Yagasaki, Kaori

写真a

Affiliation

Faculty of Nursing and Medical Care (Shonan Fujisawa)

Position

Professor

Career 【 Display / hide

  • 1992.04
    -
    2007.03

    Mitsui Memorial Hospital

  • 2007.04
    -
    2010.03

    St' Lukes College of Nursing, 助教

  • 2010.04
    -
    2014.05

    慶應義塾大学看護医療学部, 終末期看護学, 助教

  • 2014.06
    -
    Present

    慶應義塾大学看護医療学部, 慢性期・終末期看護学, 准教授

  • 2017.04
    -
    Present

    慶應義塾大学大学院健康マネジメント研究科, 看護学専修, 准教授

Academic Background 【 Display / hide

  • 2004.03

    St. Luke's College of Nursing, Graduate School, Division of Nursing

    Graduate School, Completed, Master's course

  • 2012.04
    -
    2014.03

    The Japanese Red Cross College of Nursing, 看護学研究科博士後期課程

    Graduate School, Completed, Doctoral course

Academic Degrees 【 Display / hide

  • Master of nursing, St. Luke's College of Nursing, Dissertation, 2004.03

  • 看護学博士, 日本赤十字看護大学大学院看護学研究科, Coursework, 2014.03

Licenses and Qualifications 【 Display / hide

  • がん看護専門看護師認定資格 (2016年12月まで)

  • 看護師

 

Research Areas 【 Display / hide

  • Clinical nursing (Clinical Nursing Science)

Research Keywords 【 Display / hide

  • がん看護学

  • 成人看護学(慢性期看護)

  • 緩和ケア

Research Themes 【 Display / hide

  • 自宅で経口化学療法を続ける患者の服薬の実態解明と安全、確実な服薬支援モデル開発, 

    2011
    -
    2014

  • Bridging the Gap Between EBN guidelines and Clinical Practice in Cancer Nursing, 

    2008
    -
    2010

     View Summary

    This study consists of two parts for practice of evidence-based nursing care. In the first part, we conducted a qualitative descriptive study by collecting data through focus group interviews in chemotherapy expert nurses. Results of the analysis identified “multifaceted approach to guideline implementation” as the core category, and there were 11 categories. Based on the results, we developed a dissemination model (draft) in the second part, and examined the feasibility of the model. We con

 

Books 【 Display / hide

  • がん看護コアカリキュラム日本版

    YAGASAKI Kaori, 医学書院, 2017.02

  • 耳鼻咽喉科 第13版

    YAGASAKI Kaori, 医学書院, 2017.01

    Scope: 236-241

  • がん看護学 第2版

    YAGASAKI Kaori, 医学書院, 2017.01

    Scope: 280-290,

  • ≪がん看護実践ガイド≫ 分子標的治療薬とケア

    YAGASAKI Kaori, 医学書院, 2016.11

    Scope: 編集

  • ≪がん看護実践ガイド≫ 病態・治療をふまえた がん患者の排便ケア

    YAGASAKI Kaori, 医学書院, 2016.06

    Scope: 編集

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Papers 【 Display / hide

  • Falls and Physical Inactivity in Patients with Gastrointestinal Cancer and Hand-Foot Syndrome

