/njh.0000000000000866

PubMed

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Authorship：Lead author   Publishing type：Research paper (scientific journal)   Publisher：Medknow  

DOI： 10.4103/apjon.apjon-2137

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Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)  

BACKGROUND: End-of-life discussions (EOLDs) in patients with high-grade glioma (HGG) have not been well described. Therefore, this study examined the appropriateness of timing and the extent of patient involvement in EOLDs and their impact on HGG patients. METHODS: A cross-sectional survey was conducted among 105 bereaved families of HGG patients at a university hospital in Japan between July and August 2019. Fisher's exact test and the Wilcoxon rank-sum test were used to assess the association between patient participation in EOLDs and their outcomes. RESULTS: In total, 77 questionnaires were returned (response rate 73%), of which 20 respondents replied with refusal documents. Overall, 31/57 (54%) participated in EOLDs at least once in acute hospital settings, and a significant difference was observed between participating and nonparticipating groups in communicating the patient's wishes for EOL care to the family (48% vs 8%, P = .001). Moreover, >80% of respondents indicated that the initiation of EOLDs during the early diagnosis period with patients and families was appropriate. Most EOLDs were provided by neurosurgeons (96%), and other health care providers rarely participated. Additionally, patient goals and priorities were discussed in only 28% of the EOLDs. Patient participation in EOLDs was not associated with the quality of EOL care and a good death. CONCLUSIONS: Although participation in EOLDs is relatively challenging for HGG patients, this study showed that participation in EOLDs may enable patients to express their wishes regarding EOL care. It is important to initiate EOLDs early on through an interdisciplinary team approach while respecting patient goals and priorities.

DOI： 10.1093/nop/npab010

PubMed

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Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)  

File： Lived experience in patients with recurrent glioblastoma in Japan A narrative study.pdf

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Language：Japanese   Publisher：(株)日本看護協会出版会  

＜文献概要＞Advance Care Planning(以下:ACP)について日本の文化・社会的な背景を考察し、筆者らの研究結果から新型コロナウイルス感染症がACPに与えた影響について解説した上で、そこから見えるACPの課題を明らかにします。

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Other Link： https://search.jamas.or.jp/default/link?pub_year=2023&ichushi_jid=J00265&link_issn=&doc_id=20231109220026&doc_link_id=10.32181%2Fjna.0000001176&url=https%3A%2F%2Fdoi.org%2F10.32181%2Fjna.0000001176&type=%E5%8C%BB%E6%9B%B8.jp_%E3%82%AA%E3%83%BC%E3%83%AB%E3%82%A2%E3%82%AF%E3%82%BB%E3%82%B9&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00024_2.gif

Language：Japanese   Publisher：(株)照林社  

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Publisher：SAGE Publications  

DOI： 10.1177/02692163231172891

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Other Link： http://journals.sagepub.com/doi/full-xml/10.1177/02692163231172891

Language：Japanese   Publisher：(株)南江堂  

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Other Link： https://search.jamas.or.jp/default/link?pub_year=2023&ichushi_jid=J03022&link_issn=&doc_id=20230302270017&doc_link_id=10.15106%2Fj_kango28_255&url=https%3A%2F%2Fdoi.org%2F10.15106%2Fj_kango28_255&type=%E5%8C%BB%E6%9B%B8.jp_%E3%82%AA%E3%83%BC%E3%83%AB%E3%82%A2%E3%82%AF%E3%82%BB%E3%82%B9&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00024_2.gif

Language：Japanese   Publisher：日総研出版  

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J-GLOBAL

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J-GLOBAL

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Language：English   Publishing type：Research paper, summary (international conference)   Publisher：SAGE PUBLICATIONS INC  

Web of Science

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Language：Japanese   Publisher：(一社)日本糖尿病学会  

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J-GLOBAL

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Language：Japanese   Publisher：(株)照林社  

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Language：Japanese   Publisher：(株)学研メディカル秀潤社  

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Language：Japanese   Publisher：(株)照林社  

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Presentation type：Public lecture, seminar, tutorial, course, or other speech  

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Presentation type：Public lecture, seminar, tutorial, course, or other speech  

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Language：English   Presentation type：Oral presentation (general)  

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