Language：English   Publishing type：Research paper (scientific journal)  

BACKGROUND: Out-of-hospital cardiac arrest (OHCA) is a significant global cause of mortality, and Emergency Medical Services (EMS) response interval is critical for survival and a neurologically-favorable outcome. Currently, it is unclear whether EMS response interval, neurologically-intact survival, and overall survival differ between snowy and non-snowy periods at heavy snowfall areas. METHODS: A nation-wide population-based cohort of OHCA patients, registered from 2017 through 2019 in the All-Japan Utstein Registry, was divided into four groups according to areas (heavy snowfall area or other area) and seasons (winter or non-winter): heavy snowfall-winter, heavy snowfall-non-winter, other area-winter, and other area-non-winter. The first coprimary outcome was EMS response interval, and the secondary coprimary outcome was one-month survival and a neurologically-favorable outcome at one month. RESULTS: A total of 337,781 OHCA patients were divided into four groups: heavy snowfall-winter (N = 15,627), heavy snowfall-non-winter (N = 97,441), other area-winter (N = 32,955), and other area-non-winter (N = 191,758). Longer EMS response intervals (>13 minutes) were most likely in the heavy snowfall-winter group (OR = 1.86; 95% CI, 1.76 to 1.97), and also more likely in heavy snowfall areas in non-winter (OR = 1.44; 95% CI, 1.38 to 1.50). One-month survival in winter was worse not only in the heavy snowfall area (OR = 0.86; 95% CI, 0.78 to 0.94) but also in other areas (OR = 0.91; 95% CI, 0.87 to 0.94). One-month neurologically-favorable outcomes were also comparable between heavy snowfall-winter and other area-non-winter groups. CONCLUSIONS: This study showed OHCA in heavy snowfall areas in winter resulted in longer EMS response intervals. However, heavy snowfall had little effect on one-month survival or neurologically-favorable outcome at one month.

DOI： 10.1017/S1049023X23006040

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Authorship：Corresponding author   Language：Japanese  

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Language：Japanese   Publisher：(株)ジェフコーポレーション  

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Background

Pulmonary thromboembolism is a serious disease that often occurs in disaster victims evacuated to shelters. Deep vein thrombosis is the most common reason for pulmonary thromboembolism, and early prevention is important. Medical technicians often perform ultrasonography as part of mobile medical screenings of disaster victims but reaching all isolated and scattered shelters is difficult. Therefore, deep vein thrombosis medical screening methods that can be easily performed by anyone are needed. The purpose of this study was to develop a method to automatically identify cross-sectional images suitable for deep vein thrombosis diagnosis so disaster victims can self-assess their risk of deep vein thrombosis.

Methods

Ultrasonographic images of the popliteal vein were acquired in 20 subjects using stationary and portable ultrasound diagnostic equipment. Images were obtained by frame split from video. Images were classified as “Satisfactory,” “Moderately satisfactory,” and “Unsatisfactory” according to the level of popliteal vein visualization. Fine-tuning and classification were performed using ResNet101, a deep learning model.

Results

Acquiring images with portable ultrasound diagnostic equipment resulted in a classification accuracy of 0.76 and an area under the receiver operating characteristic curve of 0.89. Acquiring images with stationary ultrasound diagnostic equipment resulted in a classification accuracy of 0.73 and an area under the receiver operating characteristic curve of 0.88.

Conclusion

A method for automatically identifying appropriate diagnostic cross-sectional ultrasonographic images of the popliteal vein was developed. This elemental technology is sufficiently accurate to automatically self-assess the risk of deep vein thrombosis by disaster victims.