    Komatsu Hiroko, Yagasaki Kaori, Hamamoto Yasuo, Takebayashi Toru

    Asia-Pacific Journal of Oncology Nursing 5 ( 3 ) 307 - 313 2018.07

    ISSN  2347-5625

     View Summary

    <p>Objective: This study aims to ascertain the incidence and association of falls and physical inactivity in patients with gastrointestinal cancer and hand-foot syndrome (HFS) after receiving chemotherapy or targeted therapy. Methods: The present cross-sectional study was conducted on 50 outpatients with HFS of Grade 1 or above, according to the National Cancer Institute Common Terminology Criteria for Adverse Events, following the receipt of chemotherapy or targeted therapy for gastrointestinal cancer in Japan between November 2016 and February 2017. For measurement, Dermatology Life Quality Index (DLQI) and the International Physical Activity Questionnaire were used. Data were analyzed by logistic regression analysis. Results: Of the participants, 18% experienced falls and 60% reported physical inactivity. Multivariate logistic regression revealed that the DLQI treatment domain score was the only factor associated with falls (odds ratio [OR] =8.01, 95% confidence interval [CI] =1.27-50.63, P = 0.027). Physical inactivity was associated with DLQI symptom and feeling domain scores (OR = 5.54, 95% CI = 1.26-24.33, P = 0.023) and the with-oxaliplatin or paclitaxel regimen (OR = 3.71, 95% CI = 1.06-13.03, P = 0.041). Conclusions: The results of the present study suggest patients should be informed that HFS is a risk factor for physical inactivity and falls.</p>

  • Targeted Therapy-induced Facial Skin Toxicities

    Yagasaki Kaori, Komatsu Hiroko, Soejima Kenzo, Naoki Katsuhiko, Kawada Ichiro, Yasuda Hiroyuki, Hamamoto Yasuo

    Asia-Pacific Journal of Oncology Nursing 5 ( 2 ) 172 - 177 2018.04

    ISSN  2347-5625

     View Summary

    <p>Objective: Targeted therapy-induced facial skin toxicities may reduce overall quality of life (QoL) in cancer patients. We investigated whether facial skin toxicities affect QoL and attempted to identify factors related to QoL in patients with advanced/recurrent cancer. Methods: We performed a cross-sectional study in 34 outpatients with advanced/recurrent cancer showing targeted therapy-induced facial skin toxicities in Japan between November 2016 and February 2017. For measurement, we used the Kessler Psychological Distress Scale (K6), Mental Adjustment to Cancer (MAC) Scale, and Dermatology Life Quality Index (DLQI). Data were analyzed using Spearman's rank correlation coefficient. Results: Mean DLQI score in 34 patients was 4.59 (standard deviation ± 4.70), which was interpreted as a small effect on a patient's life. Acneiform rash was the most common skin condition noted, followed by xerosis, pruritus, and erythema. Analysis of DLQI scores revealed that symptoms and feelings was the domain most commonly affected among different domains constituting the DLQI. MAC analysis revealed that the fighting spirit score was the highest among MAC scales. We found that age, K6, and fatalism construct in MAC were significantly correlated with total DLQI scores (age: Spearman's ρ= -0.48, P = 0.004; K6: ρ= 0.58, P &lt; 0.001; fatalism; ρ= -0.39, P = 0.025). Conclusions: This is the first study investigating targeted therapy-induced facial skin toxicities in cancer patients. Our results suggest potential negative effects of facial skin toxicities on overall QoL in patients with advanced/recurrent cancer in middle and early old age.</p>

  • Preparing for a paradigm shift in aging populations

    Komatsu Hiroko, Yagasaki Kaori, Kida Hisashi, Eguchi Yoko, Niimura Hidehito

    International Journal of Qualitative Studies on Health and Well-being 13 ( 1 )  2018.01

    ISSN  1748-2623

     View Summary

    <p>Purpose: Current healthcare systems are not suitable for serving future societies in which the oldest old are commonplace. The objective of this study was to understand what the oldest old care most about in their daily lives. Methods: Semi-structured in-depth interviews and thematic analysis were used. Face-to-face interviews were conducted in 17 elderly residents (≥ 95 years) of Arakawa-ku, Tokyo, Japan from July to November 2017. Results: Three themes emerged from the interview responses: “unshakable beliefs and social ties,” “natural acceptance,” and “my day-to-day life with precious moments.” The oldest old strongly believe in diligence and compassion and maintain strong relationships with people around them. Despite their small social networks, they are concerned about future society. They accept their selves and their lives, including their impending deaths. Despite their functional decline, they control their lives by making very small decisions. They live on a moment-to-moment basis, cherishing simple events. Conclusion: Maintaining autonomy through making small decisions and enjoying small pleasures are important to the oldest old. Understanding the needs of the oldest old is the first step towards developing optimal geriatric care for an aging population.</p>

  • Regular group exercise contributes to balanced health in older adults in Japan:A Qualitative study.

