指向性スピーカーを使用した看護介入が難聴を伴う認知症患者の臨床症状 に与える影響の検討 第一報


Clarification of Psychiatric Nurses Intentions and Analysis Contents in Observing Schizophrenia Patient

The Journal of Medical Investigation : JMI


A study on Relationship between Psychological Well-being and Menstrual -Associated Symptoms in Female University Students

女子大学生の心理的健康感と月経随伴症状の関連の検討

Female-specific menstrual-associated symptoms are regarded as a factor to lower psychological well-being. The purpose of the current study was to clarify the relationship between psychologocal well-being and menstrual-associated symptoms. We conducted an anonymous survey using self-report questionnaires, in which the MOS 36-Item Short-Form Health Survey version1.2 (SF-36) and the Menstrual Distress Questionnaire (MDQ) were administered to 382 female university students in order to evaluate health-related quality of life and menstrual-associated symptoms respectively. Data from 311 subjects were analyzed to investigate the relationship between the two scales before, during and after menstruation and in strong and weak menstrual-associated symptoms groups. There were significant negative correlations between the SF-36 subscale `vitality' and the MDQ subscale `negative affect' before and during menstruation. In the strong menstrual-associated symptoms group, significant negative correlations were found between subscales of the SF-36 and the MDQ before, during and after menstruation, suggesting that psychological symptoms of menstrual-associated symptoms might influence their physical and psychological quality of life. We concludes that to examine coping methods in order to reduce psychological symptoms and to provide individualized education are necessary.


Characteristics of psychiatric nurses observation techniques for psychopathological symptoms

The purpose of this study was to clarify characteristics of psychiatric nurses' observation techniques for psychopathological symptoms. The subjects were 21 psychiatric nurses and 20 nursing students who had finished their practicum in psychiatric nursing. Using a non-contact eye-tracking analysis system, we compared quantitatively their radial motion while they were observing psychopathological symptoms of a schizophrenia simulation patient. The radial motion of them was recorded while they were observing a video of a simulated patient presenting psychopathological symptoms, and the recording was analyzed by the eye-tracking system. The investigator set the important observation areas and determined the sum of the fixation time and the number of fixations in the areas. Differences between psychiatric nurses and nursing students were tested using the Mann-Whitney U-test. The results revealed a significant difference in observation of the upper limbs area with a median of 7147.90 msec for nurses group and a median of 2447.54 msec for students group (U = 98.00, p = 0.01). The finding suggests that nurses tend to pay more attention to patient's upper limbs to be cautious about possible violence and to find agitation caused by psychopathological symptoms, extrapyramidal adverse effects, and scars caused by self-mutilation. J. Med. Invest. 68 : 271-275, August, 2021.


Clinical factors influencing resilience in patients with anorexia nervosa

This study was to elucidate clinical factors influencing resilience in anorexia nervosa (AN) patients. Twenty female patients with AN (median age =30.0 years, quartile deviation =6.8) and 40 female healthy controls (HCs) (median age =30.0 years, quartile deviation =8.6) participated in the present study. Resilience was assessed with the Connor- Davidson resilience scale (CD-RISC). Clinical symptoms were evaluated with the structured interview guide for the Hamilton depression rating scale (SIGH-D) and the eating disorder inventory-2 (EDI-2). Scores of the CD-RISC in the AN group were lower than those in the HC group, and the SIGH-D score in the AN group was higher than that in the HC group. Scores of interoceptive confusion, interpersonal difficulty and negative self-image subscales of the EDI-2 negatively correlated with the CD-RISC score. Moreover, stepwise regression analysis showed that negative self-image score was an independent predictor of the CD-RISC score. These results suggest that among these clinical factors including psychopathologies, self-dissatisfaction and feeling of being rejected by others are the most important influencing factors on an AN patients' resilience.


Clinical factors influencing quality of life in anorexia nervosa patients


Functional Independence Measureを用いて評価した統合失調症入院患者の基本的な社会生活機能と臨床諸要因との関連

Objective : The aim of the present study is to explore clinical factors associated with basic ability of social life in schizophrenia inpatients. Methods : The subjects were 50 inpatients with schizophrenia (DSM‐IV). Their mean age was 53.08 (SD＝12.08) years. Social life functioning was evaluated using the Functional Independence Measure (FIM). Cognitive function was assessed with the Brief Assessment of Cognition in Schizophrenia (BACS) and clinical symptoms with the Positive and Negative Syndrome Scale (PANSS), the Calgary Depression Scale for Schizophrenia (CDSS) and the Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS). Results : FIM motor subscale score showed a significant correlation with the DIEPSS score (r＝0.33, p<0.05). The FIM cognitive subscale score showed significant correlations with the PANSS positive syndrome score (r＝-0.30, p<0.05), the PANSS negative syndrome score (r＝-0.37, p<0.01) and the DIEPSS score (r＝-0.40, p<0.01). Conclusion : These results suggest that positive and negative symptoms and drug-induced extrapyramidal symptoms are much more important factors related to lowered basic ability of social life of schizophrenia inpatients than cognitive function.