DOI： 10.1371/journal.pone.0282747

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BACKGROUND: Treatment of high blood pressure is a combination of lifestyle changes and medications, and appropriateexercise therapy is recommended as one of the lifestyle-related changes. Recently, stretching, a low-intensity exercise, was reported to be antihypertensive and effective for improving arteriosclerosis, in addition to aerobic exercise. The present study investigated the short-term effects of continuous stretching and rest-induced rebound on vascular endothelial function in hypertensive patients. METHODS: This study was conducted as a single-arm prospective interventional study including patients between 30 and 70 years of age undergoing treatment for hypertension from October 2019 until May 2021. The intervention consisted of six months of daily stretching, one month of rest, and another three months of stretching. We measured arteriosclerosis indices such as cardio ankle vascular index (CAVI), ankle brachial pressure index (ABI) and reactive hyperemia index (RHI), and flexibility at the baseline and one, three, six, seven, and ten months from the baseline. RESULTS: We included a total of ten patients (three males and seven females) with an average age of 60.10 ± 6.05 years. The exercise rate for the entire period was 90% or more, and the anteflexion measurement value improved significantly before and after the intervention (p < 0.001). Blood pressure and CAVI/ABI were well controlled throughout the study period. RHI did not show any significant improvement during the initial six months, and only slightly improved by the third month (p = 0.063). Even after the rest phase and resumption of stretching, RHI remained stable. CONCLUSIONS: The compliance of the stretching program we used, evaluated by the exercise implementation rate for the entire period, was 90% or more; therefore, easy to perform and continue by hypertensive patients. However, we did not observe a significant positive effect on arteriosclerosis index or blood pressure in this study.

DOI： 10.3390/clinpract12030036

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Authorship：Corresponding author   Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.24462/jnse.9.0_178

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Background and Objectives: For effective function of the rapid response system (RRS), prompt identification of patients at a high risk of cardiac arrest and RRS activation without hesitation are important. This study aimed to identify clinical factors that increase the risk of intensive care unit (ICU) transfer and cardiac arrest to identify patients who are likely to develop serious conditions requiring ICU management and appropriate RRS activation in Japan. Materials and Methods: We performed a single-center, case control study among patients requiring a rapid response team (RRT) call from 2017 to 2020. We extracted the demographic data, vital parameters, blood oxygen saturation (SpO2) and the fraction of inspired oxygen (FiO2) from the medical records at the time of RRT call. The patients were divided into two groups to identify clinical signs that correlated with the progression of clinical deterioration. Patient characteristics in the two groups were compared using statistical tests based on the distribution. Receiver operating characteristic (ROC) curve analysis was used to identify the appropriate cut-off values of vital parameters or FiO2 that showed a significant difference between-group. Multivariate logistic regression analysis was used to identify patient factors that were predictive of RRS necessity. Results: We analyzed the data of 65 patients who met our hospital's RRT call criteria. Among the clinical signs in RRT call criteria, respiratory rate (RR) (p < 0.01) and the needed FiO2 were significantly increased (p < 0.01) in patients with severe disease course. ROC curve analysis revealed RR and needed FiO2 cut-off values of 25.5 breaths/min and 30%. The odds ratio for the progression of clinical deterioration was 40.5 times higher with the combination of RR ≥ 26 breaths/min and needed FiO2 ≥ 30%. Conclusions: The combined use of RR ≥ 26 breaths/min and needed FiO2 ≥ 30% might be valid for identifying patients requiring intensive care management.

DOI： 10.3390/medicina57111194

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Language：Japanese   Publisher：日本外科系連合学会  

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Symptom burden and health-related quality of life (HRQOL) are important predictors of how a disease affects patients' lives, especially for endemic health problems such as chronic kidney disease of uncertain etiology (CKDu). Our study describes symptom burden, HRQOL, and associated demographic and clinical variables in CKDu patients in the Girandurukotte area, Sri Lanka. A cross-sectional study included 120 CKDu patients attending the renal clinic in the endemic area. The instruments applied were the Kidney Disease Quality of Life-Short Form (KDQOL-SFTM) version 1.3 and CKD Symptom Index-Sri Lanka. Socio-demographic, disease-related, and anthropometric variables were also investigated. The mean age of patients was 61.87 (SD 11.31), while 69.2% were male. The mean glomerular filtration rate was 28.17 (SD 14.03) mL/min/1.73 min2, and 70.8% were anemic. Bone/joint pain was the most experienced symptom while the median number of symptoms reported by patients was 5 (IQR 3-7). The mean symptom burden, physical component summary, mental component summary, and kidney-disease-specific component scores were 12.71 (SD 10.45), 68.63 (SD 19.58), 78.53 (SD 18.78), and 81.57 (SD 5.86), respectively. Age was found to be a significant predictor of HRQOL, while hemoglobin level and being a farmer were significant predictors of symptom burden. Our data indicate that CKDu patients in all stages experience at least one symptom affecting all aspects of HRQOL.

