Researcher Profile and Settings

Master

Affiliation (Master)

• Faculty of Health Sciences　Health Sciences　Fundamental Nursing

Affiliation (Master)

• Faculty of Health Sciences　Health Sciences　Fundamental Nursing

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Profile and Settings

Profile and Settings

• Name (Japanese)

  Yuki

• Name (Kana)

  Michiko

• Name

  200901003306617688

Achievement

Research Interests

• サルコペニア   フレイル   Rehabilitation nursing   介護予防   災害看護   抗がん剤曝露予防   外来看護   重症化予防   在宅ケア   高齢者   Connection of Hospital and Community   Home Nursing Service   Nursing-care Prevention   Elderly   Community Care system   Rehabilitation Care   

Research Areas

• Life sciences / Clinical nursing
• Life sciences / Gerontological and community health nursing
• Life sciences / Gerontological and community health nursing

Research Experience

• Hokkaido University Faculty of Health Sciences Professor

Education

•        -   Tohoku University  Graduate School of Medicine  Department of Disability Science

Awards

• 2023/11 日本健康医学会 2023年度湖歩会藤原賞
   地域在住高齢者におけるフレイルに及ぼす嚥下機能の影響：縦断的研究 

  受賞者: 井筒深紅;雲杉;大日方裕紀;宮島直子;小川夏佳;結城美智子
• 2023/06 日本在宅医療連合学会 優秀論文賞
   福島第一原子力発電所事故による避難生活で認知症高齢者を在宅介護する家族の生活状況と精神 的健康―避難住居形態別による検討― 

  受賞者: 鈴木良香;結城美智子
• 2019/01 日本公衆衛生看護学会 優秀演題賞
   東日本大震災・福島原発事故後の福島県内保健師の心身の健康状態-震災6年後の追跡調査から- 

  受賞者: 古戸順子;遠藤智子;前田香;結城 美智子

Published Papers

• Development of a Screening Tool for Oral Frailty in Community-Dwelling Older Adults: A Cross-Sectional Study

  Ya Su, Michiko Yuki, Hanjun Huang, Ningning Luo, Lin Wang

  Journal of the American Medical Directors Association 25 (9) 105171 - 105171 1525-8610 2024 [Refereed]
  
• Sarcopenia and risk factors among Japanese community-dwelling older adults during the COVID-19 pandemic:A cross-sectional study

  Natsuko Ogawa, Shan Yun, Miku Izutsu, Michiko Yuki

  Nursing & Health Sciences 26 (1) e13094  2024/01 [Refereed]
  
• Risk factors for oral frailty among community-dwelling pre-frail older adults in Japan: A cross-sectional analysis

  Miku Izutsu, Kengo Hirayama, Ya Su, Michiko Yuki

  Community Dental Health 40 221 - 226 2023/12 [Refereed]
  
• Frailty and social isolation before and during the coronavirus disease 2019 pandemic among older adults: A path analysis

  Ya Su, Masako Hamatani, Michiko Yuki, Natsuko Ogawa, Kayoko Kawahara

  Journal of Advanced Nursing 80 (5) 1902 - 1913 2023/11 [Refereed]
  
• Depressive symptoms associated with infection prevention measures and daily lifestyle habit characteristics among Japanese community-dwelling older adults during the COVID-19 pandemic

  Masako Hamatani, Ya Su, Michiko yuki, Natsuko Ogawa, Kayoko Kawahara

  Japan Journal of Nursing Science 21 (2) e12575  2023/11 [Refereed]
  
• COVID-19流行下における都市部在住高齢者のフレイル移行に関する研究

  西村ありさ, 小川夏佳, 雲杉, 蘇雅, 結城美智子

  保健の科学 65 (8) 569 - 575 2023/08 [Refereed]
  
• Malnutrition and related factors among community-dwelling older adults during the COVID-19 pandemic

  Shiori Kojima, Natsuka Ogawa, Su Ya, Michiko Yuki

  Journal of Japan Health Medicine Association 32 (2) 212 - 219 2023/07 [Refereed]
  
• Prevalence of oral farilty and its associated factors among community-dwelling older adults

  Yuzuna Furuta, Natsuka Ogawa, Michiko Yuki

  Journal of Japan Health Medicine Association 32 (2) 165 - 173 2023/07 [Refereed]
  
• Effectiveness of fraility prevention program in community-dwelling older people during the COVID-19 pandemic

  Izutsu M, Ogawa N, Yun S, Yuki M

  Journal of Japan Health Medicine Association 32 (1) 89 - 96 2023/04 [Refereed]
  
• The association between social isolation and oral health of community-dwelling older adults-A sysyematic review

  Shan Yun, Natsuko Ogawa, Miku Izutsu, Michiko Yuki

  Japan Journal of Nursing Science 2023/02 [Refereed]
  
• Nursing skills required across natural and man‐made disasters: A scoping review

  Ya Su, Xi Vivien Wu, Natsuka Ogawa, Michiko Yuki, Yun Hu, Yan Yang

  Journal of Advanced Nursing 1 - 18 0309-2402 2022/08/22 [Refereed]
  
• Association of visceral fat area with pre-frailty in Japanese community-dwelling older adults: a cross-sectional study

  Ya Su, Michiko Yuki, Natsuka Ogawa

  BMC Geriatrics 22 (1) 2022/08/19 [Refereed]
   

  Abstract Background Screening and intervention in pre-frailty can help prevent or delay frailty among older adults. Being overweight has shown associated with pre-frailty, and overweight is highly prevalent among community-dwelling older adults during COVID-19. However, the impact of visceral fat accumulation remains unclear. This study aimed to explore the association between visceral fat area and pre-frailty in community-dwelling older adults. Methods The participants of this study included community-dwelling older adults from three elderly welfare centers. The frailty phenotype was assessed using the frailty screening index. The body composition was measured using bioelectrical impedance analysis. Results A total of 214 community-dwelling older adults completed the questionnaire and measurements. After excluding 16 frail participants, 149 (75.3%) were pre-frailty. The mean age of participants was 75.4 ± 5.4 years, and 69.7% (138) of participants were women. There were 54 (27.3%) participants with high visceral fat area. The multivariable model showed that participants with high visceral fat area were at increased risk for pre-frailty (adjusted OR, 3.15; 95% CI, 1.26 − 7.87; P = 0.014), even after adjusted for age, sex, health status, and impact of COVID-19 pandemic. Conclusions This study suggests that the association between visceral fat accumulation and pre-frailty may help to identify a new target for prevention. Further longitudinal studies are needed to determine their mechanisms in older adults.
• 福島第一原子力発電所事故による避難生活で認知症高齢者を在宅介護する家族の生活状況と精神的健康ー避難住居形態別による検討ー

  鈴木良香, 結城美智子

  日本在宅医療連合学会誌 13 (3) 9 - 18 2022/08 [Refereed]
  
• 危機の時代における持続可能な在宅看護の提供

  結城美智子

  日本在宅看護学会誌 10 (2) 4 - 7 2022/02 [Not refereed][Invited]
  
• Predictors and short-term outcomes of post-stroke fatigue in initial phase of transition from hospital to home: A prospective observational study

  Su Y, Asamoto M, Yuki M, et al

  Journal of Advanced Nursing 77 (4) 1825 - 1838 2021/04 [Refereed][Not invited]
   

  AIM: To analyse the interactions of associated factors with post stroke fatigue (PSF) after discharge home and determine the predictors of PSF and their impact on stroke survivors. DESIGN: A prospective observational study. METHODS: A total of 94 patients with acute stroke were recruited between May 2019 -July 2020. The main outcomes were fatigue, depression, insomnia, sarcopenia, and health-related quality of life (HRQOL) and were assessed at admission and 1 month after discharge. Fatigue was measured using the Fatigue Assessment Scale. Depression and Insomnia were assessed using the Hospital Anxiety and Depression Scale-Depression and Insomnia Severity Index, respectively. Sarcopenia was measured using the SARC-F questionnaire, and HRQOL was assessed using the Short Form-8. RESULTS: Acute phase PSF was an independent predictor of PSF after discharge home. Moreover the path analysis revealed that this effect is mediated through both the direct effect of acute-phase PSF on PSF after discharge home and through the indirect effect of interaction with pre-stroke SARC-F, acute phase depression, and acute phase insomnia, which remains a separate predictor of acute-phase PSF. In total, 17% of the survivors had persistent PSF. Persistent PSF was significantly associated with depression, insomnia, sarcopenia, and a lower quality of life scores. CONCLUSIONS: Post-stroke fatigue may occur in the acute phase and persists after discharge, it will not only affect later depression, insomnia, and quality of life, but also sarcopenia. IMPACT: Acute phase PSF was found to be an independent predictor of PSF after discharge home. In addition, the interaction with pre-stroke SARC-F, acute phase depression and insomnia had an indirect connection with PSF after discharge home, which remains a separate predictor of acute-phase PSF. Thus, early assessment and management of mental status, sleep problems, and sarcopenia during hospitalization might be an important step in post-stroke rehabilitation and home transition.
• Development and internal validation of a nomogram to predict post-stroke fatigue after discharge

  Su Y, Yuki M, Otsuki M

  Journal of Stroke and Cerebrovascular Diseases 30 (2) doi: 10.1016/j.jstrokecerebrovasdis.2020.105484. Epub 2020 Nov 27. - 105484 1052-3057 2021/02 [Refereed]
  
• Prevalence of stroke-related sarcopenia: A systematic review and meta-analysis

  Su Y, Yuki M, Otsuki M

  Journal of Stroke and Cerebrovascular Diseases 29 (9) 2020/06 [Refereed][Not invited]
  
• Non-pharmacological interventions for post-stroke fatigue: systematic review and network meta-analysis

  Su Y, Yuki M, Otsuki M

  Journal of Clinical Medicine 2020/02 [Refereed][Not invited]
  
• Denture Wearing and Malnutrition Risk Among Community-Dwelling Older Adults.

