2022 Fiscal Year Final Research Report

Changes in autonomic nervous system activity of patient families receiving animal-assisted therapy with terminally ill patients

Research Project

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Project/Area Number	20K10740
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58060:Clinical nursing-related
Research Institution	Japan University of Health Sciences
Principal Investigator	Kumasaka Takayuki 日本保健医療大学, 保健医療学部看護学科, 教授 (80347385)
Co-Investigator(Kenkyū-buntansha)	藤澤博子日本医療科学大学, 保健医療学部看護学科, 講師 (30794705) 山村健介新潟大学, 医歯学系, 教授 (90272822) 工藤久美子日本保健医療大学, 保健医療学部看護学科, 講師 (50843992)
Project Period (FY)	2020-04-01 – 2023-03-31
Keywords	終末期患者 / 動物介在療法 / 動物介在療法体験 / 患者家族 / 動物介在による影響 / 動物介在による効果 / 自律神経活動の変化
Outline of Final Research Achievements	For two of three years, surveys at the clinic could not be conducted due to Covid-19. A total of 32 family members were surveyed. The intervention group consisted of 18 participants, while the non-intervention group consisted of 14 participants, with 5 males and 27 females. Results were calculated based on 59 occasions. Average values for pulse rate, salivary amylase, VAS scale, and electrocardiogram were obtained and compared before and after the intervention. For VAS, the values were higher after the intervention and significant differences were observed, suggesting that some positive effects were obtained through the animal intervention. Although no significant differences were found in this survey apart from the scale, the post-intervention values showed positive effects compared to pre-intervention values. Therefore, further research will be pursued to investigate the effects that animals have on patient families.
Free Research Field	臨床看護学
Academic Significance and Societal Importance of the Research Achievements	動物と触れ合った患者の家族に、気分の変化の改善、心電図のR-R間隔の変化と唾液アミラーゼ値にAAT実施前後で改善を予測し、研究を行なった。気分の変化については、介入後の数値が高く、有意差が見られたことから、動物の介入で何らかのプラスの効果が得られたと考えられた。気分以外は有意差は見られなかったが、介入前より介入後の数値がプラスの効果を示していたことから、今後も追及していくことで、気分の変化、自律神経の変化、ストレス変化、バイタルサインから、動物介在療法の有効性が明らかとなると考えられ、終末期における患者の家族に対して特定した代替療法の1つとして確立できる。