MATSUDA Yoshiko, Yoshie Imai, Yuta Inoue, Yasushi Takagi and Kenji Shimada : Relationship between Constipation and Cerebral Vasospasm after Aneurysmal Rupture and Bowel Control in Patients with Vasospasm: Findings from a Retrospective Study, The Journal of Medical Investigation : JMI, 73, 1, 2, 2026.
(要約)
本研究においては，脳動脈瘤破裂によるSAH発症後4∼14日の期間にベッドサイドで実施している排便に関する情報に着目し，Spasm発症予測のためのモニタリング指標となるのか検討することを目的とした．本研究のデザインは2013年4月∼2022年12月を対象期間としたretrospective study であり，データは年齢，性別，Hunt and Hess Grade，脳動脈瘤の根治の有無と方法等を収集し，SAH後のSpasm発症群とNon spasm発症群の特性を収集した．結果，対象者170名のSpasm発症の有無に腸脳連関に関する有意差はなかった．次にSpasm発症症例に絞り，SAH発症後0∼14日間の記述分析をした結果，対象者は術後より床上で便秘症状があり，整腸剤或いは排便排出を促す薬剤投与を受けていた．これより，腸の動きが悪い傾向が推測され，Spasm発症症例の腸脳連関の可能性が示唆された．本研究では，数値的な有意差は見られなかったが，Spasm発症症例の腸脳連関の可能性はあり，今後も引き続き腸脳連関の関係性について検討する必要がある．
2.
Yoshie Imai, MIYAMOTO Yoko, YOSHIDA Yukiko, Yuta Inoue, IMAI Hironori, YAMADA Kazuyo, Tomoka Sakamoto and Hiroyuki Morino : ASCERTAINING THE VIEWS OF HEREDITARY CANCER SYNDROME PATIENTS RECEIVING GENETIC COUNSELING AND THEIR FAMILIES REGARDING GENETIC TESTING, Journal of Comprehensive Nursing Research and Care, 10, 2, 219, 2025.
The purpose of this study was to clarify the current status of oncology certified nurse specialist(OCNS) involvement in cancer genome medicine. A survey of 235 OCNSs who consented to participate in the study revealed that those involved in cancer genome medicine had a better understanding of hereditary tumors. Through descriptive content analysis, 8 learning needs were identified in relation to cancer genome medicine. Among these needs,[ basic nowledge of hereditary tumors and cancer genome medicine], [regular acquisition of up-to-date information on genetic medicine], and[ genetic counseling in actual clinical settings] revealed no differences between OCNSs involved and not involved in genetic medicine. On the other hand,[ role of an OCNS in genetic medicine], [nursing care for patients and families with hereditary diseases], [systems and collaboration to incorporate genetic medicine into rganizations], [information on genetic medicine for facilities other than urban/designated hospitals], and[ programmed learning as a systematic approach to genetic medicine provided by academic societies] differed between the groups in terms of descriptive contents.
(キーワード)
Oncology Certified Nurse Specialist / Cancer Genome Medicine / involvement
Takako Fujimaki, Yuko Ohno, Anna Tsutsui, Yuta Inoue, Ling Zha, Makoto Fujii, Tetsuya Tajima, Satoshi Hattori and Tomotaka Sobue : Major Causes of Death among Older Adults after the Great East Japan Earthquake: Retrospective Study, International Journal of Environmental Research and Public Health, 20, 6, 5058, 2023.
(要約)
This retrospective study investigated the 3-year impact of the Great East Japan Earthquake (GEJE) of 2011 on deaths due to neoplasm, heart disease, stroke, pneumonia, and senility among older adults in the primarily affected prefectures compared with other prefectures, previous investigations having been more limited as regards mortality causes and geographic areas. Using death certificates issued between 2006 and 2015 ( = 7,383,253), mortality rates (MRs) and risk ratios (RRs) were calculated using a linear mixed model with the log-transformed MR as the response variable. The model included interactions between the area category and each year of death from 2010 to 2013. The RRs in the interaction significantly increased to 1.13, 1.17, and 1.28 for deaths due to stroke, pneumonia, and senility, respectively, in Miyagi Prefecture in 2011, but did not significantly increase for any of the other areas affected by the GEJE. Moreover, increased RRs were not reported for any of the other years. The risk of death increased in 2011; however, this was only significant for single-year impact. In 2013, decreased RRs of pneumonia in the Miyagi and Iwate prefectures and of senility in Fukushima Prefecture were observed. Overall, we did not find evidence of strong associations between the GEJE and mortality.
(キーワード)
cause of death / death certificate / 災害 (disaster) / 地震 (earthquake) / older adults
Yuta Inoue, Yuko Ohno, Tomotaka Sobue, Takako Fujimaki, LING ZHA, Yasuhisa Nomura, Hyo Kyozuka, Shun Yasuda, Akiko Yamaguchi, Kentaro Kurasawa and Keiya Fujimori : Impact of the Great East Japan Earthquake on spontaneous abortion and induced abortion: A population-based cross-sectional and longitudinal study in the Fukushima Prefecture based on the census survey of the Fukushima maternity care facility and vital statistics, The Journal of Obstetrics and Gynaecology Research, 49, 3, 812-827, 2023.
