Adult Nursing

Nursing practice development research for patients with chronic diseases

Faculty details

Kaori Yagasaki

Kaori Yagasaki

E-Mail:yagasaki[at]sfc.keio.ac.jp※Please replace [at] with @.

Takashi Horiguchi

Takashi Horiguchi

E-Mail:lancer[at]keio.jp※Please replace [at] with @.

Wakako Osaka

Wakako Osaka

E-Mail:osakawa[at]sfc.keio.ac.jp※Please replace [at] with @.

Research topics in division

Oldest Old Study
Orienting educational support for elderly patients with type 2 diabetes Narratives on hypoglycemia in elderly patients with diabetes

Research keywords
chronic diseases, diabetes, Quality of Life (QOL), self-care, self-efficacy, superaged, decision-making support, health literacy, peer support, etc.

Introduction to division

In the division of adult nursing, we study research methods and investigate theories and concepts in order to understand the health issues (chronic/long-term illnesses, etc.) of adults and families in a multifaceted way and to maintain and regulate optimal health.
We focus on nurturing human resources who can engage in research related to the development and implementation of new nursing practices based on evidence as well as carrying out research that leads to the study of research issues and evidence for nursing practices that are in line with rapidly changing clinical situations and the needs of the persons concerned.

With regard to our research, we are conducting studies on skin disorders and peripheral nerve disorders associated with cancer drug therapy in cancer patients (cancer survivors) who are in the treatment stage of chronic diseases and on medication adherence, and in recent years, we have been promoting research on elderly cancer patients.
 In our research on decision-making support, we are engaged in teaching the decision-making support of medical care professionals and developing educational programs that will teach how to systematically produce tools that can be used for decision-making support. In addition to cancer medical care, we are also currently working on the development of a decision-making support tool for patients with severe heart failure.
Furthermore, as a comprehensive university, we have a strong advantage of being able to collaborate with researchers in other faculties, and we are working with them to pioneer and vigorously promote longitudinal studies on walking and falling among local elderly residents, research on the superaged, centenarian studies, and research on the use of devices.

