Development of educational program for nurses for fall prevention using sleep-wake rhythm monitoring device

2018 Fiscal Year Final Research Report

• Project/Area Number: 17H06854
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Single-year Grants
• Research Field: Gerontological nursing
• Research Institution: Osaka University
• Principal Investigator: Higuchi Akari 大阪大学, 医学系研究科, 助教 (60799188)
• Project Period (FY): 2017-08-25 – 2019-03-31
• Keywords: 高齢者 / 転倒転落 / インシデントレポート / 睡眠覚醒リズム / そう破行動 / 痒み

Outline of Final Research Achievements

This study focused on the rehabilitation ward for older people, where falls frequently occur, and aimed to understand the situation of the fall. At first, we analyzed the incident report, and we found that there are many falls in patient room, and half of them have fallen even though they are in restraint. And we measured sleep awakening rhythm using a measuring device for subjects with high risk of falling and analyzed it with medical record information. We also found that the sleep and awakening rhythm of the subject may be affected by events such as enlargement of ADL and excretion or itchy skin.

Free Research Field

高齢者看護

Academic Significance and Societal Importance of the Research Achievements

夜間の睡眠や排泄は転倒のハイリスクであることが指摘されているが、安静度変更、薬剤変更による影響や排泄誘導の適切なタイミングを知ることは困難であった。本研究では、転倒ハイリスク患者の睡眠や排泄,そう破などの活動について測定機器を用いて測定し、実測値から睡眠-覚醒リズム、排泄パターン、痒みを把握することにより、適切な薬剤調整のアセスメントや、排泄誘導のタイミング、適切な入眠の介助を行えるようにすることが期待できる。