Language：English   Publisher：Holistic Nursing Practice  

The purpose of this study was to clarify the heart rate variability (HRV) transition after a single yoga program. Participants were 22 females who were healthy university students and had never practiced yoga before. They practiced yoga while recording their HRV. Heart rate (HR), high frequency (HF; 0.15-0.4 Hz) as parasympathetic and low frequency (LF; 0.04–0.15 Hz) components were extracted, and then the LF/HF ratio as sympathetic and normalized units of HF HFnu = HF/(LF + HF) as parasympathetic modulation in autonomic activity were calculated. HR and HRV indices after yoga were divided into four 5-minute periods (after 5, 10, 15, and 20 minutes) and compared before yoga. HR and LF/HF at all periods after yoga were significantly lower than before yoga (P < .01, all). HF after yoga was not significantly changed, but HFnu after 5, 10, and 15 minutes was significantly higher than before yoga (P < .01, <.01, and =.02, respectively). The short-term effects of yoga on HRV implied a decrease in sympathetic modulation and a relative increase in parasympathetic modulation. Therefore, yoga may be used as a fast-acting alternative therapy to significantly improve sympathetic activity.

DOI： 10.1097/HNP.0000000000000675

Scopus

PubMed

Language：English   Publishing type：Research paper (scientific journal)   Publisher：WILEY  

Aims and objectives The present study investigated whether morning or afternoon activity is more effective at increasing the high-frequency (HF) index, a parasympathetic index, in patients with cardiovascular risk factors. Background A decreased HF index, a heart rate variability (HRV) parameter, is a well-established marker of poor cardiovascular prognosis. Because blood pressure and sympathetic tone are higher in the morning, physical activity and exercise in the afternoon has been recommended for patients with cardiovascular diseases. However, there have been no reports concerning the superior effects of afternoon exercise on parasympathetic activity and sleep. Design This observational study was a post hoc comparison. Methods Patients' physical activity was measured for 1 month to determine their habits. Patients' HF index was measured by 24-h Holter electrocardiography. The study enrolled 56 patients. Each patient's morning step count (before lunch) and afternoon step count (between lunch and dinner) were compared. We adhered to the STROBE guidelines in the present study. Results Thirty-one patients took more steps in the morning, and 25 patients took more steps in the afternoon. The present study showed that those who took more steps in the afternoon had a significantly higher HF index during the first hour after sleep onset and during sleep than those who took more steps in the morning (p = .003, .047). Conclusions The present study showed that those who took more steps in the afternoon had a significantly higher HF index during the first hour after sleep onset and a higher HF index during sleep than those who took more steps in the morning. Relevance to clinical practice Exercise in the afternoon may improve the prognosis in patients with cardiovascular disease by not only preventing excessive blood pressure, afterload, and sympathetic tone but also positively influencing the parasympathetic system and sleep.

DOI： 10.1111/jocn.16018

Web of Science

Scopus

PubMed

Language：Japanese   Publisher：THE JAPANESE ASSOCIATION OF RURAL MEDICINE  

The aim of this study was to compare changes in the amount of palmar sweating, measured using a portable hygrometric sweating meter, with changes in heart rate (HR) and percutaneous arterial blood oxygen saturation (Spo₂) measured using a pulse oximeter, after active standing. Participants were 20 healthy adults (mean age 20.9±0.8 years). Compared with a resting HR of 67.9±5.4 beats / min, HR was highest at 91.7±15.8 beats / min after 10s of active standing and then decreased to 86.4±13.3 beats / min at 20s. However, HR remained high at approximately 80 beats / min between 20 and 180s of active standing. The difference in HR between 10 and 180s of active standing was significant. Spo₂ was significantly decreased (98.1±1.0 %) after 10s of active standing compared with the resting value (99.1±1.3 %) and remained lower than the resting value for 180s, but the difference for periods longer than 10s was not significant. The amount of palmar sweating significantly increased (0.26±0.06 mg / min / cm²) after 10s of active standing compared with the resting value (0.0±0.0 m g/ min / cm²) but then decreased for 180s after that, and the difference for periods longer than 10s was not significant. We observed that HR continued to increase for the first 180s of active standing, but the amount of palmar sweating was significantly increased only for the first 10s of active standing. In a future study, we plan to investigate whether the measured amount of palmar sweating can be used as an easy and noninvasive indicator in acute myocardial infarction patients undergoing heart rehabilitation.