DOI： 10.3390/ijerph17114041

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Authorship：Last author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：The Society of Analytical Bio-Science  

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Authorship：Corresponding author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：看護理工学会  

目的:ラベンダー精油を内包したマイクロカプセルを塗布したシートが睡眠の質を高めるかどうか評価を行った.方法:被験者の睡眠パターンをモニタリングするために,参加者の自宅で前後比較研究を実施した.コントロールとして平日5日間を,つぎに本シートによるアロマセラピーの介入として,平日5日間を追跡した.プライマリアウトカムは,睡眠潜時,入眠後の覚醒時間,睡眠効率,浅い睡眠について客観的に評価した.セカンダリアウトカムは,「寝つきのよさ」と「熟眠感」について5件法にて主観的に評価した.結果:対象者は15名であった.客観的指標に統計学的有意差はなかったが,主観的指標である「寝つきのよさ」と「熟眠感」では統計学的有意差があった.本研究で示された客観的指標における効果量はd=0.20-0.39であり,必要なサンプルサイズは54-207であった.結論:本シートは睡眠の質向上に有効な可能性があり,サンプルサイズを拡大した検証が求められる.(著者抄録)

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© 2018 The Authors Background & aims: Taste is a very important factor affecting nutritional intake and compliance. Subjective taste may differ among nationalities. In the present study we examined differences in subjective taste according to food composition and nationality. Methods: Twelve Japanese and 4 Sri Lankan students took part in the study. Food samples of 3 different mixtures of chicken and rice were tasted: Food 1, 3 g chicken/10 g rice; Food 2, 6 g chicken/10 g rice; Food 3, 9 g chicken/10 g rice. The sweet, salty, sour, bitter, and astringent taste of each of the food samples, as well as their deliciousness, were scored subjectively on a scale of 0–5. Results were compared between the 3 types of food samples, as well as between nationalities. In addition, concentrations of blood micronutrients were measured. Results: Across all 3 types of food, the change in subjective taste of salty, sweet, and sour differed significantly between Japanese and Sri Lankan students (P = 0.022, P = 0.008, and P = 0.025, respectively). However, bitter and astringent taste, as well as the perceived overall deliciousness of the foods, was comparable between the 2 groups. Serum zinc levels were significantly lower in Sri Lankan than Japanese students (P = 0.004). Conclusions: Subjective assessment of taste differs according to food composition and nationality, and it is important to consider taste preferences according to nationality when promoting oral nutritional support.

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DOI： 10.1016/j.yclnex.2018.10.006

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Micronutrients include vitamins, minerals and, trace elements that are required in minute quantities but play a vital role in normal human growth, development and physiological functioning. Micronutrient deficiencies, also known as hidden hunger, are a global issue, with particularly high prevalence rates in developing countries. Currently, Sri Lanka is experiencing the double burden of over- and undernutrition. This review describes the micronutrient status of Sri Lanka based on results of national surveys and related articles published from 2000. The available data suggest a higher prevalence of iron, zinc, calcium, folate, and vitamin A deficiencies. The prevalence of iodine deficiency has declined gradually following the implementation of a universal salt iodization program. Iron deficiency is the most common cause of anemia and low red blood cell indices. Females are more vulnerable to micronutrient deficiencies than males. The coexistence of multiple micronutrient deficiencies and concurrent macro- and micronutrient deficiencies is common. Studies have shown an association between micronutrient deficiencies and different demographic, socioeconomic, and dietary factors. Therefore, there is a need for comprehensive studies, nutritional policies, and nationwide intervention programs in Sri Lanka to improve the micronutrient status of the population.

DOI： 10.3390/nu10111583

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Micronutrients include vitamins, minerals and, trace elements that are required in minute quantities but play a vital role in normal human growth, development and physiological functioning. Micronutrient deficiencies, also known as hidden hunger, are a global issue, with particularly high prevalence rates in developing countries. Currently, Sri Lanka is experiencing the double burden of over- and undernutrition. This review describes the micronutrient status of Sri Lanka based on results of national surveys and related articles published from 2000. The available data suggest a higher prevalence of iron, zinc, calcium, folate, and vitamin A deficiencies. The prevalence of iodine deficiency has declined gradually following the implementation of a universal salt iodization program. Iron deficiency is the most common cause of anemia and low red blood cell indices. Females are more vulnerable to micronutrient deficiencies than males. The coexistence of multiple micronutrient deficiencies and concurrent macro- and micronutrient deficiencies is common. Studies have shown an association between micronutrient deficiencies and different demographic, socioeconomic, and dietary factors. Therefore, there is a need for comprehensive studies, nutritional policies, and nationwide intervention programs in Sri Lanka to improve the micronutrient status of the population.