Main publications

  • 田邉 沙央里, 小松 浩子, 矢ヶ崎 香. 化学療法による認知機能障害の有病率とQOLへの影響に関するシステマティックレビュー.日本がん看護学会誌, 2023; 37: 121-131.
  • 本田 晶子, 矢ヶ崎 香. 経口がん薬物療法を受ける高齢がん患者の服薬自己管理に対する訪問看護師のケア 質的研究 日本がん看護学会誌,2023; 37: 104-111.
  • 大日方 裕紀, 矢ヶ崎 香, 浜本 康夫, 平田 賢郎, 須河 恭敬, 小松 浩子. 抗がん剤変更時における高齢消化器がん患者のフレイルとQOLの関連. 日本看護科学会誌、2022; 42: 254-262.
  • 森 文子, 黒澤 彩子, 山口 拓洋, 森 毅彦, 金森 平和, 大西 康, 恵美 宣彦, 藤澤 信, 河野 彰夫, 中世古 知昭, 齋藤 文護, 近藤 忠一, 梅本 由香里, 名和 由一郎, 加藤 俊一, 橋本 明子, 福田 隆浩, 矢ヶ崎 香. 急性白血病患者が治療後に経験する生活上の困難感とその対処に関する検討 健康関連QOLの側面に基づく質的分析. 日本造血・免疫細胞療法学会雑誌, 2022; 11(3): 177-186.
  • Komatsu H, Niimura H, Yagasaki K. Process of inner change in advanced age: a qualitative study of older adults in their early 90 s. BMC geriatric. 22(1):945.doi: 10.1186/s12877-022-03665-5.
  • Yamamoto S, Arao H, Yagasaki K, Komatsu H. Cancer survivorship care for post-treatment cancer suvivors in Japan: A secondary analysis of a multinational study across Asia-Pacific countries. Asia Pac J Oncol Nurs. 1;9(11):100121. doi: 10.1016/j.apjon.2022.100121.
  • Nakao M, Komatsu H, Hayashida T, Takahashi M, Seki T, Yagasaki K. The relationship between work-related outcomes and symptoms in early breast cancer survivors receiving adjuvant endocrine therapy. Asia Pac J Oncol Nurs. 2022. 21;9(3):174-178. doi: 10.1016/j.apjon.2022.01.003.
  • Yagasaki K, Komatsu H, Hamamoto Y. Rediscovering the Joy of Eating in Older Adults With Gastrointestinal Cancer Undergoing Treatment: A Qualitative Study. Cancer Care Research Online. 2(1):e017, 2022.
  • Mizuno M, Yagasaki K, Imai Y, Ueta I, Bando T, Takahashi A, Komatsu H, Asanuma C, Sarna L, Wells M, Brook J, Floegel-Shetty A, Bialous S. Impact of a web-based educational program on Japanese nurses tobacco cessation practice and attitudes in oncology settings. J Nurs Scholarsh. 2021. 8. doi: 10.1111/jnu.12733.
  • Komatsu H, Yagasaki K, Sato Y, Arao H, Yamamoto S, Hayashida T. Evaluation of the Japanese Version of the Cancer Survivors' Unmet Needs Scale. Asia Pac J Oncol Nurs, 2020;7(2):167-173. doi: 10.4103/apjon.apjon_49_19.
  • Komatsu H, Yagasaki K, Oguma Y, Saito Y, Komatsu Y. The role and attitude of senior leaders in promoting group-based community physical activity: a qualitative study. BMC Geriatr, 2020;20(1):380. doi: 10.1186/s12877-020-01795-2.
  • Komatsu H, Yagasaki K, Yamaguchi T, Mori A, Kawano H, Minamoto N, Honma O, Tamura K. Effects of a nurse-led medication self-management programme in women with oral treatments for metastatic breast cancer: A mixed-method randomised controlled trial. Eur J Oncol Nurs, 2020;47:101780. doi: 10.1016/j.ejon.2020.101780.
  • Komatsu H, Yagasaki K, Komatsu Y, Yamauchi H, Yamauchi T, Shimokawa T, Doorenbos A.Z. Falls and Functional Impairments in Breast Cancer Patients with Chemotherapy-Induced Peripheral Neuropathy. Asia Pac J Oncol Nurs. 2019;6(3):253-260. doi: 10.4103/apjon.apjon_7_19.
  • Yagasaki K, Takahashi H, Ouchi T, Yamagami J, Hamamoto Y, Amagai M, Komatsu H. Patient voice on management of facial dermatological adverse events with targeted therapies: a qualitative study. J Patient Rep Outcomes, 2019;3(1):27. doi: 10.1186/s41687-019-0116-3.
  • Komatsu H, Watanuki S, Koyama Y, Iino K, Kurihara M, Uesugi H, Yagasaki K, Daiko H. Nurse Counseling for Physical Activity in Patients Undergoing Esophagectomy. Gastroenterol Nurs, 2018;41(3):233-239. doi: 10.1097/SGA.0000000000000252.
  • Komatsu H, Yagasaki K, Yamauchi H. Fertility decision-making under certainty and uncertainty in cancer patients. Sex Reprod Healthc. 2018;15:40-45. doi: 10.1016/j.srhc.2017.12.002.
