Publishing type：Research paper (scientific journal)   Publisher：Royal Society of Chemistry (RSC)  

<p>This randomized controlled trial did not show the effects of OLL1073R-1 yogurt intake on influenza prevention and NK cell activity enhancement. However, a significant increase in IFN-γ production was demonstrated.</p>

DOI： 10.1039/c9fo02128k

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Language：Japanese   Publisher：Japan Socio-Gerontological Society  

<p>  This study aimed to examine social activity in elderly persons requiring support and identify factors that exert an influence on their social activities. The subjects were elderly persons age ≥65 years who been certified as requiring support and who lived in an area managed by A community General Support Center, located within a designated core city. Excluding care facility residents, the total number of subjects was 788. Survey content included social activity and the individual, physical, and social factors that likely exert an influence on it. The survey was conducted through anonymous, self-administered questionnaires. Valid responses were obtained from 411 subjects, and factors related to social activity were identified through multiple regression analysis. The results showed that social activities of elderly persons requiring support often included interaction with the community or with neighbors. The following five factors were found to be related to social activity: score on the Tokyo Metropolitan Institute of Gerontology Index of Competence, certification category, provision of social support, non-family support network, and use of public transportation. Maintaining physical function, as well as supporting relationships with friends or acquaintances in the community and role-players that can provide support are suggested to be crucial for promoting social activity in elderly persons requiring support.</p>

DOI： 10.34393/rousha.40.4_393

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Other Link： http://search.jamas.or.jp/link/ui/2019268673

Language：Japanese   Publisher：(一社)日本アルコール・アディクション医学会  

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Language：Japanese   Publisher：Japan Academy of Gerontological Nursing  

<p>  The objective of the present study was to elucidate the actual conditions of cooperation between nurses and other professionals and the support for confirmation of intention regarding end-of-life care, as well as whether these factors are related to end-of-life care, at special nursing homes in Ehime prefecture. A questionnaire survey was conducted on nurses working at 94 special nursing homes in Ehime prefecture, and responses were obtained from 37 facilities. The most common timing of confirmation of intention regarding end-of-life care was following worsening of condition (91.9%), followed by the time of admission (70.3%). Nurses participated in the confirmation of intention at the time of admission at only 24.3% of facilities. As for relationships to end-of-life care, significant differences were observed based on physicians' attitude toward end-of-life care, cooperation among nurses, and working arrangements of nurses. Specifically, at facilities with a high rate of end-of-life care, physicians had a positive attitude toward end-of-life care, nurses actively engaged in exchange of opinions among each other, and nurses worked late shifts. These results suggest that in order to promote end-of-life care at special nursing homes, it is important for nurses to cooperate with physicians and to support night-time care workers.</p>

DOI： 10.20696/jagn.22.1_61

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Other Link： http://search.jamas.or.jp/link/ui/2017374131

Language：Japanese   Publisher：(公社)日本看護科学学会  

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20160729345

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Language：Japanese   Publisher：The Japan Geriatrics Society  

<b>Objective: </b>This study aimed to elucidate the urination status among elderly people with incontinence who require at-home nursing care as well as the status of their family caregivers, and to identify the factors related to their urination methods. <b>Methods: </b>In the present study, questionnaires were distributed to 101 elderly subjects (n=101) and their caregivers. <b>Results: </b>The most prevalent urination method was the collaboration of toilet and adult diapers (69, 68.8%).There was a significantly larger number of patients who used a toilet <4 times and who had a "moderate" amount of incontinence and patients who used toilet 4-8 times and had a "slight" amount of incontinence (p<0.05). We performed a multivariate logistic regression analysis using the stepwise method. We used 8 items from the responses of the elderly subjects and their caregivers that were identified as being independently associated with the urination method using the chi-squared test (or Fisher's exact probability test), with the urination method as the dependent variable. Among elderly people, the ability to use a toilet properly (p=0.004) and independent mobility (p=0.028) strongly influenced their use of a toilet for urination. Among caregivers, the influencing factor was not thinking that they have to use the toilet even though they are unable to urinate (p=0.027). <b>Conclusion: </b>The use of a toilet for urination by elderly people was influenced by their physical functions and by the caregivers' attitudes toward excretion-related nursing care. When providing urination assistance, it is important for caregivers to maintain the physical functions of the elderly by providing support when necessary. It is also important to assess the bladder function by, methods such, as measuring the amount of residual urine and cooperate with a physician.

