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高齢者のパーソナライズドケアを目指したイメージング看護学の確立

Research Project

Project/Area Number 16H02694
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Fundamental nursing
Research InstitutionThe University of Tokyo

Principal Investigator

真田 弘美  東京大学, 大学院医学系研究科(医学部), 教授 (50143920)

Co-Investigator(Kenkyū-buntansha) 太田 裕治  お茶の水女子大学, 基幹研究院, 教授 (50203807)
高木 周  東京大学, 大学院工学系研究科(工学部), 教授 (30272371)
森 武俊  東京大学, 大学院医学系研究科(医学部), 特任教授 (20272586)
峰松 健夫  東京大学, 大学院医学系研究科(医学部), 特任准教授 (00398752)
村山 陵子  東京大学, 医学部附属病院, 特任准教授 (10279854)
仲上 豪二朗  東京大学, 大学院医学系研究科(医学部), 准教授 (70547827)
野口 博史  東京大学, 大学院医学系研究科(医学部), 特任講師 (50431797)
大江 真琴  東京大学, 大学院医学系研究科(医学部), 特任准教授 (60389939)
小見山 智恵子  東京大学, 医学部附属病院, 看護部長 (60581634)
藪中 幸一  東京大学, 大学院医学系研究科(医学部), 特任准教授 (00737215)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Granted (Fiscal Year 2019)
Budget Amount *help
¥45,240,000 (Direct Cost: ¥34,800,000、Indirect Cost: ¥10,440,000)
Fiscal Year 2019: ¥9,490,000 (Direct Cost: ¥7,300,000、Indirect Cost: ¥2,190,000)
Fiscal Year 2018: ¥7,540,000 (Direct Cost: ¥5,800,000、Indirect Cost: ¥1,740,000)
Fiscal Year 2017: ¥13,130,000 (Direct Cost: ¥10,100,000、Indirect Cost: ¥3,030,000)
Fiscal Year 2016: ¥15,080,000 (Direct Cost: ¥11,600,000、Indirect Cost: ¥3,480,000)
Keywordsイメージング / 看護理工学 / 非侵襲・無拘束 / リアルタイム / 可視化 / ポイントオブケア / 看護学
Outline of Annual Research Achievements

本研究では、地域包括ケアシステムのスキームに適合した新たな看護ケアの提供手段として、「高齢者のパーソナライズドケアを目指したイメージング看護学の確立」を目指す。認知機能の低下により精神・身体の不快感・苦痛を正確に表出することのできない患者に対し、個人最適化した看護ケアを提供するための手段として新規イメージング技術を活用することで、高齢者の精神状態、身体状態をモニタリングするセンサシステムを構築し、様々な異変を精度よく予測するアルゴリズムを提案することを目的とする。ここで開発するセンシング技術は看護技術の開発コンセプトである「非侵襲・無拘束」「持続可能」「リアルタイム」という要件を満たしたイノベーティブイメージング技術であることを目指す。
平成30年度は、苦痛・不快感検知グループ、創部痛イメージンググループ、点滴漏れイメージンググループ、便秘イメージンググループを形成し昨年度に引き続きシーズを開発した。苦痛・不快感検知グループでは、尿量をターゲットとして、生体インピーダンス計測によるウェアラブルな尿量計測システムのデザイン及びプロトタイピングを実施した。創部痛イメージンググループでは、創部痛に関連するバイオマーカーの臨床での簡便な計測方法について検討した。点滴漏れイメージンググループは、簡便に可視化する技術の臨床での実施可能性の検証を開始した。便秘イメージンググループでは、昨年度確立した超音波検査アルゴリズムを用いて臨床に適応し排便をスムーズに誘導する効果を確認した。また、これらのデータを統合的に扱うための処理技術開発グループでは、様々な種類のデータ特にまず画像データを一元的に管理できるシステムを、褥瘡を例に完成させ、大学病院で実施している褥瘡回診への適応を開始した。

Current Status of Research Progress
Current Status of Research Progress

2: Research has progressed on the whole more than it was originally planned.

Reason

開発した各種センシング技術について臨床でのフィージビリティスタディを開始しており、おおむね順調に進展していると判断した。

Strategy for Future Research Activity

センシングシステムを実装することで、患者アウトカムが改善するかを検証する臨床研究を実施する。

Report

(3 results)
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • 2016 Annual Research Report

Research Products

(26 results)

All 2019 2018 2017 2016 Other

All Journal Article Presentation Remarks

  • [Journal Article] Temporal muscle thickness as a new indicator of nutritional status in older individuals2019

    • Author(s)
      Hasegawa Yoko、Yoshida Mikako、Sato Aya、Fujimoto Yumiko、Minematsu Takeo、Sugama Junko、Sanada Hiromi
    • Journal Title

