JOURNAL OF JAPAN HEALTH MEDICINE ASSOCIATION
Online ISSN : 2423-9828
Print ISSN : 1343-0025
Special issues: JOURNAL OF JAPAN HEALTH MEDICINE ASSOCIATION
Volume 25, Issue Supplement
Displaying 1-10 of 10 articles from this issue
FOREWORD
SPECIAL COLUMN
ORIGINAL ARTICLE
  • Takashi Namekawa, Mariko Iwasawa
    2016 Volume 25 Issue Supplement Pages 259-270
    Published: December 16, 2016
    Released on J-STAGE: March 13, 2020
    JOURNAL FREE ACCESS

    In this study, we clarified the onset and contents of information demands, the information acquisition methods, and the information provided by the patient’s family and healthcare workers by studying the information shared during rehabilitation, in chronological order, since the diagnosis of aphasia. Based on the results, we considered the possibility of providing information support to patients undergoing rehabilitation.

    Five individuals related to those with aphasia due to cerebral infarction participated in this study ; these included one patient, one patient’s family member, one rehabilitation doctor, and two speech therapists. This was done to determine when information demand occurred. Information demand behavior was assessed through the patient’s medical records and the archive log of the patient’s tablet PC, and through survey questionnaires and interviews with the other participants.

    The results showed that, once one information demand was met, the occasional questions and accompanying uneasiness, as well as the newly gained understanding of a symptom and rehabilitation continued in the form of another demand. We found that information relating to “disease name”, “responsible lesion”, “symptom”, “rehabilitation method”, and “others” was sought, and that the four participants’ information acquisition methods or sources included the “family”, “healthcare worker”, “investigation by oneself”, and “contacting other patients”, as well as utilization of the information network. Therefore, knowledge was re-organized, and the resultant self-efficacy played a role in the rehabilitation, thus suggesting the possibility of resumption of normal life.

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  • Asami Yamashita, Tomoko Nagata
    2016 Volume 25 Issue Supplement Pages 271-275
    Published: December 16, 2016
    Released on J-STAGE: March 13, 2020
    JOURNAL FREE ACCESS

    This study was conducted to clarify the present state of installation and use of AED in the day nurseries and kindergartens and obtain the materials for discussing a model of educational support to be provided by medical staff. For this purpose, the self-administered questionnaires regarding installation and use of the AED were distributed to the heads of 1180 facilities located in prefecture A, and the consent to cooperate in this survey was obtained from 449 facilities (the return rate : 40.5% and the valid-response rate : 93.5%). The AED installation was found in 121 out of 449 facilities (26.9%). The results showed that the ratio of AED installation was significantly higher in the facilities having 400 or more children than in those having 100 children or less. The results also revealed that none of the 121 facilities equipped with the AED had used before. Those results suggested the necessity for the continuous survey on how the practice for pediatric basic life support including the training for maintenance and operation of the AED is conducted, to promote cooperation between the medical field and the childcare field for protecting children’s safety.

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  • Akemi Miyabe-Moriyama, Chiaki Togashi-Arakawa, Yumiko Otsuka-Sakuma, C ...
    2016 Volume 25 Issue Supplement Pages 276-286
    Published: December 16, 2016
    Released on J-STAGE: March 13, 2020
    JOURNAL FREE ACCESS

    The aim of this study is to develop a Japanese version of the Motivated Strategies for Learning Questionnaire (MSLQ) for motivation scales and to examine reliability and validity, that is, the motivated structure for nursing university students. To prepare the questionnaire with 31 items, the researcher translated the MSLQ, asked for the back-translation, and examined the pre-test. To this end, 609 nursing university students were investigated by the questionnaire. Responses were obtained from 417 students, and 330 were selected for analysis. A factor analysis using the weighted least squares method with promax rotation was conducted, after which, six factors were extracted from the Japanese version. The six factors were named as “Learning Value,” “Self-Efficacy for Learning and Performance,” “Test Anxiety,” “Extrinsic Goal Orientation,” “Possessing Learning Capacity and Skill,” and “Intrinsic Goal Orientation.” Cronbach’s α ranged from 0.612 to 0.865, the scale total was 0.891, and test-retest reliability ranged from 0.26 to 0.63. The validity and reliability of the Japanese version of the MSLQ were thus established.

