Search for low burden Fowler's position conditions focusing on trunk posture

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K19005
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58050:Fundamental of nursing-related
• Research Institution: International University of Health and Welfare
• Principal Investigator: furudate takuya 国際医療福祉大学, 小田原保健医療学部, 助手 (40848032)
• Project Period (FY): 2020-04-01 – 2023-03-31
• Keywords: ファーラー位 / セミファーラー位 / 一回拍出量 / 心拍数 / 左室駆出時間 / 体幹角度 / 姿勢 / 安楽

Outline of Final Research Achievements

This study examined in detail the effects of trunk angle on the circulatory system during the Fowler's position. In healthy young adults, it was found that the amount of circulation was maintained in the posture in which the upper trunk was mainly raised rather than in the posture in which the entire trunk was raised at 30°, 45°, and 60° trunk angles, respectively. In particular, the posture in which the upper trunk was elevated at 30° increased the volume per stroke and suppressed the increase in heart rate compared to the posture in which the entire trunk was elevated at 30°. The left ventricular ejection duration increased more in the upper trunk 30°elevated posture.This study also showed that the 30° upper trunk elevation posture can result in almost the same stroke volume per volume, heart rate, and left ventricular ejection fraction and time as the supine posture.

Free Research Field

基礎看護学

Academic Significance and Societal Importance of the Research Achievements

本研究により，身体が虚弱となりベット上で寝たきりを余儀なくされている患者の生活を改善するための環境を示す事ができた．起立性低血圧を起こしやすい虚弱な患者にとって，セミファーラー位姿勢のような身体を起こす角度が低い姿勢でも安楽に過ごせる姿勢が示されたことは，患者の生活の質に大きく貢献するものである．