(要約)
The 2011 Great East Japan Earthquake (GEJE) was a disaster leading to radiation exposure and psychological distress, particularly among pregnant women. However, it is not known how this affected the seasonal changes of pregnancy and childbirth. Therefore, this study investigated the impact of the GEJE in the Fukushima Prefecture on spontaneous and induced abortions with regard to seasonal variability. We used the data of vital statistics of live birth and stillbirth registry and the census survey of the Fukushima Maternity Care Facility. We calculated the spontaneous and induced abortion rate for 2011-2016 using two different methods (cross-sectional and longitudinal). We calculated the quartiles and outliers to determine the impact and duration of the GEJE. Periodicity was investigated using spectral density analysis. The data were analyzed for the entire Fukushima Prefecture and by region. The spontaneous abortion rate did not show specific changes after the GEJE. Contrarily, the monthly analysis in the cross-sectional method, revealed specific increases in induced abortion rate during the year after the GEJE; in the longitudinal method, induced abortions increased among women who became pregnant within 1 year after the GEJE. Spontaneous abortion showed no specific periodicity, while induced abortion showed cycles of 6 and 12 months, with a particular increase in May each year. The spontaneous abortion rate was not affected by the GEJE. The changes in the induced abortion rate after the disaster may have overlapped with the timing of the increased periodicity, and cannot be attributed solely to the GEJE.
乳癌患者 / 遺伝性乳癌卵巣癌症候群患者 / リスク低減卵管卵巣摘出術 / breast cancer patients / hereditary breast and ovarian cancer syndrome(HBOC) / risk reducing salpingo-oophorectomy (RRSO)
Yuta Inoue, Kazutomo Ohashi, Yuko Ohno, Takako Fujimaki, Anna Tsutsui, Ling Zha and Tomotaka Sobue : Pregnant women's migration patterns before childbirth after large-scale earthquakes and the added impact of concerns regarding radiation exposure in Fukushima and five prefectures., PLoS ONE, 17, 8, 2022.
(要約)
The 2011 Great East Japan Earthquake (within Fukushima, Iwate, and Miyagi prefectures) was a complex disaster; it caused a tsunami and the Fukushima Daiichi Nuclear Power Plant accident, resulting in radiation exposure. This study investigated the earthquake's effects on the migration patterns of pregnant women and their concerns regarding radiation exposure. We also considered the following large-scale earthquakes without radiation exposure: Great Hanshin-Awaji (Hyogo prefecture), Niigata-Chuetsu, and Kumamoto. Pregnant women were categorized as outflow and inflow pregnant women. Data on the annual number of births three years before and after the earthquake were used as a denominator to calculate the outflow and inflow rates per 100 births. The odds ratios of annual outflow and inflow rates after the earthquake, using three years before the earthquake as the baseline, were calculated. The odds-ratio for outflow significantly increased for Hyogo, Fukushima, Miyagi, and Kumamoto prefectures after the earthquake, particularly for Fukushima, showing a significant increase until three years post the Great East Japan Earthquake (disaster year: odds-ratio: 2.66 [95% confidence interval: 2.44-2.90], 1 year post: 1.37 [1.23-1.52], 2 years post: 1.13 [1.00-1.26], 3 years post: 1.18 [1.05-1.31]), while the remaining three prefectures reported limited increases post one year. The inflow decreased after the earthquake, particularly in Fukushima, showing a significant decrease until 2 years post the Great East Japan Earthquake (disaster year: 0.58 [0.53-0.63], 1 year post: 0.76 [0.71-0.82], 2 years post: 0.83 [0.77-0.89]). Thus, pregnant women's migration patterns changed after large-scale earthquakes, suggesting radiation exposure concerns possibly have a significant effects. These results suggested that plans for receiving assistance and support that considers the peculiarities of disaster related damage and pregnant women's migration patterns are needed in both the affected and non-affected areas.
The purpose of this study was to characterize periods of hospital-to-home care transition for elderly cancer patients by extracting definitions of such periods and their characteristics as situations from the literature, and to discuss effective nursing support toward hospital-to-home care transition. Relevant research papers published within the period between 2010 and 2020 were searched for using Ichushi Web and PubMed. Descriptions related to periods of transition, characteristics of situations, and hindering/promoting factors were extracted without any changes and categorized based on descriptive content similarities. In these papers, a period of hospital-to-home care transition was described as 1 week to 1 year after discharge. As a situation, it was characterized as ``a time when the patient rebuilds his/her life'', and therefore, ``a time of instability''. Factors hindering and promoting hospital-to-home care transition were represented by6categories, which suggested the following commonalities between them : [ physical management],[patients'/families' intentions],[home care systems],[other family members' commitments to home care], [collaboration systems], and[nurses' home care experience].
(キーワード)
Elderly Cancer Patients / Hospital-to-home Care Transition / Literature Review
A. Tsutsui, Y. Ohno, T. Fujimaki, N. Ando, Yuta Inoue, Y. Taniyama, M. Fujii and H. Ito : Comparison of travel burden to two kinds of specialized cancer-care hospitals for children with cancer in Japan, The 25th East Asia Forum of Nursing Scholars (EAFONS) Conference, Apr. 2022.