医療系大学生の学生生活上におけるストレッサーとストレス症状の明確化

医療系大学生の学生生活上におけるストレッサーとストレス症状の明確化


Clinical correlates associated with basic ability of social life in schizophrenia inpa-tients


Factors associated with discharge of long-term inpatients with schizophrenia in Japan: a retrospective study

Deinstitutionalization for people with mental disorders has only begun to be implemented in Japan. The purpose of this retrospective study was to examine factors associated with discharge for long-term patients with schizophrenia. Seventy patients were judged capable of discharge with psychiatric rehabilitation (special staff service). As a result of rehabilitation efforts, 37 patients were discharged and 33 patients remained in the hospital. Significant differences were found in age, level of family agreement about patient's disability, and length of the special staff service. These factors might be important to predict patients' potential for discharge.


Use of a Dialogue System to Retrieve the Memories of Elderly Individuals with Dementia and Determine the Physiologically Effective Evaluation Indicators

International Journal of Advanced Intelligence (IJAI)


Required Function of the Caring Robot with Dialogue Ability for Patients with Dementia

AIA International Advanced Information Institute


PSYCHOMS:COMPUTER MANAGED NURSING-CARE PLANNING SYSTEM AND COMPUTERIZED QUALITY MANAGEMENT OF NURSING OUTCOME


手術室男性看護師の専門職的自律性に影響する要因の明確化

手術室男性看護師の専門職的自律性に影響する要因の明確化

Journal of Japan Operative Nursing Academy


Clarification of Caring Actions of Patients with Dementia:Necessry for the Development of a Caring-Robot with the Ability to Dialogue

Proceedings of 2010 International Conference on Advanced Intelligence


Clinical pathway focused on team care of the behavioral and psychological symptoms of dementia BPSD and family support

認知症に伴う行動障害と精神症状(BPSD)の改善および家族支援に焦点をあてた認知症のためのクリニカルパスの検討

Japanese Journal of Geriatric Psychiatry


Literature Study on Affective State Estimation for Human and Robot Interaction Using Physiological Indicators


Sexual Information and Sexual Education Program for Junior High School Student

Information : an International Interdisciplinary Journal


Estimation methods for the communicatuion between "a robot and a human" using physiological indicators

Proceedings of the Fifth International Conference on Information


Questionnaire survey on the use and the introduction of nursing management system in the psychiatric hospitals


Gender differences of the influential factors on the mental health condition of teachers in the A university.

The Journal of Medical Investigation : JMI


医療機関による精神科訪問看護の利用者からみた訪問看護の現状と課題

医療機関による精神科訪問看護の利用者からみた訪問看護の現状と課題

日本看護学会論文集: 精神看護

日本看護学会論文集: 精神看護


総合大学に勤務する教員・研究者を対象にした職務状況とメンタルヘルスに関する実態調査


Uses of the Electronic Nursing Management System, PSYCHOMS® , in Psychiatric Hospitals : Process, Current State, and Future Development

精神科アウトカム管理システム:PSYCHOMSの開発とその課題

The purpose of this article is to introduce the development process, mechanism, and functions of the PSYCHOMS® (Psychiatric Outcome Management System). Also, it reports on agenda for commercialization of research achievement of the PSYCHOMS®(regis-tered trademark, Takasaka et al.). Our team has been developing the PSYCHOMS® since 2006. This system has four major components: (1) clinical pathway and variance analyzing system, (2) nursing manager and staff's daily recording system, (3) nursing care planning system, and (4) nursing management support system. Also, any interdisciplinary team member can access the patient's information using this system. Therefore, each interdisciplinary team member's expertise can be utilized maximally for the patient's benefit and for improved total outcomes. It was then necessary to conduct a survey on what standard items were common in these hospitals for data base of the PSYCHOMS®. As future research problem using PSYCHOMS®, in order to improve psychiatry service, it is necessary to develop the database common to each psychiatric hospital.