  Ya Su, Michiko Yuki, Kengo Hirayama, Miho Sato, Tianfang Han

  Nutrients 12 (1) 2020/01/05 [Refereed][Not invited]
   

  Most studies have associated denture wearing with a higher risk of malnutrition and lower nutritional intake in the elderly. As the effect of wearing dentures remains debatable, the aim of this study was to determine if older adults wearing dentures have a higher risk of malnutrition. We recruited 294 Japanese community-dwelling adults aged ≥65 years from two elderly welfare centers in Sapporo. The Mini Nutritional Assessment-Short Form (MNA-SF) was used to assess their nutritional status. Their demographic characteristics, eating habits, and health status were assessed using a questionnaire. Moreover, salt-impregnated taste paper and bioelectrical impedance analysis were used to obtain salt taste sensitivity and body composition (body mass index and protein mass). The mean age of older adults was 75.8 ± 5.8 years and 71.1% were women. We found that 74.1% of the older adults wore dentures. The proportion of the whole population with a risk of malnutrition was 23.5%. Multivariate analysis revealed that partial denture wearing could be protective against the risk of malnutrition. In this study, we found more partial denture wearers with normal nutritional conditions and cooking by themselves than non-denture-wearing older adults. Furthermore, complete denture wearers were eating significantly less meats or fish every day. This study suggests that using partial dentures to replace the lost teeth to meet the dietary needs of the elderly is critical to maintaining a healthy nutritional status. Moreover, it also indicates the importance of providing education to older adults who wear complete dentures.
• Relationsships between quality of life and skin toxicities of epidermal growth factor inhibitors in cancer patients: A literature review

  Hirayama K, Su Y, Chiba M, Izutsu M, Yuki M

  Japan Journal of Nursing Sciences 2020/01 [Refereed][Not invited]
  
• Association between subjective evaluation of skin toxicities and quality of life in patients with lung cancer undergoing epidermal growth factor receptor-tyrosine kinase inhibitor treatment: a pilot study for developing skin toxicity assessment

  Hirayama K, Su Y, Ikezawa Y, Chiba M, Ito K, Yuki M

  Open Journal of Nursng 9 (12) 1226 - 1239 2019/12 [Refereed][Not invited]
  
• The experiences and perspectives of family surrogate decision-makers: a systematic review of qualitative studie

  Su Y, Yuki M, Hirayama

  Patient Education and counseling 2019/12 [Refereed][Not invited]
  
• Relationship between salty taste sensitivity and health consciousness or daietary habits in community-dwelling older people

  YUKI Michiko

  日本健康医学会雑誌 28 (2) 125 - 134 2019/07 [Refereed][Not invited]
  
• Sarcopenia prevalence and risk factors among Japanese community-dwelling older adults living a snow-covered city according to EWGSOP2

  Su Y, Hirayama K, Han F, Izutsu M, Yuki M

  Journal of Clinical Medicine 8 (3) 291  2019/02 [Refereed][Not invited]
  
• 外来化学療法を受けるがん患者の家族への抗がん薬曝露予防の検討―バイオロジカル･モニタリングを用いた曝露評価―

  結城 美智子, 三宅亜矢, 石岡明子, 中積宏之, 平山憲吾

  医療の広場 58 (6) 16 - 18 2018/06 [Refereed][Not invited]
  
• 在宅での家族への抗がん薬の曝露の実態と意識

  結城 美智子

  コミュニティケア 20 (2) 13 - 17 2018/01 [Not refereed][Not invited]
  
• 外来化学療法を受けるがん患者の家族への抗がん薬曝露予防の検討-バイオロジカルモニタリングを用いた曝露評価-

  結城 美智子

  平成28年度政策医療振興財団研究助成報告書 2017/12 [Not refereed][Not invited]
  
• Factors influencing the psychological burden ofdiabetes in middle-aged male type 2 daibetes outpatients

  Saito F, Sakamoto Y, YUKI M

  日本慢性看護学会 11 (2) 62 - 69 2017/12 [Refereed][Not invited]
  
• Evacuation after the Great East Japan Earthquake was associated with poor dietary intake: The Fukushima Health Management Survey

  Wen Zhang, Tetsuya Ohira, Masafumi Abe, Kenji Kamiya, Shunichi Yamashita, Seiji Yasumura, Akira Ohtsuru, Maeda Masaharu, Mayumi Harigane, Naoko Horikoshi, Yuriko Suzuki, Hirooki Yabe, Michiko Yuuki, Masato Nagai, Hideto Takahashi, Hironori Nakano

  JOURNAL OF EPIDEMIOLOGY 27 (1) 14 - 23 0917-5040 2017/01 [Refereed][Not invited]
   

  Background: Few studies have investigated the relationship between living arrangements and dietary intake among evacuees after disasters. Objectives: To examine the relationship between living arrangements and dietary intake using the data of a large-scale cohort survey of evacuees after the Great East Japan Earthquake in 2011. Methods: 73,433 residents in evacuation zones responded to the Fukushima Health Management Survey questionnaire. Subjects were excluded if they did not report their living conditions or were missing more than three pieces of information about dietary intake. The data of 52,314 subjects (23,149 men and 29,165 women >= 15 years old) were used for the analyses. Evacuees' living arrangements were characterized into three categories: evacuation shelters or temporary housing, rental houses or apartments, or a relative's home or their own home. Dietary intake was characterized in terms of grains, fruits and vegetables, meat, soybean products, dairy products, and fish. Daily consumption of the third quartile (Q3) or higher for each food group was defined as `high consumption'. Prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated using modified Poisson regression analyses. Results: Modified Poisson regression analyses showed that, compared with respondents living in a relative's home or their own home, the PRs and 95% CIs for the people living in rental apartments of high consumption of fruits and vegetables (non-juice), meat, soybean products, and dairy products were 0.69 (95% CI, 0.61e-0.77), 0.82 (95% CI, 0.73-0.91), 0.89 (95% CI, 0.83-0.94), and 0.83 (95% CI, 0.74-0.93) respectively. The corresponding PRs and 95% CIs for people living in evacuation shelters or temporary housing were 0.83 (95% CI, 0.78-0.88), 0.90 (95% CI, 0.86-0.95), 0.94 (95% CI, 0.91-0.97), and 0.91 (95% CI, 0.86-0.96) for high consumption of fruits and vegetables (non-juice), meat, soybean products, and dairy products, respectively. Conclusion: The present study suggests that, after the earthquake, living in non-home conditions was associated with poor dietary intake of fruits and vegetables (non-juice), meat, soybean products, and dairy products and suggesting the need for early improvements in the provision of balanced meals among evacuees living in non-home conditions (S) 2016 The Authors Publishing services by Elsevier B.V. on behalf of the japan Epidermiological Association
• 地域で生活する精神障がい者の主観的健康感と健康生活習慣－性別、居住形態別による検討－

  塚原厚子, 結城 美智子

  厚生の指標 厚生労働統計協会 63 (11) 13 - 19 0452-6104 2016/11 [Refereed][Not invited]
  
• [Association between evacuation condition and habitual physical activity in Great East Japan Earthquake evacuees: The Fukushima Health Management Survey].

