著者

齋藤 百枝美 安藤 崇仁 伊神 敬人 小中原 隆史 小松 洋平 高木 友徳 永井 典子 橋本 俊英 丹羽 真一

出版者

Japanese Society of Drug Informatics

雑誌

医薬品情報学 (ISSN:13451464)

巻号頁・発行日

vol.19, no.4, pp.172-179, 2018 (Released:2018-03-21)

参考文献数

10

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Objective: The maintenance and improvement of medication adherence are important in psychiatry.  In the case of patients using home healthcare services, it is necessary to improve their medication adherence through multi-professional collaboration.  However, appropriate methods or measures to provide them with information regarding psychotropics and resolve their problems during home visits have yet to be clarified.  We aimed to promote the appropriate provision of such information in home healthcare services for patients with mental disorders by clarifying the current status and details of information needed during home visits.Methods: A questionnaire survey was conducted in April 2016, involving healthcare professionals who worked in 9 facilities providing home-visit services for patients with mental disorders.Results: A total of 116 (86 females and 30 males) responded, among whom nurses accounted for the majority, at 81.9%, followed by psychiatric social workers, at 10.3%, and occupational therapists, at 7.8%.  More than 97% of all respondents assessed medication adherence.  Medication guidance tended to be provided within 15 minutes (81.9%) during each home visit, and the most frequent duration of such guidance was 6 to 10 minutes (37.9%).  Patients most frequently asked about adverse drug effects (57.8%), and the health professionals most frequently faced difficulty answering such questions among all the questions asked (46.6%).  Materials needed during home visits included: <brochures explaining the therapeutic and adverse effects of drugs>, <photographs of drugs>, and <a list of generic drugs>.  Some respondents also noted the necessity of materials that are easy to carry.Conclusion: The results clarified the details of information to be provided on administering home healthcare services for patients with mental disorders.  As various professionals are engaged in such services, and they are expected to have a certain level of ability to provide information, systems to effectively support information provision by them may be needed.

著者

上城 憲司 小松 洋平 加藤 稔子

出版者

「日本作業療法研究学会」事務局

雑誌

日本作業療法研究学会雑誌 (ISSN:18820948)

巻号頁・発行日

vol.14, no.1, pp.33-38, 2011

著者

長住 達樹 小松 洋平 堀江 淳

出版者

西九州大学

雑誌

西九州リハビリテーション研究 (ISSN:18825761)

巻号頁・発行日

vol.1, pp.47-50, 2008

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本研究は,IT機器(ライフコーダ)を用いて,特定高齢者介護予防教室(以下,教室)に参加している虚弱高齢者の日常活動量を測定し,教室の影響による身体機能の変化と運動の習慣化について検討した。教室開始10週後には,平均運動強度の全般的な活動量増加が見られ,特に,運動強度の5から7レベルにおいて有意な活動量の増加が認められた(p<0.01)。また,身体機能面では最大歩行速度やTUG,下肢筋力に有意な改善が認められた(p<0.01)。これらのことから,教室開始10週後には,強歩やジョギングなどに相当する運動を習慣化でき,下肢筋力などの体力向上に繋がったと判断できた。その一要因として,定期的な教室以外の環境下でも,IT機器を装着したことによる監視効果があったのではないかと示唆された。