DOI： 10.3143/geriatrics.53.133

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Other Link： http://search.jamas.or.jp/link/ui/2016335418

Language：Japanese   Publisher：Japan Academy of Gerontological Nursing  

Objective: The objective of the present study was to clarify nurses' decisions and the factors affecting their decisions regarding the use of 4-point bed-railing restraints for post-operative acute patients diagnosed with dementia. Methods: An anonymous, self-administered questionnaire survey was conducted on nurses working in the surgical wards of hospitals, regarding their understanding of the three major kinds of restraints and the main factors affecting their decisions to use 4-point bed-railing restraints to prevent falls. Results: Responses from 547 participants were analyzed. A total of 170 respondents (31.1%) were able to implement the use of 4-point restraints for patients diagnosed with dementia. About 40% replied that they could not decide and could not be sure when to use 4-point restraints for those diagnosed with dementia who exhibited states of excitement or restless behavior. Factors influencing decisions regarding the use of 4-point restraints for post-operative acute phase patients diagnosed with dementia were "employment in an ICU or HCU", "three-shift system", and "completion of nursing ethics training", with a significantly higher proportion of respondents in these groups agreeing to the use of 4-point restraints. Conclusion: These results suggest that use of 4-point restraints for post-operative acute phase patients diagnosed with dementia varies according to each nurse's work environment.

DOI： 10.20696/jagn.20.2_57

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20160729280

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Language：Japanese   Publisher：Japan Academy of Gerontological Nursing  

DOI： 10.20696/jagn.20.2_99

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Language：Japanese   Publisher：Japan Academy of Gerontological Nursing  

The purpose of this study was to clarify the impact of lifestyle factors on nighttime sleep by conducting a survey on the state of sleep among long-term care facility residents. Targeting residents who use wheelchairs, we measured nocturnal waking duration, sleep efficiency, and total sleep duration using Actiwatch^® and compared the daytime to the nighttime lifestyle factors. The subjects of analysis were 25 persons with an average age of 83.5±8.7. The total sleep duration of those who got out of bed twice or more during the daytime was 410.6 minutes (median), which was longer than that of those who got out of bed once (p=.034). The sleep efficiency of those who spent one hour or more in bed before sleeping was 66.5% (median), which was less than that of those who spent less than one hour (p=.038), showing a significant difference. Moreover, the sleep efficiency of those who had a preferred recreation was 80.4% (median), which was higher than that of those with no preference (p = .043), thus showing a significant difference. These results suggest that, by choosing the time in bed and lifestyle habits that suit each elderly person and by incorporating their preferences in lifestyle, the sleep and wake rhythm can be adjusted, which will lead to an improvement of the nighttime sleep of residents.

DOI： 10.20696/jagn.20.2_76

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Language：Japanese   Publisher：Japan Academy of Gerontological Nursing  

The objective of the current study was to elucidate the defecation status and the factors relating to diarrhea in elderly patients receiving tube feeding. We conducted a survey on a total of 140 elderly individuals hospitalized in a recuperation ward who had been receiving tube feeding for &ge;6 months. A total of 113 patients (80.7%) had diarrhea and 138 (98.6%) had fecal incontinence. Items significantly related to diarrhea were the ability to maintain a seated position, form of nutritional supplements, and infusion volume per hour in patients receiving liquid-form nutritional supplements. Patients with diarrhea had a lower infusion volume per hour than those who did not have diarrhea, indicating that it would be difficult to treat diarrhea by reducing the infusion rate. In addition, many of the patients who did not have diarrhea were receiving semisolid nutritional supplements, confirming that use of semi-solid nutritional supplements is effective in treating diarrhea. Furthermore, diarrhea was associated with an inability to maintain a seated position, suggesting that physical function is an important factor affecting defecation.