  Masato Nagai, Tetsuya Ohira, Seiji Yasumura, Hideto Takahashi, Michiko Yuki, Hironori Nakano, Zhang Wen, Hirooki Yabe, Akira Ohtsuru, Masaharu Maeda, Kanae Takase

  [Nihon koshu eisei zasshi] Japanese journal of public health 63 (1) 3 - 10 2016 [Refereed][Not invited]
   

  Objectives: Prevalence of life-style disease has increased dramatically in evacuees due to the Great East Japan Earthquake. One reason may be that physical activity level decreased from life environment changes due to evacuation. However, associations between evacuation condition and habitual physical activity have not been studied. We examined this association in Fukushima residents who participated in the Fukushima Health Management Survey. Methods: In this study, 37,843 evacuees from 13 municipal evacuation zones from the nuclear-power accident caused by the Great East Japan Earthquake, born before April 1, 1995, were included in the analysis. Evacuation condition was defined by disaster living place (13 zones), evacuation place (inside or outside the prefecture), and current living status (evacuation shelter or temporary housing, rental housing/ apartment, and relative's home or own home). Habitual physical activity was defined from self-administered questionnaires as participants who responded "almost every day" and "2-4 times/week" of regular exercise. In the analysis, habitual physical activity prevalence was aggregated by gender and variables (living place in the disaster, evacuation place, and current living status). Prevalence was adjusted for age, disaster living place, evacuation place, and current living status by standard analysis of covariance methods. Results: Adjusted prevalences of habitual physical activity were: men, 27.9-46.5%; women, 27.0-43.7% in each disaster living place. The differences were 18.6% point in men and 16.7% point in women. For evacuation place, physical activity outside the prefecture for men (37.7%) and inside the prefecture for women (32.1%) were higher, but those differences were only 2.2% point and 1.8% point in men and women, respectively. For current living status, physical activity of those in rental housing/ apartment was the lowest; evacuation shelter or temporary housing was the highest in both genders (men: 38.9%, women: 36.7%). Compared with residents in evacuation shelter or temporary housing, those in rental housing/apartment were 5.4% point and 7.1% point lower and those in relative's home or own home were 2.0% point and 4.2% point lower in men and women. Conclusion: Habitual physical activity in residents who lived in 13 municipal evacuation zone differed by disaster living place and current living status, while it was similar regardless of placement in the prefecture. In particular, prevalence was the lowest in participants who lived in rental housing/ apartment. We need to plan and perform additional life-style disease prevention strategies for participants who become isolated.
• 外来・在宅がん化学療法における抗がん剤曝露予防の現状

  結城 美智子

  看護技術 62 (2) 64 - 68 2016/01 [Not refereed][Not invited]
  
• Secondary Exposure of Family Members to Cyclophosphamide After Chemotherapy of Outpatients With Cancer: A Pilot Study

  Michiko Yuki, Takashi Ishida, Satoko Sekine

  ONCOLOGY NURSING FORUM 42 (6) 665 - 671 0190-535X 2015/11 [Refereed][Not invited]
   

  Purpose/Objectives: To measure the total amount of cyclophosphamide (CPA) excreted in the urine of patients with cancer and their cohabitating family members seven days after CPA administration. Design: Biological monitoring. Setting: Home setting with outpatients receiving chemotherapy. Sample: 8 patients administered CPA, 10 cohabitating family members, and 10 control participants. Methods: During the first seven days after CPA administration, urine samples were collected from the participants. The samples were analyzed for the unchanged form of CPA using gas chromatography in tandem with mass spectroscopy. Main Research Variables: CPA levels. Findings: CPA was detected in 112 of 276 patient urine samples. The last sample containing detectable CPA levels was collected after more than 48 hours in 63% of the patients, with a maximum length of five days post-treatment. In addition, 243 urine samples were collected from family members, and CPA was detected in the samples of five family members (17-252 ng per member). CPA was not detected in any control participants. Conclusions: These findings indicate that family members in close contact with patients receiving CPA are at high risk for drug exposure as many as seven days post-treatment. Implications for Nursing: Nurses should educate patients and their family members about preventing exposure to antineoplastic drugs in the home setting.
• Social activities and health-related QOL of diabetic nephropathy dialysis patients

  Kashiwagi Kumiko, Yuki Michiko, Takase Kanae

  Journal of Japanese Society for Dialysis Therapy The Japanese Society for Dialysis Therapy 48 (3) 179 - 186 1340-3451 2015/03 [Refereed][Not invited]
   

  【Purpose】 The aim of this study was to investigate the social activities and health-related quality of life (KDQOL-SF^TM) of community-dwelling diabetic nephropathy patients undergoing dialysis.【Subjects and methods】The subjects comprised 75 diabetic nephropathy patients (aged≥40 years) who were undergoing dialysis at one of the three medical institutions in A prefecture. The data were obtained from their medical records and an interview survey using a questionnaire. Social activities were composed of three subscales ([personal activities],[interaction with close friends]and[participation in group activities]).The relationship between health-related quality of life for the implementation status and willingness of the subject to undertake social activities was examined.【Results】There were associations of quality of life with[personal activities],[interaction with close friends]and[participation in group activities]. Patients who engaged in social activities at least once per week on non-dialysis days had higher health-related QOL than those who did not.【Conclusions】Health-related QOL was higher in patients who engaged in social activities on non-dialysis days, indicating the importance of encouraging patients to being willing to participate in and continue with social activities even when their daily lifestyle is restricted by regular outpatient treatment.
• 東日本大震災における避難場所の違いによる生活習慣の実態と電話支援の取組みについて－福島県「県民健康管理調査」－

  堀越直子, 大平哲也, 結城美智子, 矢部博興, 安村誠司

  厚生の指標 62 (3) 2 - 8 2015/03 [Refereed][Not invited]
  
• 東日本大震災による避難にともなう環境変化と喫煙率に関する報告 県民健康調査から

  中野 裕紀, 大平 哲也, 前田 正治, 矢部 博興, 大津留 晶, 結城 美智子, 鈴木 友理子, 針金 まゆみ, 堀越 直子, 永井 雅人, 章 ぶん, 高橋 秀人, 安村 誠司, 阿部 正文

  日本禁煙学会学術総会プログラム・抄録集 (一社)日本禁煙学会 8回 153 - 153 1883-2970 2014/11
• Evauation of surface contamination with cyclophosphamide in the home setting of outpatients on cancer chemotherapy

  Yuki M

  Journal of Nursing Education and Practice 4 (10) 16 - 23 2014/08 [Refereed][Not invited]
  
• 地域で生活する精神障がい者の喫煙に関する調査－ニコチン依存と禁煙に関する意識－

  塚原厚子, 結城美智子

  保健の科学 杏林書院 56 (5) 347 - 352 0018-3342 2014/05 [Refereed][Not invited]
  
• 東日本大震災および福島原子力発電所事故後の乳幼児をもつ保護者の不安

  鈴木保子, 鈴木幸子, 秦 暁子, 古戸順子, 結城美智子

  福島県保健衛生雑誌 23 2 - 8 2014/03 [Refereed][Not invited]
  
• Health-related QOL and self-efficacy for activities of daily living in elderly residents of mountainous areas with kyphosis: A one-year longitudinal study

  Junko Furuto, Michiko Yuki

  Japanese Journal of Geriatrics 51 (1) 60 - 68 0300-9173 2014 [Refereed][Not invited]
   

  Aim: The purpose of this study was to investigate changes over one year in the prevalence of kyphosis, the ability to perform activities of daily living and self-efficacy among elderly residents of mountainous areas. Methods: The subjects included 155 elderly residents of mountainous areas (68 males, 87 females) aged 65 or older who participated in both our initial and follow-up investigations. The investigations were conducted via interviews using questionnaires and the index of kyphosis (I/K). The subjects were divided into three groups (non-kyphosis, kyphosis without changes, kyphosis with worsening) according to the change in I/K. Results: The average patient age was 74.9±6.2 years. The average I/K on the initial investigation was 10.0±3.7 (2.4-20.0). On the follow-up investigation, the average I/K increased slightly to 10.2±3.6 (3.0-22.9). A particularly large number of females 65 to 69 years of age exhibited an increase in the I/K. The percentage of subjects with an I/K of 13.0 or above was 20.6%. The male kyphosis sufferers demonstrated a significant decrease in the health-related QOL categories of "able to fulfill everyday life roles (physical)" and "able to fulfill everyday life roles (mental)." There were no significant differences between the females with and without kyphosis. One year later, there were significant differences between the three groups in terms of the health-related QOL categories of "vitality" and "ability to live in society." Conclusions: Female kyphosis sufferers are affected by psychological factors. Kyphosis should be detected early and carefully followed up in elderly patients in order to prevent the need for nursing care, and appropriately estimating the patient's physical condition is required to prevent a decline in the lower limb function.
• Exposure of family members to antineoplastic drugs via excreta of treated cancer patients

  Michiko Yuki, Satoko Sekine, Kanae Takase, Takashi Ishida, Paul J.M. Sessink

  Journal of Oncology Pharmacy Practice 19 (3) 208 - 217 1078-1552 2013/09 [Refereed][Not invited]
   