    Komatsu Hiroko, Yagasaki Kaori, Saito Yoshinobu, Oguma Yuko

    BMC Geriatrics 17 ( 1 ) 190 2017.08

    ISSN  1471-2318

     View Summary

    <p>Background: While community-wide interventions to promote physical activity have been encouraged in older adults, evidence of their effectiveness remains limited. We conducted a qualitative study among older adults participating in regular group exercise to understand their perceptions of the physical, mental, and social changes they underwent as a result of the physical activity. Methods: We conducted a qualitative study with purposeful sampling to explore the experiences of older adults who participated in regular group exercise as part of a community-wide physical activity intervention. Four focus group interviews were conducted between April and June of 2016 at community halls in Fujisawa City. The participants in the focus group interviews were 26 older adults with a mean age of 74.69 years (range: 66-86). The interviews were analysed using the constant comparative method in the grounded theory approach. We used qualitative research software NVivo10® to track the coding and manage the data. Results: The finding 'regular group exercise contributes to balanced health in older adults' emerged as an overarching theme with seven categories (regular group exercise, functional health, active mind, enjoyment, social connectedness, mutual support, and expanding communities). Although the participants perceived that they were aging physically and cognitively, the regular group exercise helped them to improve or maintain their functional health and enjoy their lives. They felt socially connected and experienced a sense of security in the community through caring for others and supporting each other. As the older adults began to seek value beyond individuals, they gradually expanded their communities beyond geographical and generational boundaries. Conclusions: The participants achieved balanced health in the physical, mental, and social domains through regular group exercise as part of a community-wide physical activity intervention and contributed to expanding communities through social connectedness and mutual support. Health promotion through physical activity is being increasingly emphasized. The study results can help to develop effective physical activity programs for older adults in the community.</p>

  • Nurses’ perception of decision-making about cancer treatment and fertility preservation by young breast cancer patients

    YAGASAKI Kaori

    日本生殖看護学会誌 (日本生殖看護学会)  14 ( 1 ) 21 - 29 2017

    Research paper (scientific journal), Joint Work, Accepted

     View Summary

    本研究は、若年乳がん女性の治療と妊孕性に対する意思決定支援について、看護師がどのように認識し、実践しているのかを明らかにするために、フォーカスグループと内容分析による質的研究を行った。研究参加者は、若年乳がん患者に携わる専門看護師と認定看護師15名であった。結果として、<不確かなライフプランの支援>がコアカテゴリーとして導かれ、3つのカテゴリー〈不確かな将来を歩むための準備〉〈ライフプランの不確かさに伴う葛藤への支援〉〈女性の決断に沿った最善のケア〉が含まれた。看護師は、若年女性ががん治療と妊孕性の課題に伴う葛藤から納得や折り合いをつけたライフプランを支援し、そして女性が決断した不確かな道に歩み出すことを支え、最善を尽くすことの重要性を認識し、実践していた。さらに、看護師は、女性の真の願いを叶えるために組織を超えた多職種の連携、協働や最善のケアを提供することの重要性を認識していた。

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Reviews, Commentaries, etc. 【 Display / hide

  • 「がん放射線療法看護認定看護師」領域認定申請報告と認定看護師への期待

    YAGASAKI Kaori

    日本がん看護学会誌 25 ( 1 ) 62 - 63 2011.05

    Introduction and explanation (scientific journal), Joint Work

  • がん看護コアカリキュラム日本版の作成 日本がん看護学会教育・研究活動委員会コアカリ検討班報告(平成19~21年度)

    YAGASAKI Kaori

    日本がん看護学会誌 25 ( 1 ) 54 - 61 2011.05

    Introduction and explanation (scientific journal), Joint Work

Presentations 【 Display / hide

  • 胸部食道がん患者の術後機能回復促進プログラムを実施する看護師の講習会によるコミュニケーション能力および患者教育能力の向上

    YAGASAKI Kaori

    第29回日本がん看護学会学術集会, 2015.02

  • 手術を受ける胸部食道がん患者のための教育用DVDの作成 手術に安心して取り組むために先輩患者さんからのメッセージ

    YAGASAKI Kaori

    第29回日本がん看護学会学術集会, 2015.02

  • 広汎性子宮頸部摘出術を受ける患者を支援するチーム医療の特徴

    YAGASAKI Kaori

    第29回日本がん看護学会学術集会, 2015.02

  • 胸部食道がん患者の術後の回復過程における困難と対処

    YAGASAKI Kaori

    第68回日本食道学会学術集会, 2014.07

  • 胸部食道がん患者の術後回復促進プログラムを提供する看護師の講習会に関する評価

    YAGASAKI Kaori

    第68回日本食道学会学術集会, 2014.07

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Research Projects of Competitive Funds, etc. 【 Display / hide