DOI： 10.20696/jagn.20.2_83

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Language：Japanese   Publisher：(一社)日本看護研究学会  

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Language：Japanese   Publisher：(一社)日本がん看護学会  

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20150722232

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20150722344

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20150722345

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Language：Japanese  

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Other Link： http://search.jamas.or.jp/link/ui/2013304709

Language：Japanese   Publisher：公益社団法人 日本理学療法士協会  

【はじめに、目的】 臨床においては踵部の褥瘡予防を目的としてクッション等を用いて下肢挙上を行うことがあるが、過度な下肢挙上により仙骨部に褥瘡を発症する事例が存在する。また先行研究において膝関節拘縮は仙骨部や踵部に対する褥瘡発生リスクを高める要因の一つとされている。以前から褥瘡予防を目的とした背臥位や30°側臥位などの体位と仙骨部接触圧との関係や膝関節の拘縮が仙骨部接触圧にどのような影響を及ぼすか調査した研究はよく行われている。しかし膝関節屈曲拘縮及び下肢挙上の高さが仙骨部接触圧に与える影響については検討されていない。本研究の目的は膝関節屈曲角度と下肢挙上の高さが、仙骨部接触圧にどのような関連が生じるのか明らかにすることである。【方法】 対象者は20歳から35歳までの健常な成人男性で、BMIが18.5以上25未満の者を対象とした。測定期間は平成23年5月1日～10月31日、測定項目は対象者に対して膝関節角度（0°、30°、50°）と下肢挙上の高さ（0cm、5cm、10cm、15cm、20cm）を変化させ、背臥位におけるそれぞれの仙骨部接触圧を測定した。また対象者の背景（年齢、身長、体重）を調査した。測定方法は仙骨部接触圧をニッタ社製Body Pressure Measurement System（以下BPMSと略す）を用いてベットにマットレス（ケープ社製 アイリス2）を置き、その上にBPMSのセンサーを設置し測定を行った。そして対象者は病衣を着用し、膝関節角度（0°、30°、50°）いずれかに設定したダイアルロック式膝装具 （中村ブレイス社製ラックニリガACL）を装着後、センサー上に背臥位となり、1分間安静を保持した後に全ての膝関節角度と下肢挙上の高さについて、仙骨部最大接触圧を20秒間に1回、計3回測定し平均値を仙骨部接触圧とした。下肢挙上の高さはマットレスから踵部までの距離とし、高さの設定は体圧分散能力のない高さ5cmの足枕とニシスポーツ社製バランスパッド（以下バランスパッド）を用いて設定した。なお下肢挙上時は両下肢を挙上した。 測定において順序効果を相殺するため、膝関節屈曲角度と下肢挙上の高さの順番はランダムに設定した。統計分析はExcel統計2006を用い、膝関節屈曲角度それぞれにおける下肢挙上の高さと仙骨部接触圧との関係をSpearmanの順位相関係数によって求めた。【倫理的配慮、説明と同意】 本研究は愛媛大学大学院医学系研究科看護学専攻研究倫理審査委員会の承認を受け、研究への参加は対象者の自由意志にて行い、書面による同意を得て行った。また個人情報の取り扱いについては氏名についてはコード化し外部に情報流出がないよう十分に留意した。【結果】 本研究に参加した対象者は15名であった。平均年齢は28.6±4.56歳、平均BMIは22.4±1.98であった。それぞれの膝関節屈曲角度における下肢挙上の高さと仙骨部接触圧との関係は、膝関節屈曲0°はr=0.41（p<0.001）、膝関節屈曲30°はr=0.35（p<0.001）、膝関節屈曲50°はr=0.41（p<0.001）であった。 【考察】 膝関節0°、30°、50°それぞれにおいて下肢挙上の高さと仙骨部接触圧に有意な正の相関関係が認められた。理由として下肢挙上により大腿部や下腿部後面とマットレスとの接触面積が減少し、大腿部後面や下腿部後面に係る接触圧が仙骨部へ移動したと考えた。また先行研究において大腿挙上運動によって骨盤は後傾方向へ運動するといわれており、下肢挙上による骨盤の後傾運動が生じ、仙骨部接触圧が増加した可能性が考えられる。【理学療法学研究としての意義】 下肢挙上は血圧低下時や整形外科手術前後などで行われる姿勢であり、臨床においてよく行われる姿勢である。また高齢化を迎えるにあたって膝関節屈曲拘縮を有する患者は今後増加することが考えられる。膝関節屈曲角度及び下肢挙上の高さと仙骨部接触圧との関連を明らかにすることで、仙骨部における褥瘡発生及び予防につながる知見が得られる可能性があり、本研究を行う意義は大きいと考える。

