In recent years, various organizations, such as companies and governments, have been required to take measures for the mental health of their employees, and the importance of self-care for mental health by employees themselves has been increasing, as well as being supported by administrators, such as doctors and workplace managers. As a means of self-care of mental health that can be implemented by busy professionals during their workdays and daily lives, the Digital-SAT method has been developed to implement the stress-care process of the SAT method, a psychological counseling technique for resolving psychological stress problems, in a self-guided manner using digital media. To realize the Digital-SAT method, two issues need to be addressed: first, to obtain the same emotional stress reduction effect as the SAT method and, second, to ensure the continuous implementation of the Digital-SAT method. Previous studies have shown that applications (apps) using virtual reality are effective in solving the former issue, and an app using a chatbot can be effective in solving the latter. In this research, an intervention study was conducted to verify the effectiveness of combined use of the two apps to encourage continuous use, resulting in increased emotional stress reduction, with the aim of making it feasible in actual work environments. An intervention of four weeks of app use was conducted with 70 nurses working in two hospitals where measures for mental health due to emotional labour and overwork were required. The emotional stress reduction effects of the intervention were evaluated using psychological scales and blood pressure levels, and it was confirmed that combined use of apps was more effective than using them separately to practice the Digital-SAT method in an actual work environment.

Aim Anxiety and its correlates in parents of patients with breast cancer have rarely been studied. We explored anxiety among parents of postoperative patients with breast cancer and its relationship with parents' social support and care needs and patients' anxiety. Methods A cross‐sectional survey using self‐report questionnaires and medical records was conducted among patients with breast cancer after surgery and their parents at four designated cancer care hospitals between September 2015 and June 2016. Anxiety was measured using the Hospital Anxiety and Depression Scale (HADS). Parents provided information about social support and care needs. Multilevel analysis was performed on patient–parent paired data controlling for patient‐level variation. Results Participants included 107 patients, 83 mothers, and 51 fathers. The mean HADS anxiety scores reported by mothers and fathers were 7.2 and 6.5, respectively, which were higher than patients' HADS anxiety scores. Fulfillment of important care needs was related to lower anxiety among mothers and fathers (estimate = −1.38, p = .01). Lower family support and higher patient anxiety were associated with higher anxiety in mothers, but not fathers. Conclusions Parents of patients with breast cancer had high anxiety. Communication, providing cancer‐related information, and fulfilling care needs can alleviate anxiety in parents of patients with breast cancer after surgery. Furthermore, increasing family support and decreasing patients' anxiety are essential to alleviating mothers' anxiety.

Background: Proper management of adverse events is crucial for the safe and effective implementation of anticancer drug treatment. Showa University Hospital uses our interview sheet (assessment and risk control [ARC] sheet) for the accurate evaluation of adverse events. On the day of anticancer drug treatment, a nurse conducts a face-to-face interview. As a feature of the ARC sheet, by separately describing the symptoms the day before treatment and the day of treatment and sharing the information on the medical record, it is possible to clearly determine the status of adverse events. In this study, we hypothesized that the usefulness and points for improvement of the ARC sheet would be clarified by using and evaluating a patient questionnaire.Methods: This study included 174 patients (144 at Showa University Hospital (Hatanodai Hospital) and 30 at Showa University Koto Toyosu Hospital (Toyosu Hospital) who underwent pre-examination interviews by nurses and received cancer chemotherapy at the outpatient center of Hatanodai and Toyosu Hospital. In the questionnaire survey, the ARC sheet’s content and quality, respondents’ satisfaction, structural strengths, and points for improvement were evaluated on a five-point scale.Results: The patient questionnaire received responses from 160 participants, including the ARC sheet use group (132 people) and the non-use group (28 people). Unlike the ARC sheet non-use group, the ARC sheet use group recognized that the sheet was useful to understand the adverse events of aphthous ulcers (p = 0.017) and dysgeusia (p = 0.006). In the satisfaction survey questionnaire, there was a high sense of security in the pre-examination interviews by nurses using the ARC sheet.Conclusions: The ARC sheet is considered an effective tool for comprehensively evaluating adverse events. Pre-examination interviews by nurses using ARC sheets accurately determined the adverse events experienced by patients with anxiety and tension due to confrontation with physicians.