  • がん薬物療法を受ける高齢者のフレイル予防:縦断研究によるハ-モニ-ケアモデル開発

    2019.04
    -
    2023.03

    MEXT,JSPS, Grant-in-Aid for Scientific Research, 矢ヶ崎 香, Grant-in-Aid for Scientific Research (B), Principal Investigator

  • 基盤研究B 経口分子標的治療のがん患者イニシアチブ皮膚障害予防・管理プログラムの実用性

    2015.04
    -
    2019.03

    日本学術振興会, Grant-in-Aid for Scientific Research, Kaori Yagasaki, Research grant, Principal Investigator

  • 経口分子標的治療のがん患者イニシアチブ皮膚障害予防・管理プログラムの実用性

    2015.04
    -
    2019.03

    MEXT,JSPS, Grant-in-Aid for Scientific Research, 矢ヶ崎 香, Grant-in-Aid for Scientific Research (B), Principal Investigator

  • 基盤研究C 自宅で経口化学療法を続ける患者の服薬の実態解明と安全、確実な服薬支援モデル開発

    2011.04
    -
    2015.03

    日本学術振興会, Grant-in-Aid for Scientific Research, Kaori Yagasaki, Research grant, Principal Investigator

  • 基盤研究C がん医療におけるEBNと臨床実践のgapと波及モデルの開発

    2008.04
    -
    2011.03

    文部科学省科学研究費補助金 , Principal Investigator

Awards 【 Display / hide

  • Best Poster Award 2014(EONS-9 Congress)

    Hiroko Komatsu, Kaori Yagasaki, 2014.09, Power of Nursing: What Makes Nursing Unique?

    Country: Turkey

 

Courses Taught 【 Display / hide

  • SEMINAR IN PALLIATIVE CARE

    2020

  • SEMINAR IN CHRONIC CARE

    2020

  • SEMINAR IN ADULT NURSING SKILLS

    2020

  • PRACTICUM IN TERMINAL CARE

    2020

  • PRACTICUM IN CHRONIC CARE

    2020

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Social Activities 【 Display / hide

  • 日本看護協会 最新看護索引編集委員

    2017.08
    -
    Present
  • 特定非営利活動法人日本肺癌学会 会員委員会委員

    2017
    -
    Present
  • 日本看護科学学会和文誌編集委員会専任査読委員

    2015.09
    -
    2017.09
  • 一般社団法人 日本がん看護学会 理事

    2015.03
    -
    2017.03
  • 第2回日本CNS看護学会 実行委員長

    2014.05
    -
    2015.06

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Memberships in Academic Societies 【 Display / hide

  • 日本肺がん学会, 

    2015
    -
    Present
  • Japanese Society of Cancer Nursing, 

    2010.04
    -
    Present
  • 日本死の臨床研究会関東甲信越支部, 

    2009.11
    -
    Present
  • 日本死の臨床研究会, 

    2009.04
    -
    Present
  • 日本緩和医療学会, 

    2006.03
    -
    Present

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Committee Experiences 【 Display / hide

  • 2018.12
    -
    Present

    会員委員会委員, 特定非営利活動法人日本肺癌学会

  • 2017.03
    -
    Present

    会員, 一般社団法人 日本がん看護学会

  • 2016.12
    -
    2018.12

    会員委員会委員, 特定非営利活動法人日本肺癌学会

  • 2015.03
    -
    2017.02

    理事, 一般社団法人 日本がん看護学会 

  • 2015
    -
    Present

    会員, 日本肺がん学会

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