Nursing Care for Respiratory Status and Development of a Monitoring Sensor during sleep in Chronic Stroke Survivors

2024 Fiscal Year Final Research Report

• Project/Area Number: 21K10801
• 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: University of Shizuoka
• Principal Investigator: Suzuki Ayami 静岡県立大学, 看護学部, 助教 (90878266)
• Co-Investigator(Kenkyū-buntansha): 田中 範佳 大阪公立大学, 大学院看護学研究科, 客員教授 (40707337) ; 堀 芽久美 静岡県立大学, 看護学部, 准教授 (20735732) ; 森本 明子 大阪公立大学, 大学院看護学研究科, 教授 (90710377) ; 園田 奈央 大阪公立大学, 大学院看護学研究科, 准教授 (00640153)
• Project Period (FY): 2021-04-01 – 2025-03-31
• Keywords: 脳卒中 / 睡眠呼吸障害 / 非接触センサ / 閉塞性睡眠時無呼吸 / 脳血管障害

Outline of Final Research Achievements

Our study conducted a scoping review to identify nursing interventions applicable to post-stroke patients with sleep-disordered breathing. Positional therapy and oropharyngeal muscle exercises were identified as feasible interventions in clinical practice. In contrast, physical activity and compression devices have been reported less frequently in stroke patients, highlighting the need for further research. Additionally, in three cases of patients with cerebral infarction who were independent in activities of daily living, it was suggested that analyzing not only hypopnea and apnea during sleep but also sleep duration and objective sleep indicators could contribute to improving patients’ quality of life.

Free Research Field

臨床看護学

Academic Significance and Societal Importance of the Research Achievements

脳卒中患者の70%以上に生じる睡眠の呼吸の問題は、脳卒中再発リスクを高め予後の悪化を招く解決すべき重要な問題である。脳卒中患者の睡眠時呼吸障害の改善に向け看護師が実践可能な介入は確立されておらず、本研究では、看護師が実践可能な介入と今後の検討の必要性が明確にできた。これらの成果は医療現場での活用が期待され、患者の睡眠の質やQOL向上に寄与するとともに、今後の看護研究の基盤となると考える。