2022 Fiscal Year Final Research Report

Improvement of orthoptic education via a combination of rubric-based evaluation and biological stress markers

Research Project

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Project/Area Number	19K10521
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58010:Medical management and medical sociology-related
Research Institution	Niigata University of Health and Welfare
Principal Investigator	Toda Haruo 新潟医療福祉大学, 医療技術学部, 教授 (10217507)
Co-Investigator(Kenkyū-buntansha)	谷佳子新潟医療福祉大学, 医療技術学部, 助教 (10796064) 生方北斗新潟医療福祉大学, 医療技術学部, 助教 (50795127) 木下直彦新潟医療福祉大学, 医療経営管理学部, 准教授 (50734232) 森田邦恵新潟医療福祉大学, 医療技術学部, 助教 (90396440)
Project Period (FY)	2019-04-01 – 2023-03-31
Keywords	眼科検査 / ストレス / 学生実習 / 心拍変動 / コルチゾール / ACTH
Outline of Final Research Achievements	We performed 41 experiments with 40 student perimetrists undergoing the practice of Goldmann perimetry (GP). The stress-related substances (serum ACTH, cortisol, etc) were measured before and after the practice. We also recorded the ECGs to evaluate the sympathetic tone. Unexpectedly, while the students answered that GP was difficult to learn, no significant increases in the stress-related substances were found. The ATCH secretion decreased during the practice. These results suggest that our GP practices are, conducted safely in term of stress. The decrease in the serum ACTH and cortisol correlated positively to the students' self-confidence about upcoming GP. The sympathetic activities of the student perimetrists were highest at the beginning of the GP. Considering these together, it is indicated that the first encounter and instruction are the most stressful and as the test progresses, they feel rather relieved. Teaching methods to deal with new patients are remaining issues.
Free Research Field	神経生理学
Academic Significance and Societal Importance of the Research Achievements	今回取り上げたゴールドマン視野計検査は、患者との関わりが多く、三十分を超える検査時間を必要とするため、学生の側からは「大変だ」と評価されている。しかし、生物学的な観点から見ると、現在視能訓練士教育で実施されている検査実習が実習生にもたらすストレスは、予想以上に低いレベルにあることが確認され、現在の実習が安全に実施されていることが確認された。ストレスレベルが最も高くなるのは検査開示時点であったことから、初めての患者に相対する時に必要なスキルをいかに身につけさせるかが課題として残ると思われる。