DOI： 10.14900/cjpt.2012.0.48100311.0

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Language：Japanese   Publisher：Japan Socio-Gerontological Society  

<p>  In the present study, we implemented an educational program for providing excretion care through collaboration between care workers and nursing staff, and elucidated changes in the awareness of care worker regarding work, collaboration, and excretion with the objective of determining the effects of the program. The program consisted of lectures on basic knowledge of excretion and collaboration as well as a 12-week conference on excretion. Subjects were 26 care workers who provided valid responses among the 52 care workers working at two long-term care health facilities in Prefecture A. Subjects were divided into three groups based on 3 points in time, before intervention, after lectures, and after conferences, to make a comparison between groups. The results showed that in terms of beliefs in excretion care, participants' beliefs in the potentiality of lessening the usage of diapers through care became significantly higher through time. However, no significant changes were found in job satisfaction or sense of control over work. These findings suggest that the present program is effective for enhancing excretion care, and clarifying issues related to promoting collaboration.</p>

DOI： 10.34393/rousha.34.4_491

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Other Link： http://search.jamas.or.jp/link/ui/2013133536

Language：Japanese   Publisher：へるす出版  

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Other Link： http://search.jamas.or.jp/link/ui/2012322261

Language：Japanese   Publisher：Kawasaki University of Medical Welfare  

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20110720327

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20110720334

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20110720335

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Language：Japanese   Publisher：Japan Academy of Gerontological Nursing  

DOI： 10.20696/jagn.15.1_13

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20110720336

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20100721234

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20100721160

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20090703497

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Language：Japanese   Publisher：Japanese Society of Cancer Nursing  

<p><b>Abstract</b></p><p>The aims of the present study were to elucidate the factors affecting QOL in patients receiving outpatient chemotherapy and investigate nursing support that maintains and improves patient QOL. We conducted a questionnaire survey on patients receiving outpatient chemotherapy and received 95 valid responses. The survey investigated attribute and physical factors (severity of side effects), social factors (conditions surrounding support, going out, executing role and tasks at work and home, and interacting with others, including local people, friends and relatives), psychological factors (financial burden and time-constraints imposed by outpatient chemotherapy, and concern about lifestyle while receiving outpatient chemotherapy) and QOL. The Japanese version of FACT-G was used to measure QOL. Nausea, diarrhea, interaction with others, role execution, advice from healthcare professionals and concern about lifestyle while receiving outpatient chemotherapy were found to be significantly correlated with QOL. Multiple regression analysis was then conducted with these six items serving as independent variables and QOL as the dependent variable. A relationship with QOL was observed for interaction with others, role execution and concern regarding lifestyle while receiving outpatient chemotherapy. The more patients interacted with others and performed a useful role in society and the lower the concern regarding lifestyle while receiving outpatient chemotherapy, the higher the QOL. These findings suggest that it is important for nurses to pay attention to and provide support for not only physical aspects but also patients' social and psychological aspects.</p>

DOI： 10.18906/jjscn.2009-23-2-13

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Other Link： http://search.jamas.or.jp/link/ui/2010007101

Language：Japanese   Publisher：Japanese Society of Public Health  

DOI： 10.11236/jph.55.9_640

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Other Link： http://search.jamas.or.jp/link/ui/2008353516

