| Project/Area Number |
26463367
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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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| Research Field |
Clinical nursing
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| Research Institution | National Center for Global Health and Medicine |
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Principal Investigator |
ISHII Chikako 国立研究開発法人国立国際医療研究センター, その他部局等, 国立看護大学校 教授 (80151322)
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| Co-Investigator(Kenkyū-buntansha) |
遠藤 晶子 国立研究開発法人国立国際医療研究センター, その他部局等, 国立看護大学校 准教授 (30530349)
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| Research Collaborator |
TSUNOMORI ryosuke
FUWA rie
SUGIHARA tomoko
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| Project Period (FY) |
2014-04-01 – 2019-03-31
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| Project Status |
Completed (Fiscal Year 2018)
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| Budget Amount *help |
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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| Keywords | PAD / 身体活動 / 歩行能力 / Euro QOL / 自己管理 / 縦断研究 / EuroQOL / 縦断調査 / ＷＩＱ / WIQ / Euro QOL |
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| Outline of Final Research Achievements |
A major challenge in nursing in patients with peripheral arterial disease(PAD) is preventing its progression and improving quality of life. This proposal was a cross-sectional study of assessed daily physical activity and its relation on the progress of PAD. Then a 3-year-follow-up longitudinal study followed to clarify the association between prognosis and physical activity. We proposed to record PAD progress as related to: medical treatments; self-care; psychological and social status. These results show nursing practices for PAD patients, focusing on two interventions by medical staffs, especially nurses; 1) accurately monitoring duration and intensity of daily physical activity; 2) changes in patients' cognition and behavior changes that facilitate habitual daily activities, including walking for exercise.
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| Academic Significance and Societal Importance of the Research Achievements |
PAD患者の予後・心血管イベント発症は、身体活動の低さが関連すると報告されている。しかし、身体活動調査は、簡易な質問調査、または万歩計・加速度計測定に限られ、患者の身体活動の全容は不明である。本研究は、gold－standardの分単位で活動を記録する24時間活動記録、および加速度計を用い、両者のデータを照合し、既存にない身体活動の実態を明らかにした。この身体活動と患者の生活習慣・病気の認識・病態等の変数を含め、心血管イベント等との関連の解析より、患者に必要とされる看護介入を明らかにしたことは意義深い。本成果は、日本で600万人以上、全世界で2億人以上のPAD患者の健康問題の解決に貢献できる。
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