2023 Fiscal Year Final Research Report

Establishment of objective and quantitative evaluation indicators from the measurement of the contents and effects of nursing interventions for patients with asthenic-vegetative disorder

Research Project

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Project/Area Number	19K11202
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58080:Gerontological nursing and community health nursing-related
Research Institution	Kiryu University (2022-2023) Tohto University (2019-2021)
Principal Investigator	Sato Mitsue 桐生大学, 医療保健学部, 教授 (70461837)
Co-Investigator(Kenkyū-buntansha)	甲州優獨協医科大学, 看護学部, 准教授 (00781254) 杉本昌弘慶應義塾大学, 政策・メディア研究科(藤沢), 教授 (30458963)
Project Period (FY)	2019-04-01 – 2024-03-31
Keywords	高齢者 / 意識障害者 / ケアに対する反応 / sIgA / 脳活性化 / 脳波
Outline of Final Research Achievements	Due to the Corona disaster, it could not be carried out at the planned target. Subsequently, music therapy became available online and face-to-face in nursing homes, and the effects were investigated using saliva and dementia scales. There was a significant difference in improvement in dementia after three months. No significant difference was observed in saliva. Caregivers' impressions included an increase in the number of words. The evaluation of aroma treatments was investigated using electroencephalogram and saliva. We included an adult group under 65 years of age, a group of people aged 65 years and older, and a group of elderly people requiring long-term care. There was a significant difference in EEG with a marked increase in α waves. Saliva IgA did not differ significantly. Three therapies induced EEG and physiological changes in the adult group and older adults without nursing care.However, these effects are limited in older adults requiring nursing care.
Free Research Field	高齢者看護学
Academic Significance and Societal Importance of the Research Achievements	我々はこれまでに遷延性意識障害者の看護、地域で暮らしている健常な高齢者、老人保健施設入所されている高齢者の3つの属性の対象者に看護介入を行ったことによる変化を客観的データとして、意識レベルや身体機能、唾液IgA、脳波測定を行う研究を行ってきた。看護介入に対しα波も減少傾向、β波が上昇傾向を示した。これは、脳内活動がみられていると考え、アロマトリートメントや音楽療法における反応について調査した。今回も唾液、脳波の結果では明らかな変化を得ることができなかったが、脳内で変化がみられていることは、唾液と脳波等の生理機能検査からも分った。意識障害者の声にならない思いを知る一助となることとが期待できる。