      Geriatrics & Gerontology International

      Volume: 19 Pages: 135-140

    • DOI

      10.1111/ggi.13570

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Validity assessment of two bladder volume estimation methods using hand-held ultrasonography devices:verification with a small amount of bladder urine2019

    • Author(s)
      Matsumoto M, Yabunaka K, Yoshida M, Nakagami G, Sanada H.
    • Journal Title

      JNSE

      Volume: 6 Issue: 1 Pages: 22-32

    • DOI

      10.24462/jnse.6.1_22

    • NAID

      130007584181

    • ISSN
      2188-4323, 2432-6283
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prediction of healing in Category I pressure ulcers by skin blotting with plasminogen activator inhibitor 1, interleukin-1α, vascular endothelial growth factor C, and heat shock protein 90α: A pilot study2019

    • Author(s)
      Nakai Ayano、Minematsu Takeo、Tamai Nao、Sugama Junko、Urai Tamae、Sanada Hiromi
    • Journal Title

      Journal of Tissue Viability

      Volume: 28 Pages: 87-93

    • DOI

      10.1016/j.jtv.2019.02.002

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A New Ultrasonographic Image Displaying System to Support Vein Detection2018

    • Author(s)
      Noyori S, Nakagami G, Noguchi H, Yabunaka K, Mori T, Sanada H
    • Journal Title

      J. Robot. Mechatron.

      Volume: 29 Issue: 2 Pages: 306-316

    • DOI

      10.20965/jrm.2017.p0306

    • NAID

      130007519863

    • ISSN
      0915-3942, 1883-8049
    • Year and Date
      2018-11-20
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Confirming the placement of nasogastric tubes by hand-carried ultrasonography device2018

    • Author(s)
      Komagata K, Yabunaka K, Nakagami G, Ikeda M, Takehara K, Takemura Y, Sanada H.
    • Journal Title

      JNSE

      Volume: 5 Issue: 1 Pages: 52-57

    • DOI

      10.24462/jnse.5.1_52

    • NAID

      130006330065

    • ISSN
      2188-4323, 2432-6283
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Randomized Controlled Trial to Investigate the Effectiveness of the Prevention of Aspiration Pneumonia Using Recommendations for Swallowing Care Guided by Ultrasound Examination2018

    • Author(s)
      Miura Yuka、Nakagami Gojiro、Yabunaka Koichi、Tohara Haruka、Noguchi Hiroshi、Mori Taketoshi、Sanada Hiromi
    • Journal Title

      Healthcare

      Volume: 6 Pages: 15-15

    • DOI

      10.3390/healthcare6010015

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Constipation in the elderly in a Japanese long-term medical facility: An ultrasonographic investigation2018

    • Author(s)
      Yabunaka Koichi、Nakagami Gojiro、Tabata Keiko、Sugama Junko、Matsumoto Masaru、Kido Yoshifumi、Iuchi Terumi、Sanada Hiromi
    • Journal Title

      DD&T

      Volume: 12 Issue: 4 Pages: 233-238

    • DOI

      10.5582/ddt.2018.01033

    • NAID

      130007484424

    • ISSN
      1881-7831, 1881-784X
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ultrasonographic evaluation of changes over time in one defecation cycle in adults with functional constipation: A report of two cases2018

    • Author(s)
      Matsumoto Masaru、Tanaka Shiho、Yabunaka Koichi、Yoshida Mikako、Miura Yuka、Tsutaoka Takuya、Handa Mayumi、Nakagami Gojiro、Sugama Junko、Okada Shingo、Sanada Hiromi
    • Journal Title

      DD&T

      Volume: 12 Issue: 5 Pages: 304-308

    • DOI

      10.5582/ddt.2018.01054

    • NAID

      130007521060

    • ISSN
      1881-7831, 1881-784X
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Continuous thermographic observation may predict extravasation in chemotherapy-treated patients.2017

    • Author(s)
      Oya M, Murayama R, Oe M, Yabunaka K, Tanabe H, Takahashi T, Matsui Y, Otomo E, Komiyama C, Sanada H
    • Journal Title

      European Journal of Oncology Nursing

      Volume: 28 Pages: 56-61

    • DOI

      10.1016/j.ejon.2017.02.009

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Pocket-sized versus laptop type ultrasonography devices for imaging normal subcutaneous tissue.2017

    • Author(s)
      Yabunaka K, Nakagami G, Kitamura A, Sanada H
    • Journal Title

      Journal of Nursing Science and Engineering

      Volume: 4 Pages: 21-26

    • NAID

      130006406588

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Utility of a three-dimensional wound measurement device in pressure ulcers2017

    • Author(s)
      Goto T, Nakagami G, Nakai A, Noyori S, Sasaki S, Hayashi C, Miyagaki T, Akamata K, Sanada H
    • Journal Title