2006 年よりコンピュータによる看護管理システム:Psychiatric Outcome Management System(PSYCHOMS®，登録 商標，高坂要一郎ほか)を開発し，クリニカルパス(以下，CP)に基づくチームケアの成果(アウトカム)管理を行う ことで，看護管理者の役割の一部を支援する研究を続けてきた．本システムは現在，A 県 B 精神科病院で臨床試用され ている．コンピュータを用いた CP のアウトカム管理を行うためには，多職種のケア内容をコンピュータに入力し，自動的に管 理し，各職種が使いやすく作成することが重要となる．本システムは多職種が使用し，院内での患者アウトカムの統一が でき，情報共有が容易になる．特徴として，①コンピュータによる CP の管理，②多職種による患者アウトカムの管理， ③バリアンスの蓄積や解析，④看護日誌システム，看護計画システムと看護管理支援システム(看護管理に必要な情報の 分析)の装備，の 4 点があげられる．今後の課題として，(1)PSYCHOMS® に具備する機能の標準化ための全国調査，(2) 標準化された PSYCHOMS® の開発および商品化のための継続研究がある．それにより，他の精神科病院で本システムの 使用が可能になると考えられる．


対話による認知症高齢者の自律神経系への影響

対話による認知症高齢者の自律神経系への影響

認知症高齢者と健常者が対話を行う際に，話しの受け手である認知症高齢者の自律神経系にどのような影響があるのかを評価することが目的である．調査協力者はA 介護老人保健施設に入所している認知症高齢者14 名(平均年齢89.43 ± 3.98 才，男性2 名女性12 名，長谷川式簡易知能評価スケールの平均得点は11.79 ± 4.37 点)である．調査協力者と研究者が対話を行い，対話前後の収縮期血圧，拡張期血圧，脈拍，唾液アミラーゼ活性値，体温，SpO2 を測定した．心電図は実験開始とともに記録を開始し，実験終了まで継続して記録した．全ての指標で有意差はみられなかった．しかし，対話前後で唾液アミラーゼ活性値が9 名で低下していた．交感神経機能の指標であるLF/HF は4 名で対話中に上昇し，対話後に低下していた．副交感神経機能の指標であるHF は5 名で対話中に減少していた．認知症高齢者との対話の効果を評価するための生理評価指標として，唾液アミラーゼ活性値，LF/HF が挙げられる資料を得たと考えられた．また日中に効果的な対話を行うことは，認知症高齢者の自律神経活動を，日中は交感神経活動が優位で夜間は副交感神経活動が優位に働くという健常者に類似した自律神経活動に誘導する一助となる資料を得たと考えられた．

香川大学医学部看護学科紀要

香川大学医学部看護学科紀要


定型抗精神病薬から非定型抗精神病薬へのスイッチングに対する看護師の認識

定型抗精神病薬から非定型抗精神病薬へのスイッチングに対する看護師の認識

第41回日本看護学会論文集-精神看護

第41回日本看護学会論文集-精神看護


精神科におけるクリニカルパスとコンピュータによる看護管理システム(PSYCHOMS)によるアウトカムの管理

日本病院・地域精神医学会総会プログラム・抄録集

日本病院・地域精神医学会総会プログラム・抄録集


退院支援施設入所後1年が経過した精神障害者の生活能力

退院支援施設入所後1年が経過した精神障害者の生活能力

研究目的は，退院促進支援により退院し，退院支援施設で生活した精神障害者の生活能力を明らかにし，看護のあり方を検討することである．調査対象者は，施設入所後1年が経過した長期入院であった精神障害者17名(男性12名，女性5名)で，平均年齢は，52．5歳，平均入院期間は11．3年であった．データ収集は，調査対象者一人ずつに約20分程度の半構成的面接を行った．その結果，逐語録から255のラベルが得られ，11のサブカテゴリーに分類された．これらから「自分自身のペースに合わせた生活リズムの獲得」，「病気を悪化させないための自己管理」，「施設退所後の生活のための心の準備」，「良好な対人関係の構築」という4つのカテゴリーが抽出された．これらの結果から，施設利用者は自分なりのペースで社会復帰に向けての準備をしながら，着実に生活能力を身につけていることが示唆された．

JNI : The Journal of Nursing Investigation


岐阜県下における精神科病院からの訪問看護を行っている看護職の思い

岐阜県下における精神科病院からの訪問看護を行っている看護職の思い

日本看護学会論文集: 精神看護

日本看護学会論文集: 精神看護


岐阜県下における精神科病院での訪問看護の実施状況からみた課題

岐阜県下における精神科病院での訪問看護の実施状況からみた課題

日本看護学会論文集: 精神看護

日本看護学会論文集: 精神看護


Trouble to education and research activities of rookie faculty member who work in the 4 year university nursing program