  Purposes: (a) Tomeasure the urinary excretion of antineoplastic drugs of three patients during 48 h after the administrationof cyclophosphamide (two patients) and 5-fluorouracil (one patient). (b) To evaluate environmental contamination withantineoplastic drugs via excreta of patients in the home setting. (c) To evaluate exposure of family members to antineoplasticdrugs by measuring the drugs in their urine during the 48 h after completion of the chemotherapy by the patients.Methods: Two patients were administered cyclophosphamide by i.v. bolus injection. One patient was administered5- fluorouracil by i.v. bolus injection and thereafter immediately administered the same drug by continuous infusion for46 h. Urine samples from the patients administered cyclophosphamide and their family members, and wipe samples fromtheir home environment, were analysed for the unchanged form of cyclophosphamide. For 5-fluorouracil, the urine samplesfrom the patient and the family member were analysed for the 5-fluorouracil metabolite α-fluoro-β-alanine. Wipe sampleswere analysed for 5-fluorouracil. Drugs were detected and quantified with gas chromatography in tandem with massspectroscopy-mass spectroscopy or by high-performance liquid chromatography with ultraviolet-light detection. Results: A total of 35 and 16 urine samples were collected from the three patients and their family members, respectively.The drugs were detected in all samples.Cyclophosphamide was detected at levels of 0.037.34 ng/cm2 in 8 of the 12 wipe samples obtained from the homes ofthe patients administered cyclophosphamide. For the patient administered 5-fluorouracil, drug levels in his home environmentwere below the limit of detection.Conclusion: We demonstrated contamination of the home setting and exposure of family members to cyclophosphamidevia the excreta of outpatient receiving chemotherapy. Exposure of the family member of the patient administered5-fluorouracil was also demonstrated. These findings indicate the importance of strict precautions by the members oftreated cancer patients as well as healthcare workers, to reduce the risk of exposure to antineoplastic drugs. © 2012 The Author(s).
• 山間部在住円背高齢者における日常生活活動に対する自己効力感、社会交流活動、および健康関連QOL

  古戸順子, 石井裕美子, 佐藤幸子, 渡部郁子, 鈴木礼子, 室井宏育, 高田和秀, 結城美智子

  厚生の指標 60 (4) 1 - 7 2013/05 [Refereed][Not invited]
  
• Action plan for the home oxygen therapy patient at the time of the disaster learned from the Great East Japan Earthquake

  Mitsuzuka Yuka, Takahashi Tsuneyuki, Iida Satomi, Sato Miho, Adachi Tetsuya, Yuki Michiko

  The Journal of the Japan Society for Respiratory Care and Rehabilitation 一般社団法人 日本呼吸ケア・リハビリテーション学会 23 (1) 72 - 77 1881-7319 2013/04 [Refereed][Not invited]
   

  東日本大震災では宮城県のほぼ全域で停電し，多くの在宅酸素療法（HOT）患者が酸素吸入の困難な状況に陥った．今後の災害発生時の適切な対応を検討するため，震災発生時におけるHOT患者の行動とその問題点を調査した．今回の大災害では電話による安否確認が困難であったため，本人または家族の直接来院や，HOTプロバイダーからの情報によって安否確認できたケースが多かった．早期に安否確認できたケースに酸素吸入の中断はなかったが，震災後に酸素供給に関する行動を起こさず，安否確認の遅れがある患者に，酸素中断の傾向がみられた．酸素吸入中断患者の一部は状態悪化につながり入院となった．停電や災害時にどう対応するべきなのかを，家族，病院およびHOTプロバイダーとの間で取り決めておくことが重要であり，特に酸素中断のハイリスク患者においては個別のアクションプランを設定する必要がある．
• 在宅親を介護する高齢介護者の経験－こだわりの強い介護者の事例－

  畠山とも子, 高瀬佳苗, 結城美智子

  ｱﾃﾞｲｸｼｮﾝと家族, 27 (1) 47 - 52 2010
• 高齢者の円背保有状況及び円背と腰背部・下肢痛、社会交流状況との関連

  古戸順子, 結城美智子

  福島保健衛生雑誌 19 (2) 33 - 37 2010 [Refereed][Not invited]
  
• 超高齢の親を在宅介護する高齢者の生活状況と精神的健康に関する研究

  結城美智子

  財団法人三井住友海上福祉財団 平成20年度研究結果報告書 2009/11 [Not refereed][Not invited]
  
• 石川町の介護予防活動への取組み

  久保木友江, 小松広江, 岸波正徳, 阿部 幸, 結城美智子

  福島県保健衛生雑誌 18 (2) 44 - 48 2009/03 [Refereed][Not invited]
  
• Characteristics of Social Support and Needs for Social and Health Services among Elderly People Participating Community Activities : Comparison between Those Aged 64 to 74 and over 75

  Kumasaka Tomomi, Inake Eiko, Yano Masafumi, Yuki Michiko

  Journal of Japan Academy of Community Health Nursing 日本地域看護学会 11 (2) 80 - 86 1346-9657 2009/03 [Refereed][Not invited]
   

  目的:地区活動に参加している後期高齢者について,前期高齢者と比較検討し,ソーシャルサポートの現状と将来の介護ニーズに関する特性を把握し,地域における課題を明らかにする.方法:老人クラブ等に定期的に参加している高齢者152人を対象に,質問紙を用いた聞き取り調査を実施した.結果:前期,後期高齢者の2群で集計・分析を行った.その結果,後期高齢者のソーシャルサポートは「配偶者以外の同居家族」から受け取るサポートが「別居子・親族」「友人・近隣」より高い割合を示した.また,サポートの種類によりサポート提供者は限定的な傾向がみられた.将来の介護ニーズについては,地域に必要なものとして「状態悪化時の施設・病院」「同年代との交流」等が挙げられ,介護希望場所は「自分の家」が最も多かった.結論:後期高齢者にとって,家族のサポート源としての役割は大きく,手段的サポート,情緒的サポートの主な提供者であることが示された.また,友人や近隣との交流がサポートを得やすい環境づくりにつながることが示唆された.後期高齢者であっても前期高齢者とほぼ変わらない社会的支援の程度が維持されると推察された.後期高齢者にとって活動の場をもつことは,他者との交流によりサポートを受ける可能性を高め,そこで役割を担うことで心身の保持・増進意欲を高めることにつながる.
• Living Status and Care Needs of the Patients Discharged from a Hospital for the Treatment of Persistent Vegetative State Caused by Serious Brain Injury in a Traffic Accident

  YUKI Michiko, NAGAMINE Yoshihide, SAITO Kaoru, KAWAKUMA Nobui, FUJIWARA Satoru

  Journal of the Japanese Council of Traffic Science 日本交通科学協議会 8 (1) 36 - 45 1346-9282 2008/11 [Refereed][Not invited]
  
• 地域で高齢者を支えるためのシステム構築に関する検討―住民の生活・健康の実態と将来の介護に関する意向―

  熊坂智美, 矢野正文, 鵜沼有彦, 矢部順子, 結城美智子

  福島県保健衛生情報誌 31 - 36 2008 [Refereed]
  
• 交通事故障害に起因する在宅医療の調査・研究

  結城美智子

  （財）在宅医療助成勇美記念財団 研究助成報告書 2008 [Not refereed][Not invited]
  
• 看護学部・医学部共同実習における家庭訪問の取り組みの意義に関する考察

  藤井まい, 神田秀幸, 結城美智子, 福島哲仁

  保健の科学 49 (8) 575 - 581 2007 [Refereed]
  
• 県北保健福祉事務所における筋萎縮性側索硬化症患者の在宅療養生活の実態

  佐藤順子, 石川栄子, 渡部智子, 橋本恵子, 長澤生脩一, 結城美智子

  福島県保健衛生情報雑誌 29 - 34 2007 [Refereed]
  
• 在宅へ移行する患者とその家族への退院支援に関する一考察

  谷島由香, 藤井まい, 結城美智子

  福島県保健衛生情報雑誌, 36 - 39 2006 [Refereed]
  
• 一総合病院の看護職を対象とした退院計画に関する実態調査

  今泉亜矢子, 結城美智子

  日本保健科学学会誌 18 (4) 201 - 209 2006 [Refereed]
  
• 安心と安全のために―在宅看護の視点から―

  結城美智子

  看護管理 15 (1) 288 - 292 2005
• 拡大する訪問看護の可能性―訪問看護をいかに推進するか―

  結城美智子

  保健の科学 47 (1) 14 - 18 2005 [Not invited]
  
• 尊厳ある新たな生活構築とその支援－行政から望むこと

  結城美智子

  日本難病看護学会誌 9 (2) 106 - 108 2004
• Prevalence of Fall and Psychological and Physical Change Among the Community Elderly : 2-year Intervention Study to Prevent Falls