DOI： 10.3390/nu10111583

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Language：Japanese   Publisher：日本外科代謝栄養学会  

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Scientific Research Publishing, Inc.  

DOI： 10.4236/health.2017.913130

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DOI： 10.4236/jbise.2017.103009

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DOI： 10.4236/ojn.2015.510092

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DOI： 10.4236/jbise.2015.810067

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DOI： 10.4236/ojn.2015.59082

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Language：Japanese   Publisher：新潟大学医学部保健学科  

看護学専攻3年次対象の『がん看護論』では「がん患者体験演習」を実施している。本演習の学習成果と課題を見出すことを目的に、平成23年度から平成26年度の演習上による学生の記載内容と自由記載からの集計および質的分析をした。結果、学生は、演習でがん患者の立場からあきらめるものについては『形のある大切なもの』、『大切な人』、『大切な活動』、『形のない大切なこと』を選択し、発症時期や告知の時期では『大切な活動』、『形のある大切なもの』を優先的に選択していた。この選択は調査年度が変わっても同じ傾向であった。自由記載の分析結果では、【取捨選択をするという困難さの体感】、【がん患者が体験する喪失感の共有】、【人・ものの存在意義に対するあらたな認識】、【がん患者の支援方法を再考察する機会】の4カテゴリーが抽出された。これらから、本演習での学生の学習成果は一定しており、がん患者の生活と治療を模擬体験し、支援方法を考える機会になったと考えられた。(著者抄録)

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DOI： 10.4236/health.2015.76078

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DOI： 10.4236/health.2015.71004

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Other Link： http://www.scirp.org/journal/health/

Language：Japanese   Publisher：日本シミュレーション医療教育学会  

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Scientific Research  

DOI： 10.4236/health.2014.611160

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Language：English   Publishing type：Research paper (international conference proceedings)   Publisher：Springer Verlag  

The realities of physical and psychological burden associated with mammography are not fully understood. We have measured the muscle activity and the sympathetic nervous activity of subjects during mammography to estimate the burden. The experimental results suggested that positioning during mammography affects the muscle activity and the sympathetic nervous activity of the body. We carried out another preliminary experiment for decreasing the examinee's burden using humorous video. In the experiment, two groups ("humor group" and "neutral group") underwent mammography. The humor group was shown a humorous video during mammography. As a result, numerical rating scale scores of humor group on pain and experience time were higher than that of neutral group (no significant difference). In conclusion, the physical and psychological burden of mammography examinees could be evaluated by measuring the muscle activity and the sympathetic nervous activity. Humorous video may be effective at increasing pain tolerance of subjects during mammography. © 2014 Springer International Publishing.

DOI： 10.1007/978-3-319-07887-8_71

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DOI： 10.4236/health.2013.58181

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Language：Japanese   Publisher：新潟大学医学部保健学科  

本研究は、映像を用いて行動や思考の振り返りを行う段階別課題提示型のトレーニングプログラム参加後の新人看護師の気づきと、臨床実践への活用を明らかにすることを目的とした。研究対象者はA病院の新人看護師で、語りや自己記述の内容を質的帰納的に分析した。トレーニングプログラムでの'気づき'は、【行動を客観的に口述する必要性】、【行動の根拠の不確実さ】、【根拠なき行動の認識】、【不十分な実践の認識】、【身をもって気づく】という自身の行動の客観視による行動や思考の意識化、【判断志向性の共通理解】、【日常の疑問の表出】など課題の解決方策への気づきを得ていた。また新人看護師は、トレーニングプログラム終了後も【トレーニングプログラムの応用】、【よりよい実践への変化】という行動変容や、【実践への自信】、【成長の実感】【同期との牽制と協力】などの意識変化があり、トレーニングプログラムの臨床実践への有用性が示唆された。(著者抄録)

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2013&ichushi_jid=J03388&link_issn=&doc_id=20130412460002&doc_link_id=1301018&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F1301018&type=%8D%C5%90V%8A%C5%8C%EC%8D%F5%88%F8Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

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Other Link： http://search.jamas.or.jp/link/ui/2013222181

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Tohoku J Exp Med.  

