Research

Self-care support for patients with chronic heart failure

Heart failure (HF) is a universally prevalent and money-consuming condition associated with heavy symptom burden and frequent hospital admissions. In Japan, I started to work on my own research interest, being improving care and quality of life of HF patients and their families. I started the first research in translating HF self-care scales developed in European countries (Kato et al, 2008) and in exploring factors associated with poor HF self-care behavior (Kato et al, 2009) as my master’s thesis at the department of Adult Nursing, University of Tokyo. In addition, we developed a HF self-care educational program provided by a multidisciplinary team and tested effects of the program in a randomized pilot study as my PhD dissertation at the department of Adult Nursing, University of Tokyo (Kato et al, 2012; Kato et al 2016). To assess effects of the program, the HF self-care scale as well as a Japanese HF knowledge scale we had developed previously were used (Kato et al, 2008; Kato et al, 2013). Moreover, we have revealed that insufficient self-care is associated with an increased risk of HF hospitalization and mortality in chronic HF patients (Kato et al, 2013).

Self-care support for patients with a left ventricular assist device (LVAD) and their caregivers

During my postdoctoral fellowship at the department of cardiovascular medicine, University of Tokyo Hospital in Japan, I have started a new research for patients after an implantation of LVAD. We showed that QoL of patients were improved after LVAD implantation (Kato et al, 2015), whereas caregiver’s QoL score were significantly impaired compared with the score from normal population (Kato et al, 2018). Additionally, we have conducted systematic review regarding self-care of these LVAD patients (Kato et al, 2014), and identified LVAD self-care behaviors. On the basis of the results, a LVAD self-care behavior scale was developed using a Delphi method including 10 international healthcare professionals. A study for examining the validity and reliability of this scale is now ongoing in the team of Professor Jaarsma and Professor Strömberg.

Telemonitoring for chronic HF patients

Since August 2013, I had worked as a postdoc at Linköping University in the team of Professor Jaarsma and Professor Strömberg. We have performed a questionnaire survey about HF telemonitoring in Japan and Sweden. We found that only a few Japanese hospitals and no Swedish hospitals/clinics have introduced telemonitoring for HF patients, but cardiologist and nurses could see a role for telemonitoring for their HF patients. (Kato et al, 2015).

β-blockers therapy in systolic HF patients

During my postdoc in Japan, we revealed that the composite endpoint rate of HF hospitalization and/or all-cause death was significantly decreased. Recent improvement of clinical outcome among HF with reduced ejection fraction patients may be attributable to the up-titration policy of β-blocker accompanying lowered heart rate. Resting heart rate ≤71 beats/min and β-blocker ≥10 mg/day (i.e., 50% of the target dose for Japanese patients) could be surrogate markers when titrating β-blocker (Kato et al, 2013; Kato et al, 2014).

About me
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Utmärkelser

Awards

  • Nursing/Allied Professional Investigator Award Finalist (ESC Council on Cardiovascular Nursing and Allied Professions) 2013
  • A Post-Doctoral Mentoring Award (ESC Council on Cardiovascular Nursing and Allied Professions) 2011
  • Young Investigator Award (Clinical) Finalist (Japanese Heart Failure Society) 2008
  • Nursing Investigator Award (Heart Failure Society of America) 2007

Research Fellowship

  • Japan Society for the Promotion Science (JSPS) Postdoctoral Fellow for Research Abroad. (A comparative study on heart failure disease management program in Japan and Sweden). August 2013- Sep 2015
  • A Grant-in-Aid for the JSPS Postdoctoral Research Fellow. Development of a heart failure disease management program. April 2010-March 2013)
  • A Grant-in-Aid for the JSPS Research Fellow. Development and evaluation of a disease management program for heart failure patients and their family. April 2008-March 2010

Commissions

  • Associate Editor, European Journal of Cardiovascular Nursing (current)
  • Editorial Board, Korean Journal of Adult Nursing (current)

Network

CESAR Network

Member of the CESAR, which is a group of researcher that works toward Collaboration and Exchange in Swedish cardiovascular caring Academic Research.

CV

  • Registered Nurse 2001
  • Bachelor of Health Science 2003
  • Master of Health Science 2007
  • PhD in Health Science 2010

 

Postdoc

  • University of Tokyo, Department of Cardiovascular Medicine (2010-2013)
  • Linköping University, Department of Social and Welfare Studies (2013-2015)
  • Linköping University, Department of Medical and Health Sciences (2015. 11-2016. 4)

Publications
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2018

2016

2015

2014

2013