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| 1.
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論文
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Shogenji, Miho ; Takagi, Miho ; Toudo, Miwa ; Yamaguchi, Kaori ; Hutagi, Toyomi ; Yuno, Chikako ; Maeda, Tomomi ; Nitta, Hisashi ; 正源寺, 美穂 ; 高木, 美穂 ; 東度, 美和 ; 山口, 香 ; 二木, 豊美 ; 湯野, 智香子 ; 前田, 智美 ; 新多, 寿
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Duan, Jizhou ; Kato, Mayumi ; Shogenji, Miho ; Miyatani, Sanae ; 段, 冀州 ; 加藤, 真由美 ; 正源寺, 美穂 ; 宮谷, 早苗
概要:
Background: Music activities enhance residents’ enjoyment and adaptation to nursinghomes. Community music therapy promot
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es human relationships and a pleasant livingenvironment. However, there have been few comprehensive studies focusing on theconditions of music provision. The aim of this study was to identify the conditions,problems, and staff recognition of the effects of music provision to improve its use innursing homes through music therapy, music activities, and the concept of communitymusic therapy based on a nationwide cross-sectional survey. Method: An anonymousquestionnaire was mailed to a total of 517 randomly selected nursing homes. Questionscollected data on demographic characteristics; the planners and providers of music;objectives/ways/evaluation of music provision; respondents’ recognition of the effects ofmusic; and conditions of music activity training. We divided the respondents into musictherapy, music activity, and no music groups. Pearson’s chi-square test, Fisher’s exact test,and the Kruskal-Wallis test were used to identify differences in demographics and staffrecognition among the three groups. Among the results with significant differences, theitems of continuous variables were analyzed using the Steel-Dwass test, and the items ofthe chi-square test were further analyzed using residual analysis. Results: We collecteda total of 96 completed questionnaires. Music therapy or music activity was provided by80.2% of nursing homes. Around 50% of the nursing homes that provided music therapyhad a music therapist as a planner and provider. Care workers were most often theplanners and providers. The rate of evaluation of music provision was approximately 10%-30%. The recognition of “increased staff intimacy with residents” was significantly lowerin the no music group among the three groups in residual analysis (p<0.05), and wasapproximately 30% less than in the music activity group. Only 6.3% of the nursing homesprovided music activity training. Conclusions: The findings of the present study suggestedthat while promoting the cultivation of music therapists, education of staff in musicactivities should be developed.
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Huong, Thi Thu Pham ; Kato, Mayumi ; Shogenji, Miho ; Tsujiguchi, Hiromasa ; Taniguchi, Yoshimi ; フォン, ティ トゥ ファム ; 加藤, 真由美 ; 正源寺, 美穂 ; 辻口, 博聖 ; 谷口, 好美
概要:
The present study aimed to examine the factors contributing to burden among family caregivers of older adults with diabe
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tes mellitus (DM), with regard to the characteristics of older adults as well as those of caregivers, caregiving self-efficacy and caregiver behavior toward diabetes support and social supports based on a conceptual development model. In total, １5１ family caregivers who were children or spouses responded (9３.8%). In this cross-sectional study, primary family caregivers were personally interviewed using a set of anonymous structured questionnaires for data collection from one hospital in Northern Vietnam. We examined the factors contributing to caregiver burden via linear regression analysis and pathway analysis. Most family caregivers were under 60 years old (66.9%) and female (７４.２%). Linear regression analysis indicated that family caregivers with chronic illness status (β = .２0), the number of hours of caring for older adults (β = .１5), self-efficacy (β =－.１6), and caregiver behavior toward DM care support (β =－.３9) were all significant factors contributing to caregiver burden (F = １0.３95, p < .00１, AdjR２ = .４１). Pathway analysis showed that chronic illness status was a significant direct predictor of caregiver burden, whereas the number of hours of caring for older adults both directly and indirectly predicted caregiver burden via mediators including self-efficacy and caregiver behavior toward DM care support (χ２ = １.0２１, df=１, p = .３１２, CFI = １.000, GFI = .99７, SRMR =.000, and RMSEA = .000). The characteristics of caregivers and their responsibility for older adults should be considered to decrease the burden of caregivers. Nursing intervention, social support, increased self-care and the acquisition of caregiving knowledge and skills might help in reducing family caregiver burden.