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  • Junko Takahashi
    2016 Volume 25 Issue Supplement Pages 287-295
    Published: December 16, 2016
    Released on J-STAGE: March 13, 2020
    JOURNAL FREE ACCESS

    In the acute and post-acute phases of a disaster, or the period immediately after disasters to one month the after, it is often necessary to temporarily transfer dialysis patients to other areas stricken by the disaster to provide them with care. This study aims to discuss patient and other information necessary for dialysis treatment, and provide basic knowledge required to implement prompt and safe treatment.

    The following items were examined, involving 500 randomly selected dialysis facilities : 1) the experience of dialysis treatment provided outside disaster-stricken areas, 2) contents of patient- and treatment-related information provided by affected facilities to those providing dialysis treatment, and 3) details of patient- and treatment-related information needed for dialysis treatment provided outside disaster-stricken areas during the acute and post-acute stages, as well as the importance level of such a need. Furthermore, the importance levels of need for patient- and treatment-related information during the acute and post-acute stages were compared between facilities with and without experience of dialysis treatment.

    As a result, information regarding the following items was markedly needed during the acute stage : <the name of the patient>, <presence/absence of infection>, <dry weight>, <anticoagulants>, <type of blood access>, and <name of the dialyzer>. In addition to these, the following items were also extracted as the contents of information markedly needed during the post-acute stage : <the type of regular injection drugs>, <medication>, <blood flow volume>, and <site of needle insertion>.

    On comparing the level of need for patient- and treatment-related information between facilities with and without experience of providing dialysis treatment outside the stricken areas for patients who had experienced a disaster, the former showed significantly higher mean values for <the duration of dialysis>, <type of regular injection drugs>, <blood flow volume>, <dialysis liquid flow volume>, and <set fluid removal velocity> as the contents of information needed during the acute stage.

    The results suggest that information regarding the above-listed items, which had previously been regarded as necessary for temporarily dialysis treatment based only on experience or estimation, is actually indispensable during disasters, as noted by experts from various facilities. The details of insufficient information were also clarified, indicating the importance of enhancing awareness of the necessity of such information among facilities.

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SHORT COMMUNICATION
  • Maaya Kanno, Mana Doi-Kanno, Akiyo Sasaki-Otomaru, Noriko Hattori, Yuk ...
    2016 Volume 25 Issue Supplement Pages 296-303
    Published: December 16, 2016
    Released on J-STAGE: March 13, 2020
    JOURNAL FREE ACCESS

    This study examined the effect of bed warming through hot fomentation near the foot on the sleep quality of elderly residents of care facilities. We investigated the objective sleep conditions, residents’ subjective sense of sleep, body core temperature, and bed temperature of six elderly residents and compared data from intervention days and control days. We detected improvements in residents’ ability to fall asleep and remain asleep during the night, amount of REM sleep, and total sleep time. In addition, residents indicated improvements in recovering from fatigue, feeling less sleepy upon awakening, and dreaming on intervention days. Bed warming by hot fomentation near the foot might improve the sleep conditions of elderly residents of care facilities. We suggest that further studies include more participants, longer interventions, and other methods of safely warming the inside of the bed.

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NOTE
  • Masako Koishi
    2016 Volume 25 Issue Supplement Pages 304-307
    Published: December 16, 2016
    Released on J-STAGE: March 13, 2020
    JOURNAL FREE ACCESS

    To obtain several information about supporting volunteers activities of the elderly, a questionnaire examination was performed for 27 elderly subjects who continuously did volunteer at a salon for the elderly living alone in Kyoto city. Among the 27 elderly people, 17 people (3 males and 14 females) sent their answer for the questionnaire. Age of the 17 subjects was 61 to 82 years (mean, 71.2 years). Each elderly subject clarified the roles in the volunteer works. They cited “invited by the activity group” and “recommended by friends and acquaintances” as the reasons for their participation in the volunteer activity. This indicates that they expanded their social networks through the volunteer activity. When the volunteers interacted with elderly females, they learned about the elderly living alone and became aware of their feelings. In addition, they did volunteer work at places other than the salon. Information dispatch the activity contents and making of network were necessary to continue volunteer activity.

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