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The Evaluation of the Autonomic Nerve Function and Stress of the Residency by the Heart Rate Variability, and the Application to the Adequacy of the Training Program

Research Project

Project/Area Number 25670336
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Medical and hospital managemen
Research InstitutionSaga University

Principal Investigator

Yoshida Kazuyo  佐賀大学, 医学部, 准教授 (00271122)

Co-Investigator(Kenkyū-buntansha) 野出 孝一  佐賀大学, 医学部, 教授 (80359950)
江村 正  佐賀大学, 医学部, 准教授 (90274589)
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2013: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords臨床研修 / 研修医 / 自律神経 / 心拍変動 / 蓄積疲労度 / 卒後臨床研修 / 蓄積的疲労 / マネージメント / 慢性疲労 / ヘルスケア
Outline of Final Research Achievements

In the residents who were examined heart rate variability(HRV) two months later from the start of residency, the parasympathetic nerve index HF tended to be higher and the sympathetic nerve index LF/HF tended to be lower than in the residents who were examined HRV ten months later from the start of residency. We supposed it was the one of the factor that the workload and severity of the patients were controlled because the former residents had less experience than the latter residents. There was no significant difference in HRV among the residents of internal medicine, surgery, and daytime emergency. There were few cases that the parasympathetic nerve indexes were suppressed in nighttime emergency residents. The results of cumulative fatigue sign index (CSF-I) in the residents of our hospital were almost good, but the residents of emergency had higher tendency to feel chronic fatigue. We suggest that it is necessary to consider the enough rests for the residency of emergency.

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (4 results)

All 2016 2015 2014

All Presentation (4 results)

  • [Presentation] 研修医の蓄積的疲労徴候について2016

    • Author(s)
      吉田和代 江村正
    • Organizer
      第48回日本医学教育学会
    • Place of Presentation
      大阪医科大学
    • Year and Date
      2016-07-29
    • Related Report
      2016 Annual Research Report
  • [Presentation] 1年次研修医における心拍変動解析による自律神経機能の検討2016

    • Author(s)
      吉田和代 江村正 野出孝一
    • Organizer
      第113回日本内科学会総会・講演会
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2016-04-15
    • Related Report
      2016 Annual Research Report 2015 Research-status Report
  • [Presentation] 救急夜勤中の研修医の心拍変動異常についての検討2015

    • Author(s)
      吉田 和代
    • Organizer
      第63回日本心臓病学会学術集会
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2015-09-18
    • Related Report
      2015 Research-status Report
  • [Presentation] 心拍変動解析を用いた研修医の自律神経機能評価と蓄積的疲労(第1報)2014

    • Author(s)
      吉田 和代
    • Organizer
      第46回医学教育学会
    • Place of Presentation
      和歌山大学医学部
    • Year and Date
      2014-07-18
    • Related Report
      2014 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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