  • Komatsu H, Yagasaki K, Kida H, Eguchi Y, Niimura H. Preparing for a paradigm shift in aging populations: listen to the oldest old. Int J Qual Stud Health Well-being. 2018;13(1):1511768. doi: 10.1080/17482631.2018.1511768.
  • Komatsu H, Yagasaki K, Hamamoto Y, Takebayashi T. Falls and Physical Inactivity in Patients with Gastrointestinal Cancer and Hand-Foot Syndrome. Asia Pac J Oncol Nurs, 2018;5(3):307-313. doi: 10.4103/apjon.apjon_8_18.
  • Yagasaki K, Komatsu H, Soejima K, Naoki K, Kawada I, Yasuda H, Hamamoto Y. Targeted Therapy-induced Facial Skin Toxicities: Impact on Quality of Life in Cancer Patients. Asia Pac J Oncol Nurs, 2018;5(2):172-177. doi: 10.4103/apjon.apjon_74_17.
  • Komatsu H, Yagasaki K, Hirata K, Hamamoto Y. Unmet needs of cancer patients with chemotherapy-related hand-foot syndrome and targeted therapy-related hand-foot skin reaction: A qualitative study. Eur J Oncol Nurs. 2019;38:65-69. doi: 10.1016/j.ejon.2018.12.001.
  • Yagasaki K, Komatsu H, Mori A. Nurses' perception of decision-making about cancer treatment and fertility preservation by young breast cancer patients. Japanese Society of Fertility Nursing. 2017;14(1):21-29.
  • Komatsu H, Yagasaki K, Saito Y, Oguma Y. Regular group exercise contributes to balanced health in older adults in Japan: a qualitative study. BMC Geriatr. 2017;17(1):190. doi: 10.1186/s12877-017-0584-3.
  • Komatsu H, Yagasaki K, Yamauchi H, Yamauchi T. Patients' Perspectives on Creating a Personal Safety Net During Chemotherapy. Clin J Oncol Nurs, 2016 Feb;20(1):13-6. doi: 10.1188/16.CJON.13-16.
  • Yagasaki K. Experience of Medication Adherence in Patients with Recurrent or Metastatic Breast Cancer Receiving Oral Chemotherapy. Japanese Society of Cancer Nursing. 2016; 30(2):81-89.
  • Yuta Okazawa, Hayato Kizaki, Nobuyuki Suzuki, Wakako Osaka, Satoko Hori. Influence of participation in a medical-themed Science Café on patient activation. Patient Preference Adherence, 2023; 17: 3093-3106. doi: https://doi.org/10.2147/PPA.S424460
  • 大坂 和可子, 青木 裕見, 納富 理絵, 遠藤 亜貴子, 中野 美穂, 有森 直子. 産科医療に従事する多職種チームメンバーを対象としたシェアード・ディシジョンメイキング教育プログラムの開発プロセスと受容性の検討. 日本ヘルスコミュニケーション学会誌, 2023; 14(2): 27-38.
  • 大川 恵、大坂和可子.BRCA病的バリアントを有する女性の乳房および卵巣の健康管理方法選択のためのディシジョンエイドの作成と当事者による内容適切性評価.遺伝性腫瘍.2022; 22(1): 9-16. https://doi.org/10.18976/jsht.22.1_9
  • Nakayama K, Osaka W, Matsubara N. et al. Shared decision making, physicians' explanations, and treatment satisfaction: a cross-sectional survey of prostate cancer patients. BMC Med Inform Decis Mak, 2020; 20: 334. https://doi.org/10.1186/s12911-020-01355-z
  • 大坂 和可子, 青木 頼子, 江藤 亜矢子, 北 奈央子, 有森 直子, 中山 和弘. 意思決定の葛藤をアセスメントするスクリーニングツールSURE test日本語版の開発:―言語的妥当性を踏まえた翻訳版の作成―. 日本看護科学会誌, 2019; 39: 334-340.
  • Osaka W, Nakayama K. Effect of a decision aid with patient narratives in reducing decisional conflict in choice for surgery among early-stage breast cancer patients: A three-arm randomized controlled trial. PATIENT EDUCATION AND COUNSELING, 2017; 100(3):550-562.
  • Nakayama K, Osaka W, Togari T, Ishikawa H, Yonekura Y, Sekido A, Matsumoto M. Comprehensive health literacy in Japan is lower than in Europe: a validated Japanese-language assessment of health literacy. BMC Public Health, 2015;15:505. doi: 10.1186/s12889-015-1835-x.

Career after degree completion

Faculty members at nursing universities

Message

The division of adult nursing is a broad and deep one. We place great emphasis on conducting research that values your clinical questions. Through this process, let's acquire abilities, techniques, and attitudes that will form the basis of your research, and develop your strengths to promote research that will give back and contribute to this division.