Mammography has become widespread as a standard method for breast cancer screening. For women undergoing mammography, compression of the breast and special positioning are requested, and they cause the physical burden and pain. However, the reality of the physical burden and subjective pain associated with mammography are not fully understood. We therefore measured the muscle activity of subjects during positioning for mammography screening using surface electromyography to evaluate the physical burden and pain associated with the positioning. The subjects consisted of 15 women (age: 44.4 ± 6.56 years old, height: 160 ± 6.7 cm, weight: 55.08 ± 3.94 kg, and body mass index: 21.4 ± 2.21). Measurements were performed in the mediolateral oblique position, a standard position for mammography. The target muscles were the sternocleidomastoid, biceps, trapezius and gastrocnemius muscles. A portable multi-purpose bio-amplifier was used for the measurements. Visual analogue scale (VAS), which is a tool for self-assessment of subjective pain, was used for pain measurement. The analysis of variance showed the significant difference in the amounts of muscle activities in all the target muscles between the relaxation phase before mammography positioning and the stress phase during mammography positioning. The sites with the increased muscle activities were consistent with the sites of pain measured with the VAS. These results suggest that positioning during mammography affects the muscle activity and that the increased muscle activity could be related to the pain. Understanding muscle activities during mammography is invaluable in making the pain reduction program for the subjects undergoing mammography. © 2012 Tohoku University Medical Press.

DOI： 10.1620/tjem.228.53

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DOI： 10.11477/mf.7007200348

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Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：Japanese Society of Radiological Technology  

This study focused on measuring examinees' muscle activities during mammography positioning using surface electromyography. Muscle activities were measured in three women (40–50s) in two-view mammography (MLO: mediolateral oblique, CC: craniocaudal). The muscles measured were the sternocleidomastoid, biceps, trapezius, and gastrocnemius, selected based on the visual analogue scale reported by Sharp et al. We used a multi-purpose portable bio-amplifier (Polymate AP1000) to assess the muscle activities. The results showed that the trapezius in right MLO and sternocleidomastoid in right CC were active in all three subjects. This suggests that the muscles directly related to mammography positioning are highly active. In addition, the gastrocnemius was active throughout the mammography. The biceps and gastrocnemius were also active in at least one of the three women. We believe that quantitative assessment of muscle activities during mammography positioning will contribute to the improvement of pain-reduction programs in mammography.

DOI： 10.6009/jjrt.67.679

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Other Link： https://www.jstage.jst.go.jp/article/jjrt/67/6/67_6_679/_article

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Language：Japanese   Publisher：Niigata University  

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Other Link： http://search.jamas.or.jp/link/ui/2009151081

Language：Japanese   Publisher：Niigata University  

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Other Link： http://search.jamas.or.jp/link/ui/2008264512

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Other Link： http://search.jamas.or.jp/link/ui/2008264539

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The objective of this work was to describe average dietary intake, physical activity (PA) and nutritional status of the adult population of Girandurukotte, Sri Lanka. A cross-sectional survey, including one 24-h dietary recall, international physical activity questionnaire and anthropometric measurements was conducted in a representative sample of 120 adults. Mean (SD) for body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR) and waist to height ratio (WHtR) were 23.06(4.20) kg/m2, 85.6(9.5) cm, 0.95(0.05) and 0.55(0.07), respectively. Significant differences were observed in height, body fat %, body muscle %, hip circumference, WHR, WHtR, fat mass index and hand grip strength between men and women (p < 0.05). Among the study group, 35.8% were overweight, 13.3% were obese and 11.7% were underweight. Central obesity was observed in 59.2%, 97.5% and 74.2% of adults by WC, WHR and WHtR, respectively. Mean (SD) dietary diversity score and dietary diversity score with portions were 4.77(1.28) and 4.09(1.32), respectively. Mean daily intake of protein, fruits, vegetables and dairy were well below the national recommendations. Despite the higher PA level, nearly half the population was overweight and obese and the majority was centrally obese. None of the dietary diversity scores met the optimal levels, suggesting poor quality and quantity of the diet.