Language：Japanese   Publisher：Japan Academy of Gerontological Nursing  

DOI： 10.20696/jagn.13.1_13

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Language：Japanese   Publisher：Japan Academy of Gerontological Nursing  

DOI： 10.20696/jagn.10.2_34

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Language：Japanese   Publisher：日本老年行動科学会  

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Other Link： http://search.jamas.or.jp/link/ui/2007067582

Language：Japanese  

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Other Link： http://search.jamas.or.jp/link/ui/2005286485

Language：Japanese   Publisher：日本看護協会  

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Other Link： http://search.jamas.or.jp/link/ui/2006119624

Language：Japanese   Publisher：Japan Society of Nursing Research  

The purpose of this survey is to identify and analyze the factors related to positive appraisal on the part of the family caregivers engaged in in-home medical care by examining their characteristics. The survey has been conducted by interviewing 190 primary caregivers (117 of them are giving in-home medical care, "medical group", and 73 are not, "non-medical group") by the use of questionnaires. <br>The survey shows that the "medical group" has the characteristics of long care-giving hours and strong in-home care motives. Compared to the "non-medical group", the "medical group" is shown to give higher responses, as positive appraisal, to "self-developing feeling through care-giving" and "willing acceptance of caregiver's role". As for the factors related to the positive appraisal, the "medical group" is shown to have strong motives for in-home care and "emotional approach style" as the coping process. <br>The above results suggest that it is essential for the caregivers to recognize care-giving practices as their own roles and that the good relationships between caregivers and care-receivers are fundamentally important. Nurses need to be involved so as to help caregivers develop the role recognition and to assist in forming better relationships between givers and receivers.

DOI： 10.15065/jjsnr.20040517004

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20050621334

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20040629054

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Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20040629089

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Language：Japanese   Publisher：Kochi University  

In this study, falling self-efficacy (FSE) was surveyed by self-entering questionnaire to obtain basic information to utilize for the falls prevention of healthy aged persons. The subjects were 158 healthy elderly persons in the age of 65 or above who take part in community-based companionship activities on a regular basis, 57 males and 101 females. The relations between FSE and age-related somatic symptoms, physical activity, fear of falls, consciousness of decline in walking ability and pride against acting to prevent falls were examined by chi-square test and one-way analysis of variance. Followings were found; 1) Sex, age, age-related somatic symptoms, The Index of Competence development by Tokyo Metropolitan Institute of Gerontology, self or familiar persons' experience of falls or fractures, fear of falls, consciousness of decline in walking ability and pride against acting to prevent falls were related with FSE of healthy elderlies. 2) Around the age of 75 would be the turning point of FSE. The data suggests FSE would fall after the age of 75. 3) FSE could be basic information for the assessment of falls prevention of aged persons, if you understand not only objective physical abilities including physical activities, consciousness of walking ability, fear of falls and experience giving up what the subject want to do due to the fear of falls but also how the subjects face with the decline of these abilities and whether that motivates them to act to prevent falls. 4) Self or others' enactive mastery experiences and vicarious experiences elevated FSE. Self or others' experience of falls and whether having opportunities to communicate with others are important for FSE and to motivate elderlies to prevent falls. That implies they can be utilized for falls prevention campaign.

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Other Link： http://hdl.handle.net/10126/260

Language：Japanese  

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Language：Japanese   Publisher：日本老年行動科学会  

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Other Link： http://search.jamas.or.jp/link/ui/2006232569

Language：Japanese   Publisher：一般社団法人 日本看護研究学会  

DOI： 10.15065/jjsnr.20030624170

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Language：Japanese   Publisher：(公社)日本心理学会  

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Language：Japanese   Publisher：日本老年社会科学会  

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Language：Japanese   Publisher：日本看護協会出版会  

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Other Link： http://search.jamas.or.jp/link/ui/2008271377

Language：Japanese   Publisher：(公社)日本看護科学学会  

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Language：Japanese   Publisher：(公社)日本看護科学学会  

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