A Role of The Nursing Counseling Room for Chemical Sensitivity Nami Imai, Ph'D, R'N', Yukari Taneda,

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A Role of The Nursing Counseling Room for
Chemical Sensitivity Nami Imai, Ph.D, R.N.,
Yukari Taneda, M.S., R.N. Akiko Segawa M.S.,R.N.,
Yoshiharu Imai, M.Eng. The International
Conference on Community-Oriented HealthcareMar.
21-22, 2009, Central Taiwan University of Science
and Technology, Taichung City, Taiwan
Tsu City, Mie Prefecture, Japan
INTRODUCTION
METHOD 3 The Check of QOL status for Patients
RESULT 3 Outcomes of QEESI
Chemical Sensitivity (CS) syndrome occurs by a
little chemical substance in our environment. CS
patients are estimated about over seven hundred
thousand people in Japan. We have reported that
there are two psychosocial factors of aggravate
CS. 1.There are few specialized hospital of CS
in Japan. 2.Patients have difficulties finding a
physician who can diagnose. We manage the
Nursing Counseling Room for CS (NCR) to improve
these conditions of Japanese society. The NCR is
only one place in Japan. We report some opinions
from the present case study about the effect of
the nursing support.
QUIK-R Self-Completed Questionnaire for QOL
developed by Iida and Kohashi Revised at Kansai
University (1991)
This tool is a six- tiered scale, excellent
(point 0), good (ranged from point 1 to3),Fair
(4-9), poor (10-18), very poor (19-29), and
grossly impaired (more than point 30),so that
lower QUIK-R scores reflected a higher QOL level.
METHOD 4 The Check Of Mental Status For Patients
BACKGROUND
RESULT 4 Outcomes of QUIK-R
CMI Cornell Medical Index developed by Brodman,
Erdmann, Wolff at Cornell University Medical
College(1949)
Case A
This tool has 144 items of body symptoms in
total, and those include digestive organs, the
heart, the tiredness levels, and respiratory
organs. On the other hand, it also has 51 items
of mental symptoms, and those include
maladaptive, depression, uneasiness, anger, and
the tension. The present study used only the
items of mental symptom.
Case B
METHOD 1 Consultation at Nursing Counseling Room
RESULT 1 Progress of Patients Conditions
RESULT 5 Outcomes of QEESI
Case A
The participants of present study were
fifty-years-old couple. Their symptoms onset
was the disinfectant of the septic tank. After
they got the information about CS from a
newspaper by chance, they got more information
from the NCR web-site. The nurse introduced the
specialized CS physician, and made the patients
get the right diagnosis immediately. They had
used NCR over and over, and accepted advice by
the nurse for one year.
Case B
METHOD 2 The Check of Health Status for Patients
RESULT 2 Nursing Intervention at the NCR
DISCUSSION AND CONCLUSION
Nurses can improve the physical and mental
condition for CS by accurate advice, and the NCR
is very important for CS patients in Japanese
society. However, in these cases, the patients
needed a very long time to establish a diagnosis
and to improve the symptoms of CS because they
needed certain while to find NCR. The nurses
must develop various ideas so that the patients
can quickly find the NCR and go to quickly
specialized hospital.

• Nurse provided
• Information about symptom status
• Information on specialized hospital for CS
• Information on alternative treatment
• Information for improving in living environment
• Information for taking safety foods and daily
  goods
• How to make relationship with neighbors
• The mental support

AcknowledgmentsI am grateful to the
participants in the present study. In addition,
I would like to thank Dr. Asphodel Yang of the
International Conference on Community-Oriented
Healthcare, because she gave me the opportunity
of this poster presentation. I was planning to
go to Taichung city and to explain about my
research, but I am pregnant in three month now,
and I can not go abroad. I am sorry I did not
see everyone at this conference. If you have any
question, please send me your e-mail
nami-i_at_nurse.medic.mie-u.ac.jp Nami Imai, Ph.D.,
RN. , Mie University, JAPAN
This tool is a six- tiered scale, excellent
(point 0), good (ranged from point 1 to3),Fair
(4-9), poor (10-18), very poor (19-29), and
grossly impaired (more than point 30),so that
lower QUIK-R scores reflected a higher QOL level.