  Yuki Michiko, Kawahara Kayoko

  The Journal of Tokyo Academy of Health Sciences 日本保健科学学会 6 (3) 205 - 215 2003 [Refereed][Not invited]
   

  The purpose of this study was to conduct a two-year program for the prevention of falling targeted at the elderly residing in rural areas and evaluate psychological and physical change among the elderly in two years. The following findings were obtained as a result of this study; 1) The subjects were consisted of 17males (40.5 %) and 25 females (59.5 %). 2) The number of persons who had experienced falling during the past year decreased to 13 persons (31.0 %) in 2000 and to 11 persons (26.2 %) in 2002. Among the 13 persons who experienced falling in 2000, there were 8 persons (61.5 %) who had not fallen (improvement) and 5 persons (38.5 %) who had fallen (recurrence of falling) in 2002. In addition, among the 23 persons who did not experience falling in 2000, 6 persons (26.1 %) experience falling for the first time in 2002. 3) Factors relating to the recurrence of repeated falling consisted of the four parameters Timed Up and Go test and functional reach.
• Yuki M, Kayoko K: A Community-Based Study of Subjective sleep Disturbance, Healthy Lifestyle, and Mental Health among the Elderly

  Yuki Michiko, Kawahara Kayoko

  The Jounal of Tokyo Academy of Health Sciences 日本保健科学学会 Vol.6, No.2, 119-127 (2) 119 - 127 2003 [Refereed][Not invited]
   

  The purpose of this study was to evaluate the associations between subjective sleep disturbance, healthy lifestyle, and mental health among 180 elderly people in the community. The following findings were obtained; 1) 29.3% male and 60.2% of female reported that subjective sleep disturbance. There was a significant gender difference, with prevalence of subjective sleep disturbance being higher in females than males. 2) The factors related to subjective sleep disturbance in males included age and depression, but no factors were found for the female group. This suggested that we should carefully evaluate subjective sleep disturbance and need to evaluate associations with other factors.
• 閉じこもり傾向にある女性高齢者のHealth-Related QOL および活動能力に関する研究

  結城美智子, 山田嘉明, 高橋和子, 関 和則, 渡辺恵子, 熊谷 恵, 三浦信博, 瀬木和子

  保健の科学 44 (11) 875 - 880 2002 [Refereed]
  
• 高齢者のための地域ケアシステム開発への一考察

  太田喜久子, 山田嘉明, 安斎由貴子, 山内一史, 結城美智子, 片岡ゆみ, 大森純子, 齋藤美華, 高橋和子, 藤田比左子, 下山田鮎美

  宮城大学看護学部紀要 4 (1) 20 - 31 2001 [Refereed]
  
• 宮城県大和町における高齢者の転倒予防に関する研究 ―第１報 つまずきと転倒の実態およびその関連要因―

  結城美智子, 山田嘉明, 高橋和子, 藤田比佐子, 伊藤友美, 高平泰正, 瀬木和子, 三浦伸博, 熊谷 恵

  宮城大学看護学部紀要 4 (1) 110 - 117 2001 [Refereed]
  
• 入院中の高齢脳卒中片麻痺患者への看護婦による介助時間の検討

  渡辺恵子, 結城美智子, 佐藤善久, 岩谷 力

  日本リハビリテーション連携科学学会 1 (1) 204 - 213 2000 [Refereed]
  
• 超高齢地域における在宅高齢者の日常活動と社会的役割・健康状況の分析

  山内一史, 大森純子, 山田嘉明, 安斎由貴子, 結城美智子, 栗原律子, 太田喜久子

  宮城大学看護学部紀要 3 (1) 91 - 98 2000 [Refereed]
  
• 高齢者の日常生活活動能力と認知障害状態との関連

  太田喜久子, 若狭律子, 結城美智子, 安斎由貴子, 山田嘉明, 山内一史, 大森純子

  宮城大学看護学部紀要 2 (1) 21 - 27 1999 [Refereed]
  
• 高齢者の在宅介護支援サービスの利用状況と今後の意向

  太田喜久子, 大森純子, 安斎由貴子, 山田嘉明, 山内一史, 結城美智子, 若狭律子

  宮城大学看護学部紀要 2 (1) 28 - 35 1999 [Refereed]
  
• 脳梗塞患者の看護

  結城美智子, 野村美香

  クリニカルスタディ 20 (1) 14 - 25 1999 [Not refereed]
  
• 総論：障害とﾘﾊﾋﾞﾘﾃｰｼｮﾝ

  結城美智子, 石川まり子, 仙石美枝子, 佐藤カク子

  臨床看護 24 (12) 1719 - 1730 1998
• 宮城県鳴子町特定地区における高齢者の日常生活と健康状態に関する実態調査 ―調査のための交渉過程を通して知る地域ケアシステムの現状―

  山内一史, 大森純子, 若狭律子, 山田嘉明, 安斎由貴子, 結城美智子, 太田喜久子

  宮城大学看護学部紀要 1 (1) 74 - 79 1998 [Refereed]
  
• 農村地域における高齢者の知的能力と日常生活活動能力－老人クラブ参加者を対象として－

  結城美智子, 佐藤善久, 岩谷 力

  宮城大学看護学部紀要 1 (1) 20 - 27 1998 [Refereed]
  
• 在宅高齢者の続柄別介護者における介護負担感と家族特性との関連

  結城美智子, 飯田澄美子

  聖路加看護学会誌 1 (1) 57 - 66 1997 [Refereed]
  
• 更年期女性のヘルスプロモーションと看護に関する研究－更年期外来における健康教育システムの開発と評価－

  野地有子, 杉山みち子, 箕輪尚子, 久代和加子, 結城美智子, 小野由美子, 久保田俊郎, 尾林聡, 麻生武志

  看護研究 30 (3) 193 - 202 1997 [Refereed]
  
• ﾌｨｼﾞｶﾙｱｾｽﾒﾝﾄの実際 :対象別のﾌｨｼﾞｶﾙｱｾｽﾒﾝﾄ ―高齢者―

  結城美智子

  臨床看護 23 (7) 1028 - 1031 1997 [Not refereed]
  
• The Affect on The Care Burden on The Rerationships Between Family Care Givers and The Relatives of The Elderly Person Cared for in The Home in the Urban Community

  Michiko Yuki, Sumiko Iida

  Annual Report St.Luke's College of Nursing World Health Organization Collaborating Centre For Nursing Development in Primary Health Care 1996 through 1997 14 - 14 1997
• 在宅要介護高齢者の介護者における家族・身内とのかかわりと介護負担感との関連

  結城美智子, 飯田澄美子

  日本老年看護学会誌 1 (1) 42 - 54 1996/11 [Refereed]
  
• 在宅要介護高齢者の介護者家族に関する研究 -介護者の家族･身内との関わり、介護負担感、および家族機能特性による家族類型-

  結城美智子

  保健の科学 38 (8) 555 - 560 1996/08 [Refereed]
  
• The Relationship Between the Care Burden among Family Caregivers and the Family Functional Characteristics of Caregiving for the Elderly at Home in the Urban Community

  Michiko Yuki, Sumiko Iida

  Annual Report St.Luke's College of Nursing World Health Organization Collaborating Center for Nursing Development in Primary Health Care 1995 through 1996 74 - 74 1996 [Not refereed]
  
• 後期高齢者の主介護者における介護負担感軽減に関する研究－介護負担感を構成する主観的要素の検討－

  成木弘子, 飯田澄美子, 野地有子, 佐藤玲子, 結城美智子, 星野明子, 馬庭恭子

  聖路加看護大学紀要 22 1 - 11 1996 [Refereed]
  

Books etc

• 社会福祉学習双書 2018

  全国社会福祉協議会, 社会福祉学習双書, 編集委員会編 (Contributor保健医療サービス関係者との連携と実際)
  全社協 2018/01
• 社会福祉学習双書第14巻 医学一般－人体の構造と機能及び疾病保健医療サービス－

  社会福祉法人全国社会福祉協議会 2016
• リハビリテーション看護

  メディカ出版 2010
• リハビリテーション看護

  南江堂 2010
• 在宅療養のＱＯＬとサポートシステム

  コロナ社 2006
• 成人看護学－リハビリテーション－

  建帛社 2005
• 看護学事典

  日本看護協会出版会 2003
• 看護大事典

  医学書院 2002
• 看護のコツと落とし穴６

  中山書店 2000
• 看護のコツと落とし穴３

  中山書店 2000
• 基礎から学ぶ在宅ケア実践テキスト

  ライフサイエンスセンター 1997

Presentations

• COVID-19流行下2時点における地域在住高齢者の認知機能低下とその関連要因

  井筒深紅, 小川夏佳, 雲杉, 結城美智子

  第43回日本看護科学学会（下関市）  2023/12
• Associated factors of self-rated oral health in physically active community-dwelling older adults