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Kato, Mayumi ; Kobayashi, Motoko ; Ishida, Kazuo ; Inagaki, Yoshinobu ; Shogenji, Miho ; Asakawa, Yasuyoshi ; Uemura, Sayoko ; Kitaoka, Kazuyo ; Huong, Thi Thu Pham ; 加藤, 真由美 ; 小林, 素子 ; 石田, 和生 ; 稲垣, 嘉信 ; 正源寺, 美穂 ; 浅川, 康吉 ; 植村, 小夜子 ; 北岡, 和代 ; フォン, ティ トゥ ファム
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正源寺, 美穂 ; 湯野, 智香子 ; 嶋野, 美恵子 ; 大橋, 祐子 ; 新田, 聖子 ; 嶽野, 貴弘
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正源寺, 美穂 ; Shogenji, Miho
概要:
取得学位 : 博士（保健学）, 学位授与番号 : 医博甲第1943号 , 学位授与年月日 : 平成20年3月22日, 学位授与大学 : 金沢大学, 審査結果の報告日 : 平成20年2月18日, 主査 :泉 キヨ子 , 副査 :長谷川 雅美,
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城戸 照彦
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平松, 知子 ; 泉, キヨ子 ; 正源寺, 美穂 ; 加藤, 真由美
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金沢大学 医学系研究科保健学専攻<br />原著論文
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平松, 知子 ; 泉, キヨ子 ; 正源寺, 美穂
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金沢大学 大学院医学系研究科保健学専攻<br />原著論文/比較研究
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Shimizu, Noriko ; Kato, Mayumi ; Shogenji, Miho ; Hisanaga, Masami ; Kuwabara, Yuzo ; Nishimura, Ayako ; Oyama, Yuko ; 清水, 典子 ; 加藤, 真由美 ; 正源寺, 美穂 ; 久長, 正美 ; 桑原, 雄三 ; 西村, 礼子 ; 尾山, 木綿子
概要:
Aim: This study aimed to provide inpatient daycare for older adults with cognitiveimpairment who were physically restrained for fall prevention, and to verify its effects onthe reduction of physical restraint time via an adjustment
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of the rhythm of daily living at aregional comprehensive care ward.Methods: This intervention study was conducted using a control group, where one roundlasted two weeks, and six rounds of inpatient daycare were implemented with a changeof intervention group participants each round. The program outline included inpatientdaycare as a daily routine, burden-free and fun activities for continuous participation andmotivation, and the provision of a safe space. An evaluation was conducted by comparingthe day before intervention and the day after the final day of inpatient daycare; theevaluation items were the physical restraint time in the wards, physical restraint tool types,sleep hours, scores of the Dementia Behavior Disturbance Scale (DBDS), and scores of theVitality Index (VI). An analysis was performed using a two-way ANOVA to confirm thepresence or absence of interaction and main effects.Results: In total, 18 participants in the intervention group and 21 participants in thecontrol group were analyzed. The total physical restraint time during the daytime wassignificantly lower in the intervention group compared to those in the control group. Inregard to physical restraint tool types, the time using the four-point bed rail as a physicalrestraint was significantly lower in the intervention group compared to those in the controlgroup. By contrast, no change was observed between the groups for the time spent wearingwaistbands while lying on the bed. There was no change in the sleep hours and scores ofDBDS; however, the intervention group showed a significant improvement in VI scores.Conclusion: The study indicated that this inpatient daycare may help reduce the fourpointbed rail physical restraint period during the daytime.
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