http://hdl.handle.net/10098/539 2013-05-19T02:09:54Z http://hdl.handle.net/10098/7353 タイトル: 重症妊娠高血圧腎症における新たな降圧指針作成の可能性～胎児臍帯動脈血流速度波形からのアプローチ～ 著者: 上林, 大岳; 西島, 浩二; 打波, 郁子; 山本, 真; 佐藤, 久美子; 高橋, 仁; 折坂, 誠; 黒川, 哲司; 吉田, 好雄; KAMIBAYASHI, Daigaku; NISHIJIMA, Koji; UCHINAMI, Ikuko; YAMAMOTO, Makoto; SATO, Kumiko; TAKAHASHI, Jin; ORISAKA, Makoto; KUROKAWA, Tetsuji; YOSHIDA, Yoshio 抄録: Although antihypertensive therapy is recommended for management of hypertension in pregnant women, the criteria for initiation and maintenance of treatment have not been established. We report a case involving a 38-year-old pregnant woman with severe hypertension and proteinuria who was referred to our facility at 23 weeks 0 days of gestation. Ultrasonographic monitoring of fetal well-being showed that fluctuations in the maternal blood pressure (BP) were rapidly reflected by the results of fetal umbilical artery Doppler velocimetry, e.g., the fetal diastolic umbilical artery flow normalized when the patient’s BP decreased to 150/88 mmHg, but disappeared when the BP further decreased to 120/80 mmHg. Thus, the patient’s hydralazine dose was adjusted according to fetal ultrasound findings. When the patient subsequently showed no response to hydralazine administration, which was reflected by the persistent absence of the diastolic component of umbilical artery flow in Doppler velocimetry, emergency Caesarean section was performed at 23 weeks 6 days of gestation, and both the mother and infant showed good clinical outcomes. Our case thus highlights the value of Doppler velocimetry in monitoring patient responsiveness to antihypertensive therapy. 2013-03-26T00:00:00Z http://hdl.handle.net/10098/7092 タイトル: 第37回日本比較内分泌学会大会およびシンポジウム 記述: 2012年11月29日（金）～12月1日（土）会場：福井大学文京キャンパス　＊サテライト企画～中堅・若手の会2012年11月29日（木）　　　　　　　　　　　 2012-11-30T00:00:00Z http://hdl.handle.net/10098/7091 タイトル: 看護学生の禁煙支援力尺度の開発 著者: 上原, 佳子; 長谷川, 智子; 佐々木, 百恵; 北野, 華奈恵; 礪波, 利圭; 上野, 栄一; 石﨑, 武志; UEHARA, Yoshiko; HASEGAWA, Tomoko; SASAKI, Momoe; KITANO, Kanae; TONAMI, Rika; UENO, Eiichi; ISHIZAKA, Takeshi 抄録: Objective：The purpose of this study was to develop and evaluate the Smoking Cessation Support Ability Scale to assess nursing students’ ability of smoking cessation support. Methods：The original Smoking Cessation Support Ability Scale was developed based on a comprehensive review of the literature. A revised version was developed based an examination of the content validity of the original scale and preliminary investigation. Subsequently, the revised questionnaire was distributed to 243 nursing students and examined its reliability and validity. Results：Exploratory factor analysis by principal factor analysis with promax rotation was conducted. The following five factors comprised of 18 items were finally extracted: “Leadership,” “Explanation of risk of the smoking,” “Communication,” “Planning”, and “Attitudes toward smoking.” The reliability of the scale was confirmed by a Cronbach’s alpha internal consistency reliability coefficient of 0.77, and atest-retest reliability coefficient of 0.89. The criterion-related validity was confirmed by Kikuchi’s Social Skill Scale-18,Self-efficacy Scale in Nursing Practice, and the Kano Test for Social Nicotine Dependence. Conclusion：The Smoking Cessation Support Ability Scale was confirmed its reliability and validity. 2012-12-27T00:00:00Z http://hdl.handle.net/10098/7090 タイトル: “Disability” をもつ入所者ケアにおける看護師・介護職員の認知 著者: 中村, 陽子; MAKAMURA, Yoko 抄録: Objectives : To clarify concept of “disability” on perceptions among nurses and care workers through experiences of clinical working fields of long-term care institutions and to assess perceptions among nurses and care workers in care of residents with “disability”. Design : qualitative and inductive approach by grounded theory approach Setting : 2 long-term care institutions in A city. Participants : 10 numbers of qualified each 5 nurses and care workers over five year careers. Results : Perceptions among nurses and care workers to take care of residents with “disability” were classified from differences to concordance according to the subjects. In the category of point of view in the ways of relation, nurses and care workers expressed fluctuation and resistance in the word of residents with disabilities. They have tried to not only take care of residents with disabilities without bias, but also treat able-bodied person as normalization. Additionally, their underlying caring is independence, support for uncontrollable parts(functions) in ADL/IADL, and acceptance of as a living person. Moreover, job situations for care workers were more satisfied than that of nurses. On the other hand, it turned to be more stressful for care workers because caring for dementia is one of the most difficult cares. However, the most stressful situations were human relations including residents’ families and doctors rather than low wage or demanding work. Conclusions : The findings of this study support education for new faces, and management of personnel or work and health organizations. 原 著 Key Words : residents with disabilities, perception, nurse, care worker, long-term institution （Received 2012-12-27T00:00:00Z