| Project/Area Number |
18K08912
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 55060:Emergency medicine-related
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| Research Institution | Kanazawa University |
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Principal Investigator |
Sato Koji 金沢大学, 附属病院, 講師 (20613962)
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| Co-Investigator(Kenkyū-buntansha) |
谷口 巧 金沢大学, 医学系, 教授 (30301196)
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| Project Period (FY) |
2018-04-01 – 2024-03-31
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| Project Status |
Completed (Fiscal Year 2023)
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| Budget Amount *help |
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2020: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2018: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
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| Keywords | 人工呼吸 / コミュニケーション / 苦痛緩和 / 人工呼吸管理 / ストレス |
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| Outline of Final Research Achievements |
In this research project, we examined whether communication with patients in intensive care units who are receiving mechanical ventilation can be facilitated using an artificial larynx to produce surrogate speech. Our findings indicated that the artificial larynx is particularly useful for tracheostomized patients compared to those with oral endotracheal intubation, reporting high speech clarity and patient satisfaction. Additionally, we reported that combining the artificial larynx with the cuff leak speech method yields better speech clarity than using the artificial larynx alone.
Furthermore, we investigated and reported the association between sensations of dryness and insomnia, which critically ill patients perceive as stress, and the onset of delirium.
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| Academic Significance and Societal Importance of the Research Achievements |
集中治療室で人工呼吸器管理を受ける重症患者は，鎮静レベルを適正に維持し早期からリハビリテーションを行うことがその後の予後改善のために推奨されている。よって患者は覚醒している状態であり，本研究成果により人工呼吸器管理中であってもコミュニケーションを積極的にとることが可能となり，その苦痛やストレスの訴えを適切に把握することができる。それらをもとに苦痛緩和を積極的に行うことで，患者の予後改善につながる可能性がある。
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