Analysis of the relationship between Preoperative sense of coherence or psychological state and postoperative delirium

• Project/Area Number: 25670956
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Clinical nursing
• Research Institution: International University of Health and Welfare (2015); Jikei University School of Medicine (2013-2014)
• Principal Investigator: Murata Hiroaki 国際医療福祉大学, 保健医療学部, 客員准教授 (10581150)
• Co-Investigator(Kenkyū-buntansha): Takashima Naomi 関東学院大学, 看護学部, 教授 (00299843)
• Co-Investigator(Renkei-kenkyūsha): Nakayama Kazuhiro 聖路加国際大学, 看護学部, 教授 (50222170)
• Project Period (FY): 2013-04-01 – 2016-03-31
• Project Status: Completed (Fiscal Year 2015)
• Budget Amount: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000); Fiscal Year 2015: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000); Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
• Keywords: せん妄 / 意思決定支援 / QOL / アセスメントツール評価 / 睡眠 / ICU / CAM-ICU / 術後せん妄 / 国際研究者交流 / ICUにおける睡眠状況 / PTSD

Outline of Final Research Achievements

Identification of relationships between “patients’ stress coping capacity (pre-operative psychological states)”, “post-operative delirium in patients”, and “QOL/PTSD of patients following discharge”.
Our team found that development of delirium can be prevented by offering views to patients about meaningfulness of surgery to improve their QOL in the pre-operational screening test with consideration patients’ age.
Our team showed the significance to provide emotional supports to patients, such as reducing their anxiety and enhancing their positive expectation for surgical outcomes.

Research Products

• [Int'l Joint Research] University of Pittsburgh(米国)
• [Journal Article] Reliability and validity assessment of the Japanese version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) (2015)
  • Author(s): Koga, Y. Tsuruta, R. Murata, H. Matsuo, K. Ito, T. Ely, E. W. Shintani, A. Wakamatsu, H. Sanui, M. Yamase, H.
  • Journal Title: Intensive Crit Care Nurs Volume: 31 Issue: 3 Pages: 165-170
  • DOI: 10.1016/j.iccn.2014.10.002
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] 日本語版CAM-ICUフローシートの妥当性と信頼性の検証 (2014)
  • Author(s): 古賀 雄二,村田 洋章,山勢 博彰
  • Journal Title: 山口医学 Volume: 63巻2号
  • NAID: 130004897874
  • Peer Reviewed
• [Journal Article] 日本語版ICDSCの妥当性と信頼性の検証 (2014)
  • Author(s): 古賀 雄二,村田 洋章,山勢 博彰
  • Journal Title: 山口医学 Volume: 63巻2号
  • NAID: 130004897863
  • Peer Reviewed
• [Presentation] 心臓血管手術患者における術前の心理状態やストレス対処力と術後せん妄との関連分析 (2014)
  • Author(s): 村田 洋章,米澤 裕子, 讃井 將満, 山口 庸子,土屋 留美,八木橋 智子, 中山 和弘,高橋 理, 瀧浪 將典, 高島 尚美
  • Organizer: 日本集中治療医学会
  • Place of Presentation: 国立京都国際会館
• [Presentation] 統一したせん妄評価の為のCAM-ICU導入に向けた取り組み (2013)
  • Author(s): 山口 庸子, 村田 洋章, 讃井 將満, 伊藤 達彦, 中山 和弘, 古賀 雄二, 八木橋 智子, 山中 源治, 安井 大輔, 米澤 裕子, 高島 尚美
  • Organizer: 日本クリティカルケア看護学会
  • Place of Presentation: 神戸芸術センター
• [Book] Intensive Care Nursing Review No.1 (2014)
  • Author(s): 卯野木健,村田洋章,他 分担執筆, 範囲:「せん妄」
  • Total Pages: 96
  • Publisher: 学研メディカル秀潤社
• [Book] ICUのせん妄 (2013)
  • Author(s): 鶴田 良介,古賀 雄二,村田洋章,他 分担執筆, 範囲:クリティカルケアにおけるせん妄(いかにして診断するか?)
  • Total Pages: 217
  • Publisher: 金芳堂
• [Remarks] 研究ブログ
  • URL: http://researchmap.jp/hiroakimura/%E7%A0%94%E7%A9%B6%E3%83%96%E3%83%AD%E3%82%B0/
• [Remarks] researchmap
  • URL: http://researchmap.jp/hiroakimura/
• [Remarks] researchmap 研究ブログ
  • URL: http://researchmap.jp/hiroakimura/%E7%A0%94%E7%A9%B6%E3%83%96%E3%83%AD%E3%82%B0/