A multi-approach longitudinal study on nighttime care at home and changes in blood pressure and fatigue in family caregivers

关于家庭夜间护理以及家庭护理人员血压和疲劳变化的多方法纵向研究

• 批准号: 16592197
• 负责人: TSUKASAKI Keiko
• 金额: $ 2.24万
• 依托单位: Kanazawa University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2004
• 资助国家: 日本
• 起止时间: 2004 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16592197/
• 关键词: care at home; family caregiver; elderly with care needs; 24h ambulatory blood pressure; fatigue; nighttime care; sleep status; electromvography; 高血圧; 介護動作

To clarify the influences of nighttime care on blood pressure and fatigue in family caregivers, we evaluated the 24-hour sleep status, diurnal changes in blood pressure, and chronic fatigue in 100 family caregivers, and analyzed their association. To clarify influential factors, the 24-hour sleep status in caregivers was evaluated, and a follow-up survey was performed.The results of our study showed the importance of blood pressure control in aged family caregivers irrespective of the use of antihypertensive drugs. In particular, in female caregivers with high blood pressure either using or not using antihypertensive drugs, there were associations between the sleep status and changes in blood pressure/ fatigue, suggesting the necessity for adequate sleep.The sleep status of family caregivers and that of people with care needs were evaluated by simultaneous measurement. The sleep status in the family caregivers was markedly affected by that of people with care needs. Therefore, the slee … More p environment should be improved so that people with care needs can get adequate sleep.After 3 years, the sleep time during the daytime and that during the 24-hour period increased in the family caregivers. In particular, fatigue decreased in the family caregivers no longer giving care after 3 years. These results suggest that the decrease in fatigue in the caregivers is due to their efforts to sleep more because of aging and the disappearance of their care role.To establish a method of clarifying the load of care motion on the body during a change of diapers, a pilot study using an electromyography was performed. The results suggested that the measurement of changes in blood pressure during care motions is possible by the method used in this study.In the future, we will continue to perform detailed analysis of each case and a longitudinal survey, investigate the load of care motions on the body and the influences of the care environment, and clarify care methods at home that allow the maintenance of the physical and psychological health of not only people with care needs but also their caregivers. Less

为了阐明夜间护理对家庭照顾者血压和疲劳的影响，我们评估了100名家庭照顾者的24小时睡眠状况、血压昼夜变化和慢性疲劳，并分析了它们之间的关联。为了明确影响因素，评估了照顾者的24小时睡眠状况，并进行了随访调查，我们的研究结果表明，无论是否使用降压药物，老年家庭照顾者的血压控制的重要性。特别是在使用或不使用抗高血压药物的高血压女性照顾者中，睡眠状况与血压/疲劳的变化之间存在关联，表明充足睡眠的必要性。家庭照顾者的睡眠状况明显受到有照顾需求者的影响。因此， ...更多信息 3年后，家庭照料者白天睡眠时间和24小时睡眠时间增加，但家庭照料者白天睡眠时间和24小时睡眠时间增加。特别是，疲劳减少，在家庭照顾者不再给予照顾后3年。这些结果表明，护理人员的疲劳减少是由于他们的努力，睡眠更多，因为老化和消失的护理role.To建立一种方法来澄清的负荷护理运动在身体上的尿布更换过程中，使用肌电图进行了试点研究。研究结果表明，通过本研究的方法可以测量护理动作中的血压变化。今后，我们将继续对每个病例进行详细分析和纵向调查，调查护理动作对身体的负荷和护理环境的影响，并阐明家庭护理方法，使有护理需要的人及其照顾者的身心健康得以维持。少

项目成果

Impact of sleep interruption on family caregiver' s ambulatory blood pressure in relation to hypertension status

睡眠中断对家庭照顾者动态血压与高血压状况的影响

• 发表时间: 2004
• 期刊: The 3^<rd> international conference on community health nursing research
• 作者: Keiko Tsukasaki;Teruhiko Kido;Kiyoko Makimoto;Rie Naganuma;Keiko Tsukasaki
• 通讯作者: Keiko Tsukasaki

The impact of sleep status on ambulatory blood pressure and fatigue of caregivers providing home care

睡眠状态对提供家庭护理的护理人员动态血压和疲劳的影响

• 发表时间: 2007
• 期刊: Doctoral dissertation, Osaka University
• 作者: Yasuko SAITO;Yumi SATO;kayo NUMATA;Kaori NAKAYAMA;Keiko Tsukasaki
• 通讯作者: Keiko Tsukasaki

Impact of sleep interruption on family caregiver's ambulatory blood pressure in relation to hypertension status

睡眠中断对家庭看护者动态血压与高血压状态的影响

• 发表时间: 2005
• 期刊: The 3^<rd> international conference on community health nursing research (印刷中)
• 作者: Keiko Tsukasaki;Teruhiko Kido;Kiyoko Makimoto;Rie Naganuma
• 通讯作者: Rie Naganuma

在宅介護を行っている家族介護者の睡眠が血圧日内変動と疲労感に及ぼす影響

睡眠对提供家庭护理的家庭护理人员血压昼夜波动和疲劳的影响

• 发表时间: 2007
• 期刊: 大阪大学博士論文
• 作者: NUMATA K;NEGISHI K;SAITO Y.;塚崎 恵子
• 通讯作者: 塚崎 恵子

夜間介護による睡眠と血圧日内変動と疲労感への影響を分析する研究方法の検討

考虑研究方法来分析夜间护理对睡眠、血压昼夜波动和疲劳的影响

• 发表时间: 2005
• 期刊: 金沢大学医学部保健学科つるま保健学会誌 29・1
• 作者: Keiko Tsukasaki;Teruhiko Kido;Kiyoko Makimoto;Rie Naganuma;Masami Ohno;Kyoko Sunaga;Keiko Tsukasaki;塚崎 恵子
• 通讯作者: 塚崎 恵子