  Shan Yun, Natsuko Ogawa, Michiko Yuki

  The 43rd Annual Conference of Japan Academy of Nursing Science  2023/12
• 地域在住高齢者におけるフレイルに及ぼす嚥下機能の影響：縦断的研究

  井筒深紅, 雲杉, 大日方裕紀, 宮島直子, 小川夏佳, 結城美智子

  第32回日本健康医学会（吹田市）  2023/11
• Frailty and social isolation before and during the coronavirus disease 2019 pandemic among older adults

  Ya Su, Masako Hamatani, Michiko Yuki, Natsuko Ogawa, Kayoko Kawahara

  The 14th International Nursing Conference（Seoul, Korea）  2023/11
• Oral frailty and related factors among community-dwelling elderly

  Miku Izutsu, Natsuko Ogawa, Shan Yun, Michiko Yuki

  The 6th FHS International Conference  2023/10
• The Prevalence of Oral Frailty in Community-Dwelling Older Adults Wearing Dentures

  Shan Yun, Natsuka Ogawa, Miku Izutsu, Michiko Yuki

  19th EuGMS CONGRESS  2023/09
• The relationship between depressive tendencies and oral health-related quality of life among community-dwelling elderly during the COVID-19 pandemic

  Miku Izutsu, Natsuka Ogawa, Shun Yun, Michiko Yuki

  19th EuGMS CONGRESS  2023/09
• Association between swallowing function and nutrition in community-elderly during the COVID-19 pandemic: The CBAN Study

  Miku Izutsu, Shan Yun, Natsuko Ogawa, Michiko Yuki

  EAFONS2023 (26thEast Asia Forum of Nursing Scholars2023)  2023/03
• Effect of the COVID-19 Pandemic on the Change in Sarcopenia among Japanese Community-Dwelling Older Adults

  Natsuko Ogawa, Shan Yun, Miku Izutsu, Ya Su, Michiko Yuki

  EAFONS2023 (26thEast Asia Forum of Nursing Scholars2023)  2023/03
• Predictors of oral health-related quality of life in community-dwelling older adults

  Shan Yun, Natsuko Ogawa, Miku Izutsu, Michiko Yuki

  EAFONS2023 (26thEast Asia Forum of Nursing Scholars2023)  2023/03
• The impact of social isolation on oral health – A systematic reviewー

  Shan Yun, Natsuka Ogawa, Miku Idzutsu, Michiko Yuki

  第42回日本看護科学学会（広島市）  2022/12
• COVID-19流行下における地域在住高齢者の栄養状態に関する主観的評価と客観的評価の不一致との関連（第２報）－The CABIN Study－

  井筒深紅, 雲杉, 小川夏佳, 結城美智子

  第42回日本看護科学学会（広島市）  2022/12
• COVID-19流行下における地域在住高齢者のサルコペニアと関連要因の検討（第1報）－The CBAN Study－

  小川夏佳, 雲杉, 井筒深紅, 結城美智子

  第42回日本看護科学学会（広島市）  2022/12
• 地域在住高齢者におけるCOVID－19流行による主観的評価とその関連要因

  小川夏佳, 雲杉, 井筒深紅, 竹越麻子, 結城美智子

  第12回日本在宅看護学会  2022/11
• COVID-19流行下における地域在住高齢者への体重測定を指標としたフレイル予防プログラムによる栄養状態の維持・改善効果

  井筒深紅, 雲杉, 小川夏佳, 結城美智子

  第31回日本健康医学会  2022/11
• 危機の時代における地域包括ケアの再考ー在宅看護の立場から―  [Invited]

  結城美智子

  第60回全国自治体病院学会  2022/11
• Effect of the COVID-19 Pandemic on the Mental Health of Community-Dwellimg Older Adults

  Natsuka Ogawa, Michiko Yuki, Ya Su

  The 7th International Research Conference of World Society of Disaster Nursing(Taipei)  2022/10
• Factors associated with depression during the COVID-19 epidemic in community-dwelling Japanese elderly people

  Masako Hamatani, Ya Su, Natsuka Ogawa, Kayoko Kawahara, Michiko Yuki

  The 7th International Nursing Research Conference of WANS(Taipei)  2022/10
• Relationship between social isolation and frailty among urban older adults affected by the COVID-19 epidemic

  Ya Su, Masako Hamatani, Natsuka Ogawa, Michiko Yuki, Kayoko Kawahara

  The 7th International Nursing Research Conference of WANS(Taipei)  2022/10
• Impact of the COVID-19 Pandemic on the Prevalence of Frailty among Japanese Community-Dwelling Older Adults

  Natsuka Ogawa, Michiko Yuki, Ya Su

  The 7th International Nursing Research Conference of WANS(Taipei)  2022/10
• Measurements for post-stroke ftigue-A review of literature-

  Shan Yun, Natsuko Ogawa, Miku Idzutsu, Michiko Yuki

  The 18th EuGMS Congress 2022(London)  2022/09
• 地域在住高齢者の体重測定に関する検討（第２報）体重計測定と自己申告による体重差の関連要因

  雲 杉, 井筒深紅, 小川夏佳, 結城美智子

  日本老年医学会北海道地方会  2022/07
• 地域在住高齢者の体重測定に関する検討（第１報）測定頻度と栄養状態との関連

  井筒深紅, 雲 杉, 小川夏佳, 結城美智子

  日本老年医学会北海道地方会  2022/07
• COVID-19流行下における地域高齢者のサルコペニアと認知機能との関連  [Not invited]

  小川夏佳, 蘇 雅, 結城美智子

  第64回日本老年医学会学術集会  2022/06
• COVID-19流行による都市部高齢者の日常生活への影響と不眠との関連

  小川夏佳, 蘇雅, 結城美智子

  第40回日本看護科学学会学術集会  2021/12
• 危機の時代における持続可能な在宅看護の提供  [Invited]

  結城美智子

  第11回日本在宅看護学会  2021/11
• 急性期脳卒中患者における入院時不眠と自宅退院後の心身状態との関連

  蘇雅, 結城美智子, 小川夏佳

  第11回日本在宅看護学会学術集会  2021/11
• COVID-19流行による都市部高齢者の日常生活への影響とサルコペニアとの関連

  小川夏佳, 蘇雅, 結城美智子

  第11回日本在宅看護学会学術集会  2021/11
• Association between Nocturia and Mental Health among Community-Dwelling Older Adults Living in a Snow-Covered City

  OGAWA N, Su Y, Yuki M

  The 5th FHS International Conference  2021/09
• COVID-19流行における地域高齢者の日常生活への影響とフレイルとの関連

  蘇 雅, 結城美智子, 小川夏佳

  第63回日本老年医学会学術集会  2021/06
• 介護老人保健施設の護職における糖尿病ケアに対する困難

  佐藤三穂, 結城美智子, 大久保抄録

  第32回日本老年医学会北海道地方会  2021/05
• Short-term outcome of post-stroke fatigue during the transition from hospital to home

  Su Y, Yuki M, Hirayama K

  International Stroke Conference  2021/03
• 長期的にEGFR-TKIを継続する肺がん患者が抱える皮膚障害とQOLの評価

  平山憲吾, 蘇 雅, 結城美智子

  第35回日本がん看護学会学術集会  2021/02
• The effect of insomnia on dynapenia and quality of life in stroke patients: A prospective study

  Su Y, Hirayama K, Yuki M

  第39回日本看護科学学会学術集会  2020/12
• 地域在住高齢者における塩分摂取状況の実態－塩分チェックシートと随時尿Na/K比を用いて－

  平山憲吾, 蘇 雅, 井筒深紅, 結城美智子

  第39回日本看護科学学会学術集会  2020/12
• AWGS2を用いた非サルコペニア地域在住高齢者におけるフレイル有症率および関連要因

  蘇 雅, 結城美智子, 平山憲吾, 井筒深紅

  第62回日本老年医学会学術集会  2020/08
• 北海道胆振東部地震を経験した高齢者の心の健康と災害対策の準備状況

  平山憲吾, 蘇 雅, 佐藤かれん, 井筒深紅, 結城美智子

  第62回日本老年医学会学術集会  2020/08
• がん患者の就労支援における国内研究の動向－患者の主体性を高める関わりについて－

  平山憲吾, 梶原ひなた, 蘇 雅, 結城美智子

  第34回日本がん看護学会学術集会  2020/02
• Barriers and facilitators for nurses in diabetes care in long term care facilities  [Not invited]

  Sato M, Yuki M

  23th EAST ASIAN FORUM OF NURSING SCHLARS  2020/01
• Association between depression and frailty among community-dwelling older adults- The CBAN study-  [Not invited]