      Chronic Wound Care Management and Research

      Volume: 2017:4 Pages: 129-133

    • DOI

      10.2147/cwcmr.s147139

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Skin property can predict the development of skin tears among elderly patients: a prospective cohort study2017

    • Author(s)
      Koyano Y, Nakagami G, Iizaka S, Sugama J, Sanada H
    • Journal Title

      International Wound Journal

      Volume: 14 Pages: 691-697

    • DOI

      10.1111/iwj.12675

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Low-temperature infiltration identified using infrared thermography in patients with subcutaneous edema revealed ultrasonographically: A case report2016

    • Author(s)
      Oya M, Takahashi T, Tanabe H, Oe M, Murayama R, Yabunaka K, Matsui Y, Sanada H.
    • Journal Title

      DD&T

      Volume: 10(2) Issue: 2 Pages: 117-122

    • DOI

      10.5582/ddt.2016.01033

    • NAID

      130005152841

    • ISSN
      1881-7831, 1881-784X
    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] Innovative technologies for advanced pressure ulcer management2018

    • Author(s)
      Sanada H
    • Organizer
      WCET2018 22nd Biennial Congress
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Concept and process to promote nursing Innovation2018

    • Author(s)
      Sanada H
    • Organizer
      Ramathibodi International Academic Conference 2018
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Ultrasonographic Visualization of Deep Tissue Injury Development during Surgery: Two Case Reports.2018

    • Author(s)
      Koichi Yabunaka, Gojiro Nakagami, Kaname Akamata, Sanae Sasaki, Chieko Hayashi, Mikako Yoshida, Masaru Matsumoto, Hiromi Sanada.
    • Organizer
      13th Congress of the Asian Federation of Societies for Ultrasound in Medicine and Biology
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Changes of ultrasonographic images of muscle caused by pressure ulcer occurrence.2018

    • Author(s)
      Kitamura Aya, Yoshimura Mine, Nakagami Gojiro, Yabuanaka Koichi, Sanada Hiromi
    • Organizer
      The 27th Japanese Society of Wound, Ostomy and Continence Management
    • Related Report
      2018 Annual Research Report
  • [Presentation] Prediction of healing in Category I pressure ulcers by skin blotting with a lymphangiogenesis marker, vascular endothelial growth factor C: A pilot study.2018

    • Author(s)
      Ayano Nakai, Takeo Minematsu, Nao Tamai, Junko Sugama, Koichi Yabunaka, Tamae Urai, Keiko Tabata, Hiromi Sanada.
    • Organizer
      The 27th Japanese Society of Wound, Ostomy and Continence Management
    • Related Report
      2018 Annual Research Report
  • [Presentation] Posture Analytics by Pressure Sensor Mattress Using Convolutional Neural Network2018

    • Author(s)
      Kang SooIn, Noguchi Hiroshi, Araki Daichi, Sanada Hiromi, Mori Taketoshi
    • Organizer
      2018 JSME Conference on Robotics and Mechatronics
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Bed sensor system with multiple weight sensor system units for urine accumulation measurement in bladder.2018

    • Author(s)
      Noyori Shuhei, Noguchi Hiroshi, Nakagami Gojiro, Mori Taketoshi, Sanada Hiromi.
    • Organizer
      40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] A possible biomarker for lymphatic injury detected by skin blotting technique: An experimental study in pressure ulcer model mice.2018

    • Author(s)
      Nakagami G
    • Organizer
      8th International Lymphoedema Framework Conference.
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] A new wound assessment technology: ultrasonography, thermography and some molecular techniques2017

    • Author(s)
      Sanada H, Nakagami G
    • Organizer
      The 7th International Lymphoedema Framework Conference
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] これからの看護に活かすイメージングテクノロジー ―超音波検査機器―. ①「イメージング看護学」へのあゆみ. ②看護アセスメントに活かすエコー技術2017

    • Author(s)
      藪中幸一
    • Organizer
      第46回日本医療福祉設備学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 「ケアイノベーションをおこす」異分野融合型研究により看護のアセスメント技術はどのように変わるか?2017

    • Author(s)
      真田弘美
    • Organizer
      第37回日本看護科学学会学術集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Advanced assessment of pressure ulcers by ultrasonography2017

    • Author(s)
      Sanada H
    • Organizer
      2017 Annual Meeting of Taiwan Society for Wound Care
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research / Invited
  • [Remarks] 東京大学大学院医学系研究科 健康科学・看護学専攻 老年看護学/創傷看護学分野

    • URL

      http://www.rounenkango.m.u-tokyo.ac.jp/

    • Related Report
      2018 Annual Research Report 2017 Annual Research Report

URL: 

Published: 2016-04-21   Modified: 2019-12-27  

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