1.

論文(AKAGI収録)

論文(AKAGI収録)
柳, 奈津子 ; Yanagi, Natsuko ; 小板橋, 喜久代 ; Koitabashi, Kikuyo
出版情報: The Kitakanto medical journal = 北関東医学.  68  pp.49-57,  2018-02-01.  北関東医学会
概要: 【目 的】 本研究の目的は,外来においてリラクセーション法を体験した患者の初回体験時の反応を分析することである. また,継続の有無による初回体験時の反応の相違から,その後の継続的な受診への影響について検討することである. 【方 法】 対象は ,2006 年4 月~2014 年3 月にA 病院のリラクセーション外来を受診した143 名の患者である.診療記 録から年齢,性別,疾患,受診した回数,ストレス度,リラックス度などを抽出した.体験時の反応の違いを患者の属性 や継続受診の有無により比較した. 【結 果】 対象患者143 名の平均年齢は49.0±13.9 歳,男性16 名,女性127 名であっ た.疾患は,精神的疾患46 名,身体的疾患68 名,その他が29 名であった.10-20 歳代のストレス度が高かった(p=0.004). 初回体験のみで終了した者は,継続して受診した者に比べ,初回体験後のリラックス度が低かった(p=0.028). 【結 語】  年齢や疾患,体験による反応に応じて,生活に取り入れて活用できるように支援方法を工夫し,継続につなげていくこと が重要である. 続きを見る
2.

論文(AKAGI収録)

論文(AKAGI収録)
Katada, Yuko ; Koitabashi, Kikuyo ; Tomono, Syoichi ; Oka, Michiyo
出版情報: The Kitakanto medical journal = 北関東医学.  64  pp.135-148,  2014-05-01.  北関東医学会
概要: Background & Aims : The aim of the present study was to verify the impact of progressive muscle relaxation (PMR) in comb ination with breathing technique (breathing PMR) on self-control for stress management in patients undergoing treatment for type 2 diabetes mellitus. Methods : Twenty-four patients participated and were followed during a 2-month pre-intervention (baseline) period and a 6-month intervention period. Changes in salivary amylase concentration, blood pressure, heart rate, HbA1c level,and objective indices including relaxation scales,coping behavior scales,and mental health patterns extracted from semi-structured interviews were assessed before and after the interventions. Results : There were significant differences in the physical indices(salivary amylase concentration,blood pressure,heart rate)and relaxation scales between the pre-intervention and post-intervention periods(p<0.05-0.01). The HbA1c levels during intervention were stable in a better range compared with those of previous year (p<0.05-0.01). Subjective indices including coping behavior scales, mental health patterns, and other complaints tended to improve during concomitant breathing PMR. Conclusions : Continuous breathing PMR during treatment for type 2 diabetes mellitus may improve self-control and stress management.(Kitakanto Med J 2014;64:135~148) 続きを見る
3.

論文(AKAGI収録)

論文(AKAGI収録)
Kaneko, Yukiko ; Koitabashi, Kikuyo ; Kanda, Kiyoko
出版情報: The Kitakanto medical journal = 北関東医学.  64  pp.1-12,  2014-02-01.  北関東医学会
概要: Background & Aims : One of the roles of the nurse who comes into contact with a patient at the end of life is to attend to a person who, although living, faces imminent death. Purposeful touch is an example of an active support method. This means that the nurse’s act of touching is intended to help the patient become more comfortable, even if only slightly, and has the objective of mentally and physically healing the patient. To date, no studies concerning how patients experience touch have been reported. The aim of the present study was to clarify the process of end-of-life cancer patients finding meaning in receiving touch intervention. Methods : The study participants comprised 12 end-of-life cancer patients who underwent touch intervention by nurses for 20 minutes, two or three times per week. A semi-structured interview was carried out following each intervention, and the results of the patients’ responses were analyzed according to the modified grounded theory approach. Salivary secretory immunoglobulin A (s-IgA) concentration and a visual analogue scale (VAS) on comfort level were evaluated both before and after the series of planned interventions. Results : End-of-life cancer patients passively accepted touch intervention, and subsequently rated touch to have value. They were also given a boost of power to live in comfort, an emotion that occurs as a result of continuous touch intervention. Finally, they experienced a series of processes to surrender to touch. No significant differences were found in IgA concentration in saliva taken before and after the series of planned interventions. The VAS on comfort level after the series of interventions was significantly higher than that before the interventions. Conclusions : Continuous purposeful touch intervention may positively affect patients’ psychological comfort. Furthermore, patients’ intentions to allow themselves to undergo touch intervention by nurses might positively affect their will to survive. 続きを見る
4.

論文(AKAGI収録)

論文(AKAGI収録)
Minowa, Chika ; Koitabashi, Kikuyo
出版情報: The Kitakanto medical journal.  63  pp.1-11,  2013-02-01.  北関東医学会
概要: Background& Aims:Immediately after undergoing breast cancer surgery,patients may usually have some psychological and physiological distress. Autogenic training(AT)is a complementary medicine and self-relaxation technique to relieve anxiety in patients. The aim of the study is to investigate the impact of AT on perioperative anxiety and pain in patients with breast cancer. Methods:Between July 2010 and March 2012,60 patients who were diagnosed with breast cancer and scheduled for surgery were randomly assigned to the AT group or the control group. In the AT group,patients underwent 20 min of AT,three times a day within 3 days after surgery,and the control group received the usual care. The assessment was done based on the State Anxiety Inventory,Visual Analogue Pain Scale,heart rate variability, and analgesic requirement. Results:The AT group had a significantly decreased anxiety score during postoperative three days. Postoperative pain score was also significantly decreased,despite the fact that the two groups had received an equivalent amount of analgesics. No statistically significant difference was observed between the groups in their analgesic requirement. Conclusion:AT may be a useful non-pharmacological approach for relieving anxiety and pain immediately after breast cancer surgery. 続きを見る
5.

論文(AKAGI収録)

論文(AKAGI収録)
Katada, Yuko ; Koitabashi, Kikuyo ; Tomono, Shoichi
出版情報: The Kitakanto medical journal.  61  pp.460-461,  2011-08-01.  北関東医学会
6.

論文(AKAGI収録)

論文(AKAGI収録)
Katada, Yuko ; Koitabashi, Kikuyo ; Tomono, Shoichi
出版情報: The Kitakanto medical journal.  61  pp.460-461,  2011-08-01.  北関東医学会