  Su Y, Hirayama K, Izutsu M, Han TF, Yuki M

  The 39th Annual Conference of Japan Academy of Nursing Science  2019/12
• 地域在住高齢者における孤食と栄養状態および精神的健康との関連―The CBAN study  [Not invited]

  井筒深紅, 蘇雅, 韓天放, 平山憲吾, 結城美智子

  第39回日本看護科学学会学術集会  2019/12
• 急性期脳卒中患者における入院前サルコペニアと入院時の心身状態との関連  [Not invited]

  蘇 雅, 結城 美智子, 平山憲吾, 浅元美津子, 齋藤健, 長谷部尚子, 飯野智恵子

  日本リハビリテーション栄養学会学術集会  2019/11
• Prevalence of Sarcopenia in Japanese community-dwelling older adults: according to EWGSOP2  [Not invited]

  Su Y, Izutsu M, Hirayama K, Han TF, Yuki M

  5th Asian Conference for Fraility and Sarcopenia at Taipei  2019/10
• Longitudinal quality of life study of elderly lung cancer patients with skin toxicity from epidermal growth factor receptor-tyrosine kinase inhibitors  [Not invited]

  Hirayama K, Su Y, Ikezawa Y, Chiba M, Ito K, Yuki M

  The 11th International Association of Gerontology and Geriatrics Asia/Oceania Regional Congress  2019/10
• Oral frailty in community-dwelling Japanese elderly  [Not invited]

  Izutsu M, Su Y, Han TF, Hirayama K, Yuki M

  The 11th International Association of Gerontology and Geriatrics Asia/Oceania Regional Congress  2019/10
• Comparison of subjective nutritional assessment and objective nutritional status of elderly community residents in Japan  [Not invited]

  Han TF, Su Y, Izutsu M, Hirayama K, Yuki M

  The 11th International Association of Gerontology and Geriatrics Asia/Oceania Regional Congress  2019/10
• Association between wearing denture and malnutrition risk among community-dwelling older adults in Japan  [Not invited]

  Su Y, Hirayama K, Izutsu M, Han TF, Yuki M

  The 11th International Association of Gerontology and Geriatrics Asia/Oceania Regional Congress  2019/10
• Development of a protocol for diaphragmatic breathing during walking action  [Not invited]

  Hayano K, Kawahara K, Yuki M

  The 11th International Association of Gerontology and Geriatrics Asia/Oceania Regional Congress  2019/10
• The relationship between oral dryness and saltiness perception in community-dwelling Japanese elderly  [Not invited]

  Izutsu M, Su Y, Han T, Hirayama K, Yuki M

  4th FHS International Conference  2019/07
• Gender difference of alcohol consumption and sleep quality in community-dwelling Japanese elderly-The CBAN study-  [Not invited]

  Han TF, Su Y, Izutsu M, Hirayama K, Yuki M

  4th FHS International Conference  2019/07
• Does denture wearing improve nutritional status among community-dwelling older adults-The CBAN study-  [Not invited]

  Su Y, Izutsu M, Han TF, Hirayama K, Yuki M

  4th FHS International Conference  2019/07
• EGFR-TKIによる皮膚障害を抱える高齢肺がん患者のQOLの特徴  [Not invited]

  平山憲吾, 蘇 雅, 千葉恵, 池澤靖元, 伊藤健一郎, 結城美智子

  日本老年医学会  2019/06
• 地域高齢者におけるサルコペニアに関連する危険因子の検討：EWGSOP2の診断基準を用いて  [Not invited]

  蘇 雅, 結城 美智子, 平山憲吾, 井筒深紅, 韓天放

  日本老年医学会  2019/06
• 分子標的治療薬による皮膚障害とQOLに関する研究動向－英語文献に焦点をあててー  [Not invited]

  平山憲吾, 千葉恵, 蘇雅, 井筒深紅, 結城 美智子

  第33回日本がん看護学会  2019/02
• 東日本大震災・福島原発事故後の福島県内保健師の心身の健康状態-震災6年後の追跡調査から-  [Not invited]

  古戸順子, 遠藤智子, 前田香, 結城 美智子

  第７回日本公衆衛生看護学会学術集会  2019/01
• ヘルスリスク・コミュニケーションに焦点化した災害看護の教育材料の検討（第2報）  [Not invited]

  早野貴美子, 河原加代子, 結城 美智子

  第38回日本看護科学学会学術集会  2018/12
• ヘルスリスク・コミュニケーションに焦点化した災害看護の教育材料の検討（第１報）  [Not invited]

  河原加代子, 早野貴美子, 結城 美智子

  第38回日本看護科学学会学術集会  2018/12
• 外来化学療法を受ける肺がん患者の生活を支えるために家族が捉える認識と対策  [Not invited]

  平山憲吾, 蘇 雅, 井筒深紅, 結城 美智子

  第38回日本看護科学学会学術集会  2018/12
• The burden and mental health among singleton caregiver for multiple family members: a nationwide cross-sectional study  [Not invited]

  Izutsu M, Su Y, Hirayama K, Yuki M

  14th International Congress of the European Geriatric Medicine Society  2018/10
• How to prepare from caregiver turn to surrogate dicision maker for people with dementia: a integrative review  [Not invited]

  Su Y, Izutsu M, Hirayama K, Yuki M

  14th International Congress of the European Geriatric Medicine Society  2018/10
• Mental health of healthcare professional living in temporary housing in Fukushima prefecture after the Fukushima nuclear power plant disaster  [Not invited]

  YUKI M, Hayano K, Kawahara K

  The 14th Asia Pacific Conference on Disaster Medicine  2018/10
• 福島原発事故による避難生活で在宅介護する家族の精神的健康と介護負担感  [Not invited]

  鈴木良香, 古戸順子, 結城美智子

  日本看護科学学会  2017/12
• The utility of diaphragmatic breathing exercise program based on the General Health Questionnaire  [Not invited]

  Hayano K, Kawahara K, Kawahara K

  7th Hong Kong International Nursing Forum  2017/12
• A community-based study of self-rated health and healthy lifestyle in the elderly  [Not invited]

  Idutsu M, Hirayama K, Yuki M

  7th Hong Kong International Nursing Forum  2017/12
• Health conditions of support staff assisting evacuees after Fukushima nuclear power plant disaster  [Not invited]

  Yuki M, Kawahara K

  World BOSAI FORUM/ IDRC  2017/11
• Family exposure to cyclophophamide during outpatient treatment  [Not invited]

  Yuki M, Miyake A, Nakatsumi H, Hirayama K, Ishioka A, Yamashita H, Komatsu Y

  ESMO ASIA 2017  2017/11
• Health risk of elderly people after disaster in Japan  [Not invited]

  Idutsu M, Hirayama K, Yuki M

  WORLD BOSAI FORUM/ IDRC  2017/10
• Development of nursing program using diaphragmatic breathing exercises  [Not invited]

  Kawahara K, Hayano K, Yuki M

  International Nursing Research Conference 2017  2017/10
• Mental health of life support counsellors 6 years after Fukushima nuclear power plant disaster  [Not invited]

  Yuki M, Furuto J, Kawahara K, Suzuki Y

  International Nursing Research Conference 2017  2017/10
• 老人福祉センターを利用する高齢者の認知症に対する認識と予防行動  [Not invited]

  齋藤希, 平山憲吾, 井筒深紅, 結城美智子

  日本老年医学会北海道地方会  2017/06
• 福島原発事故による避難生活で認知症高齢者を在宅介護する家族介護者の精神的健康  [Not invited]

  鈴木良香, 結城美智子, 高瀬佳苗

  第36回日本看護科学学会学術集会  2016/12
• Preventive education of anticancer agent exposure for patients and family after chemotherapy  [Not invited]

  YUKI M, Kikukawa Y

  International Conference on Cancer Nursing  2016/09
• Preventive education of anticancer agent exposure for patients and family after chemotherapy  [Not invited]

  Yuki M, Kikukawa Y

  International Conference on Cancer Nursing  2016/09
• 福島原子力災害による避難生活で複数の要介護者を介護している家族の介護状況  [Not invited]

  鈴木良香, 結城美智子, 高瀬佳苗

  東北公衆衛生学会  2016/07
• 円背姿勢が悪化した高齢者のADL及び健康関連QOLの変化－6年後の追跡調査から－  [Not invited]

  古戸順子, 鈴木良香, 菊川幸恵, 佐藤幸子, 鈴木礼子, 助川真美, 猪狩友子, 大槻真澄, 室井宏育, 高田和秀, 結城美智子

  東北公衆衛生学会  2016/07
• 長期外来通院する2型糖尿病中年期男性患者の糖尿病に関する負担感情の実態とその影響要因  [Not invited]