DOI： 10.2185/jjrm.71.115

CiNii Research

Language：English   Publishing type：Research paper (scientific journal)   Publisher：SPRINGER JAPAN KK  

The present study compares health-related QOL between patients who practiced self-care activities comprising exercise and diet at home for at least 6 months (SA group; n = 84) after elective PCI and those who did not (NA group; n = 54). Health-related (HR) QOL was measured using the SF-36 questionnaire. Scores for two mental and three physical parameters of the HRQOL were increased in the SA, but not in the NA group. These findings indicated that the QOL was far superior among patients who exercised and consumed an appropriate diet at home for at least 6 months after elective PCI compared with those who did not.

DOI： 10.1007/s12928-014-0294-0

Web of Science

PubMed

Language：Japanese   Publisher：なごや看護学会  

Language：Japanese   Publisher：なごや看護学会  

急性心筋梗塞(AMI)患者の退院後の生活習慣を退院時と退院後6ヵ月時の経時的変化を調査し、家族構成の影響があるかについて検討した。AMI治療目的でA病院の冠疾患治療室に入院し、その後一般病棟での心臓リハビリテーションを終了した患者63名を対象に、退院時と退院6ヵ月時にLPC式生活習慣検査調査票を含む質問紙調査を実施した。63名のうち退院後6ヵ月までの調査ができた37名を最終的に分析対象とした。37名を家族構成により独居および夫婦のみの2人家族患者群17名(少人数家族群)と子どもと同居している3人以上の家族群20名(多人数家族群)に分類した。分析の結果、多人数家族群は退院時に比べ退院後6ヵ月時に食習慣(高塩分尺度、食事の規則性尺度)は改善したが、両群ともに運動実施尺度、情緒不安定尺度、外向性尺度に改善は認められなかった。子どもを含む同居家族の多さは退院後の食習慣改善への重要な要因である可能性が示唆された。

Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2021&ichushi_jid=J07250&link_issn=&doc_id=20210409290003&doc_link_id=%2Ffn6kango%2F2021%2F000301%2F004%2F0021-0026%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Ffn6kango%2F2021%2F000301%2F004%2F0021-0026%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Language：Japanese   Publisher：椙山女学園大学看護学部  

【目的】慢性期成人老年看護学実習の病院実習におけるカリキュラム変更前後での看護技術到達の現状を明らかにし、今後の実習指導における課題について明らかにした。【方法】カリキュラム変更前後における2学年の学生の「成人老年看護学実習技術経験録」のデータを二次利用し、分析した。【結果】2016年度および2017年度ともに実施が80%以上であった技術は、到達度Iでは4項目5種類、到達度IIでは3項目4種類であり、【環境調整技術】【食事援助技術】【症状・生体機能管理技術】【感染予防技術】の看護の基礎技術であった。2016年度から2017年度の実施が10%以上増加した技術の種類は、到達度Iでは6項目13種類、到達度IIでは8項目15種類であり、【環境調整技術】【排泄援助技術】【清潔・衣生活援助技術】の日常生活援助技術、【活動・休息援助技術】【創傷管理技術】【安楽確保の技術】の廃用症候群や褥瘡予防に関する技術、安寧や安楽への技術であった。一方で、【安全管理の技術】にある、患者を誤認しないための防止策の実施では、実施および見学がともに10%以上減少した。【結論】慢性期成人老年看護学実習では、環境、排泄、清潔に関する日常生活援助技術、廃用症候群や褥瘡予防に関する技術、安寧や安楽に関する技術が増加した。成人期から老年期にある対象者を受け持ち、看護過程の展開を3週間実習したことで、学生の老年期にある患者と看護技術の理解が深まり、慢性期成人および老年看護学で達成する看護技術の到達に影響したと考えられた。(著者抄録)

Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2021&ichushi_jid=J05672&link_issn=&doc_id=20210415450003&doc_link_id=http%3A%2F%2Fid.nii.ac.jp%2F1454%2F00002954%2F&url=http%3A%2F%2Fid.nii.ac.jp%2F1454%2F00002954%2F&type=%90%9A%8ER%8F%97%8Aw%89%80%91%E5%8Aw%81F%90%9A%8ER%8F%97%8Aw%89%80%91%E5%8Aw%8Aw%8Fp%8B%40%8A%D6%83%8A%83%7C%83W%83g%83%8A&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F80220_3.gif