看護系大学に勤務する新人教員の教育・研究活動に対する悩み

PURPOSE : This study was designed to identify the problems in teaching and research that novice faculty members face in university nursing programs. METHODS : A self-administered questionnaire was mailed to novice faculty members holding appointments in university nursing programs. Mean age of the subjects (n 69) was 31 7 years. A semi-structured instrument was developed to identify difficulties encountered by the subjects in teaching and research activities. Also their unstructured written comments were analyzed. The cover letter to potential respondents clearly indicated that informed consent was assumed on completion and return of the questionnaire. RESULTS : The subjects' responses sorted into the following categories : six for educational activity, eight for student advising in clinical practice, and six for research activities-a total of 20 categories. Data analysis revealed that in their educational activity and student advising, novice teachers had difficulties with instructional methods including lectures, class exercises, and clinical practices. They also faced problems in their personal relationships with senior staff and others. In research activities, most subjects revealed lack of knowledge and experience, i.e., applying scientific methodology, doing research reluctantly, and lacking the ability and experience to conduct research. CONCLUSIONS : Novice faculty members lacked confidence not only in teaching and conducting research but also in fulfilling other aspects of an unfamiliar role to them. These concerns included problematic relationships with a senior colleague and other staff. University administrators and experienced faculty members might plan an institutional program and/or procedure to mentor and support their junior colleagues.

本研究の目的は，新人教員が認識している教育および研究活動に対する悩みを明らかにすることである． 調査対象は，全国の看護系大学に勤務する新人教員とした．調査方法は，郵送による自由記載方式の質問紙調査である．倫理的配慮として，調査の趣旨，守秘義務および調査目的以外の使用，個人情報等の保護を調査依頼文で説明し，調査に同意を得られた場合に記入後，返送してもらった．69名から回答があり，平均年齢31．7歳であった．分析は，教育および研究活動に対する悩みが記載されている文章を対象とした．記載内容については，文章単位とし，意味内容の類似性に従いカテゴリ化し，タイトルをつけた．分析の結果，カテゴリは20抽出した．≪教育活動に対する悩み≫6カテゴリ，≪実習に対する悩み≫8カテゴリ，≪研究活動に対する悩み≫6カテゴリに分類できた．教育活動では，講義，演習，実習に関わらず教育方法や指導方法などの具体的な方法に関する悩みを抱えていた．またそれ以外に，上司などとの関係の悩みがあった．研究活動では，研究方法に関するものが最も多く，不本位な研究を行うこと，研究者としての経験および力不足に関する悩みが上位を占めた． 新人教員は，教育・研究活動を行うための具体的な方法に自信がみられなかった．また上司との関係や関係機関との調整と，教育・研究の両方の役割を担う者としての経験不足と力不足に悩んでいることが推察された．それらを視野に入れた支援の必要性が示唆された．


地域移行型ホームに入所するための4ヶ月間の退院支援を受けた精神科の長期入院患者の思いの検討

Aim : The purpose of this survey is to examine the how best to discharge support and care system for patients discharged from the psychiatric hospital with the patient's wishes after received special support program. Method : Of the 32 patients, 26 persons (group A, n=26) were discharged from the hospital and special support ended for 6 persons (group B, n=6) for various reasons. The researchers administered the semi-structured interviews to identify patients' affections and thought. Data collection was through verbatim recording of communication in the psychiatric hospital using integrated circuit recorders. The obtained data was coded. Also comparison examination was carried out by group A and grou B. Result : In this surbey, we found both the similarities and difference between these two groups. The 12 categories were extracted from group A, and the 13 categories were extracted from group B. The 11 common categories to both groups was extracted from the survey items including "concern about discharge from hospital", "patient feels toward family". "discharge support and staff intervention", and "difference between a psychiatric hospital and a community group home".

目的 : この調査の目的は, 退院支援後の患者の思いを明確にすることにより, その思いに沿った裁量の退院支援と退院後のケアシステムを検討することである. 方法 : 調査対象者はA病院において地域移行型ホームに入所するための4ヵ月間の退院促進支援を受けた32名(退院群26名, 支援中止群6名)である. 調査の主旨を説明し, 同意を得た上で半構成的質問紙を用いて面接を行った. 得られたデータをコード化し, 退院群と支援中止群で比較検討した. 結果 : 退院群では12, 支援中止群では13のカテゴリが抽出された. 退院に関する不安, 家族に対する思い, 退院支援とスタッフの関わりについて, 病院と支援施設の違い, に関する調査項目から両群に共通する11のカテゴリが抽出された.


脳神経疾患で嚥下障害を残した患者の早期経口摂取訓練の効果

脳神経疾患で嚥下障害を残した患者の早期経口摂取訓練の効果


退院時患者・家族指導の看護ケア技術

退院時患者・家族指導の看護ケア技術

日本看護学会論文集: 精神看護

日本看護学会論文集: 精神看護


Analysis of electroencephalographic activity in condition of emotional activation in human

International Conference on Artificial Intelligence and Soft Computing


Estimating Emotion Changes Using Electroencephalograhic Activities and its Clinatural Lanical Application International Conference on Natural Language Processing and Knowledge Engineering

Proc. IEEE International Conference on Natural Language Processing and Knowledge Engineering