DOI： 10.3390/ijerph17010150

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Background: Intensive care unit-acquired weakness (ICU-AW) can be diagnosed using the Medical Research Council (MRC) score. However, such scoring may not be possible in ICU patients who may be sedated or delirious or have encephalopathy. Currently, a quantitative assessment of the cross-sectional area of the muscle is available to assess changes in skeletal muscle mass using computed tomography (CT) images. This assessment calculates the skeletal muscle index (SMI) (cm2/m2) by dividing the cross-sectional area (cm2) of the skeletal muscle at the level of the third lumbar vertebra by the square of the patient's height (m2) on CT. This study assessed the effectiveness of SMI, as measured by abdominal CT scans, in predicting the onset of ICU-AW in patients with sepsis admitted to the ICU. Methods: We examined septic ICU patients admitted to the Niigata University Hospital ICU during 2012 - 2017 under mechanical ventilation. Patients were retrospectively divided into two groups by MRC score at ICU discharge: group AW comprised patients with an MRC score < 48, and group non-AW (NAW) comprised the remaining patients. Clinicopathological factors at ICU admission such as age, gender, underlying disease, body mass index, and SMI were compared between the two groups. Statistical analyses were performed using the Mann-Whitney U test, Fisher's exact test, receiver operator characteristic (ROC) analysis and multivariate analysis. Results: A total of 31 septic patients were examined, and 23 patients met the criteria for ICU-AW. The prevalence of women was significantly higher in group AW (P < 0.05). All clinical factors, except for gender, were not significantly different between the two groups. SMI was significantly lower in group AW than in group NAW (P < 0.05). ROC analysis revealed that the cut-off value of SMI for predicting ICU-AW was 44.1, and the multivariate analysis revealed that only low SMI was a significant factor in predicting ICU-AW (P < 0.05). Conclusions: Our results show that SMI measurement at ICU admission is a valid predictive factor for ICU-AW progression in septic patients.

DOI： 10.14740/jocmr4027

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Language：Japanese   Publisher：(一社)日本災害看護学会編集委員会  

＜文献概要＞1.目的 東日本大震災に関連した福島第一原子力発電所事故により長期の避難生活を送る復興過渡期にある壮年期男性の思いを明らかにする。2.方法 修正版グラウンデッド・セオリー・アプローチを用いて研究を行った。2017年9月〜2018年2月に、原発災害により長期の仮設住宅での避難後、復興住宅に転居後1年未満であり、引き続き6年以上の避難生活を送る壮年期男性10名を対象に半構造化面接を行った。3.結果 【先の見通しが不確かな中での相反する思い】、【新たな生活で感じる安寧と寂寥といったアンビバレントな思い】、【復興へと歩み出したことでの戸惑い】、【慣れし故郷と思い入れのある我が家への逡巡する思い】、【働く気概を失ったことへの遣る瀬なさ】、【新たな役割や仲間から得られる充実感】の6個のカテゴリが抽出された。4.結論 原発災害により長期の避難生活を送る壮年期男性は、おかれた状況やふるさとに対する様々に相反する複雑な思いを抱いていた。

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Language：Japanese   Publisher：(株)医学書院  

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Language：Japanese   Publisher：(一社)日本臨床栄養代謝学会  

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Language：Japanese   Publisher：(一社)日本災害看護学会編集委員会  

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Language：Japanese   Publisher：(一社)日本災害看護学会編集委員会  

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Language：Japanese   Publisher：(一社)日本乳癌学会  

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DOI： 10.11638/jssmn.53.3_76

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Language：Japanese   Publisher：新潟大学医学部保健学科  

一般病棟に勤務する新卒看護師の終末期がん患者の看取りケアに対する困難感尺度の原案作成を目的とした。対象は全国のがん診療連携拠点病院に勤務する卒後2年目看護師とした。質問票の内容は、死別経験、文献レビューをもとに作成した困難感尺度55項目(5件法)、看取りケアに対する困難感のVisual Analogue Scale(VAS)とした。因子分析の結果、1.患者の死に対する恐怖・不安、2.患者とのコミュニケーションの難しさ、3.看取りケアに対する後悔、4.最期の時を話題にすることへの戸惑い、5.亡くなる間際のケアの悲しさ、6.看取りケアに関する能力の不足感の6因子21項目が採用された。採用された6因子は、患者の死に対して恐怖や不安を抱くという、新卒看護師の特徴的な困難感を表していた。今後は、尺度の信頼性・妥当性のさらなる検討および質問項目の修正・洗練を行い、新卒看護師の教育に活用できる尺度開発を行う。(著者抄録)

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Language：Japanese   Publisher：(一社)日本集中治療医学会  

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CiNii Article

CiNii Books

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J-GLOBAL

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J-GLOBAL

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