Language：Japanese   Publisher：椙山女学園大学看護学部  

【目的】慢性期成人看護学実習における看護技術の到達度の現状を明らかにし、課題を検討することを目的とした。【方法】実習記録の一部である「成人老年看護学実習技術経験票」のデータを二次利用し、分析した。【結果】到達度レベルIの技術について、実施率が70%以上のものは【1.環境調整技術】【2.食事援助技術】【10.症状・生体機能管理技術】【11.感染予防技術】の4項目5種類であり、実施率が10%未満のものは【3.排泄援助技術】【6.呼吸・循環を整える技術】【9.救命救急処置技術】【12.安全管理の技術】の4項目6種類であった。到達度レベルIIの技術について、実施率が70%以上のものは【2.食事援助技術】【10.症状・生体機能管理技術】【11.感染予防技術】の3項目5種類であり、実施率が10%未満のものは【3.排泄援助技術】【4.活動・休息援助技術】【5.清潔・衣生活援助技術】【6.呼吸・循環を整える技術】【8.与薬の技術】【10.症状・生体機能管理技術】【11.感染予防技術】【12.安全管理の技術】の8項目16種類であった。【結論】慢性期成人看護学実習で、学生が実施した技術の種類は少なく、実施率は低かった。実習病棟や患者の特性によって、学生が実施できる技術の種類に制限があり、これまでの臨地実習での経験と到達状況を考慮し、看護技術の機会を増すような患者の特性について、臨床側との調整が必要であると考えられた。今後は、実習での看護技術に向けての学習方法の評価と検討が課題である。(著者抄録)

Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2018&ichushi_jid=J05672&link_issn=&doc_id=20180314190005&doc_link_id=http%3A%2F%2Fid.nii.ac.jp%2F1454%2F00002488%2F&url=http%3A%2F%2Fid.nii.ac.jp%2F1454%2F00002488%2F&type=%90%9A%8ER%8F%97%8Aw%89%80%91%E5%8Aw%81F%90%9A%8ER%8F%97%8Aw%89%80%91%E5%8Aw%8Aw%8Fp%8B%40%8A%D6%83%8A%83%7C%83W%83g%83%8A&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F80220_3.gif

Language：Japanese   Publisher：椙山女学園大学看護学部  

【目的】老年看護学実習における高齢者の生活機能を整える援助技術の経験、到達度の現状を明らかにし、今後の老年看護学領域における学生指導上の課題を見出すことを目的とした。【方法】老年看護学実習記録の一部である「成人老年看護学実習技術経験票」のデータを二次利用し、分析した。【結果】実施率が70%を超えたのは、「患者の食事摂取状況のアセスメント」、「患者のおむつ交換」、「車椅子で移送」等であった。一方、実施率が50%に満たなかったのは、「経管栄養を受けている患者の観察」、「患者の疾患に応じた食事内容の指導」、「自然な排便を促すための援助」、「意識障害のない患者の口腔ケア」、「患者の病態・機能に合わせた口腔ケアの計画」等であった。【結論】実施率が低かった口腔ケア等の援助については、対象の状況に合わせたケアの計画、実施が出来るように、指導を行う必要性があることが明らかとなった。(著者抄録)

Other Link： https://search-tp.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2018&ichushi_jid=J05672&link_issn=&doc_id=20180314190004&doc_link_id=http%3A%2F%2Fid.nii.ac.jp%2F1454%2F00002487%2F&url=http%3A%2F%2Fid.nii.ac.jp%2F1454%2F00002487%2F&type=%90%9A%8ER%8F%97%8Aw%89%80%91%E5%8Aw%81F%90%9A%8ER%8F%97%8Aw%89%80%91%E5%8Aw%8Aw%8Fp%8B%40%8A%D6%83%8A%83%7C%83W%83g%83%8A&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F80220_3.gif

Event date： 2024.3

Presentation type：Poster presentation  

Event date： 2024.3

Presentation type：Poster presentation  

Event date： 2024.3

Event date： 2023.12

Event date： 2023.9