  齋藤史子, 坂本祐子, 結城 美智子

  第10回日本慢性看護学会学術集会  2016/05
• 外来通院する2型糖尿病中年期男性患者の糖尿病に関する負担感情の実態とその影響要因  [Not invited]

  齋藤史子, 坂本祐子, 結城美智子

  第35回日本看護科学学会  2015/12
• 東日本大震災の避難住民における睡眠障害のリスクファクターについての検討  [Not invited]

  章ぶん, 大平哲也, 安村誠司, 結城美智子

  第74回日本公衆衛生学会  2015/10
• 原発事故で避難生活を継続している認知症高齢者と家族介護者に関する調査－第１報 家族介護者の介護に関するニーズ－  [Not invited]

  鈴木良香, 結城 美智子, 高瀬佳苗

  日本老年医学会東北地方会  2015/10
• 山間地域で暮らす高齢者のADLと円背姿勢の変化との関連～7年後の追跡調査～  [Not invited]

  古戸順子, 鈴木良香, 菊川幸恵, 佐藤幸子, 鈴木礼子, 助川真美, 猪狩友子, 室井宏育, 高田和秀, 結城美智子

  日本老年医学会東北地方会  2015/10
• Mental Health of Life Support Counsellors Assisting Evacuees After the Fukushima Nuclear Power Plant Accident  [Not invited]

  Yuki M, Furuto J, Suzuki Y, Kikukawa Y

  The 6th International conference on Community Health Nursing Research  2015/08
• Change in kyphosis and activities of daily living in elderly residents of mountainous area: A follow-up study after 6 years  [Not invited]

  Furuto J, Suzuki Y, Kikukawa Y, Sato S, Suzuki R, Sukegawa M, Igari T, Muroi H, Takada K, Yuki M

  The 6th International conference on Community Health Nursing Research  2015/08
• Change in smoking behavior after a disaster: a study of the evacuees in Fukushima after the Great East Japan Earth quake  [Not invited]

  中野裕紀, 大平哲也, 前田正治, 矢部博興, 大津留晶, 結城美智子

  第25回日本疫学会  2015/01
• 東日本大震災による避難にともなう環境変化と喫煙率に関する報告 県民健康調査から

  中野 裕紀, 大平 哲也, 前田 正治, 矢部 博興, 大津留 晶, 結城 美智子, 鈴木 友理子, 針金 まゆみ, 堀越 直子, 永井 雅人, 章 ぶん, 高橋 秀人, 安村 誠司, 阿部 正文

  日本禁煙学会学術総会プログラム・抄録集  2014/11  (一社)日本禁煙学会
  
• Amount of Cyclophosphamide Excreted in the Urine of Patients During the 48h After Chemotherapy and Secondary Environmental Contamination of Home Settings Due to the drugs  [Not invited]

  Yuki M

  36th European Society for Medical Oncology  2011/09
• Environmental Contamination with Cytotoxic Drugs in the home setteing in Outpatients on Cancer chemotherapy  [Not invited]

  Yuki M

  35th European Society for Medical Oncology  2010/10
• Health Behavior Among Family Caregivers of Elderly Persons Requiring Home Care  [Not invited]

  Yuki M

  8th IUHPE EUROPEAN CONFERENCE ON HEALTH PROMOTION AND EDUCATION  2008/09
• Care Needs of Patients Discharged from a Hospital for the Treatment of Prolonged Coma  [Not invited]

  Yuki M

  8th IUHPE EUROPEAN CONFERENCE ON HEALTH PROMOTION AND EDUCATION  2008/09
• A preliminary of study of sleep complaints and mental health in older people attending day care center  [Not invited]

  Yuki M, Sato Y

  8th Asia/Oceania Regional Congress of Gerontology and Geriatrics  2007/10
• The correlation between depression, sleep and nutrition status in ambulatory patients with lung cancer: A preliminary study  [Not invited]

  Yuki M, Mitsuzuka Y, Takahashi T

  The 12th World Conference on Lung Cancer  2007/09
• TWO YEARS INTERVENTION STUDY TO PREVENT FALLS AMONG THE JAPANESE ELDERLY  [Not invited]

  Yuki M, Sato Y

  4th World Congress of the International Society of Physical and Rehabilitation Medicine  2007/06
• EXAMINATION OF OPPORTUNITIES TO ENGAGE OCCUPATIONS THAT CONSIDERS THE NEEDS OF OCCUPATIC PERFORMANCE, AND MEANING OF OCCUPATION FOR ELDERLY PERSON WITH DEMENTIA  [Not invited]

  Sato Y, Yuki M

  4th World Congress of the International Society of Physical and Rehabilitation Medicine  2007/06
• Change in physical function after participating in program to prevent falling during the winter for the elderly residing in heavy snowfall area  [Not invited]

  Sato J, Wakabayashi A, Hara C, Inake E, Yuki M

  ICN Conference  2007
• Healthy Lifestyle and mental health among  [Not invited]

  Yuki M

  The International Federation on Aging (IFA) 8th Global Conference  2006/05
• The relationship between social support and health- related quality of life among elderly in a rural area in North-east Japan  [Not invited]

  Fujii M, Yuki M

  GERIATRICS 2006 International Congress of Elderly Health  2006/04
• The relationship between social support and health- related quality of life；ADL, life satisfaction among elderly in a rural area in North-east Japan  [Not invited]

  Fujii M, Yuki M

  GERIATRICS 2006 International Congress of Elderly Health  2006/04
• Parameters Which Influence Care Burden on Family-Caregivers for Elderly Stroke Patients After One Year  [Not invited]

  Yuki M

  International Stroke Conference  2006/02
• Development of community－based rehabilitation programs for stroke patients  [Not invited]

  Kawahra K, Yuki M, Ogata Y

  THE 20th WORLD CONGRESS OF REHABILITAION INTERNATIONAL  2004/06
• THE RELATIONSHIP CHRNIC PAIN AND MENATL HEALTH AMONG THE JAPANESE ELDERLY  [Not invited]

  Yuki M

  The Gerontological Society of America`s 56th Annual Scientific Meeting  2003/11
• LIFE STYLE OF THE CITIZENS OVER 40 YEARS OLD IN HACHIJYO ISLANDS, TOKYO  [Not invited]

  Kawahara K, Sugimoto M, Yuki M

  The Gerontological Society of America`s 56th Annual Scientific Meeting  2003/11
• Evaluation of efficacy nursing intervention with C.V.A. from falling into a bedridden state  [Not invited]

  Kawahara K, Ogata Y, Chiba K, Yuki M

  International Society for Postural and Gait Research  2003/03
• Characteristics of physical and psychological factors related to repeated falls in the elderly  [Not invited]

  Yuki M

  International Society for Postural and Gait Research  2003
• A STUDY OF TRRIPING ACCIDENTAL FALLS WITHIN THE ELDERLY COMMUNITY  [Not invited]

  Yuki M

  VALENCA FORUM  2002/04
• CHARACTERISTICS OF ACCIDENTAL FALLS AMONG THE ELDERLY WITH STROKE WHO DISCHARGED FROM A LONG-TERM CARE FACILITY  [Not invited]

  Yuki M

  The Gerontological Society of America`s 54th Annual Scientific Meeting  2001/11
• RELATIONSHIP BETWEEN HEALTH PERCEPTIONS AND LIFE STYLE IN THE ELDERLY  [Not invited]

  Kawahara K, Yuki M

  The Gerontological Society of America`s 54th Annual Scientific Meeting  2001/11
• Health conditions of older family caregiver for stroke patients  [Not invited]

  Yuki M

  17th WORLD CONGRESS OF THE INETRNATIONAL ASSOCIATION OF GERONTOLOGY  2001/07
• FACTORS CORRELATING WITH THE HOUSE-BOUND THE ELDERLY  [Not invited]

  Yuki M

  The Fifth International Conference on Communication，Aging & Health  2001/07
• The Relationships Between The Functional Level of Stroke Patients and The Care Burden of Their Family Caregiver，Japan  [Not invited]

  Yuki M

  The Gerontological Society of America`s 53rd Annual Scientific Meeting  2000/11
• The Relationship between the Functional Level of of Stroke Patients and the Care Burden of Their Family Caregiver in Japan  [Not invited]

  Yuki M

  5Th International Family Nursing Conference  2000/07
• Analysis of Change in the Patient-Caregiver Relationship in Care Setting  [Not invited]

  Kawahara K, Yuki M

  5Th International Family Nursing Conference  2000/07
• A Study on the Idea of Family and the Recognition of Patient Caregiving： the  [Not invited]

  Terashima K, Kawahara K, Yuki M

  5Th International Family Nursing Conference  2000/07
• ＡＤＬ Independence Structure for Stroke Patients at Home in JAPAN  [Not invited]

  Yuki M

  Third International Conference of The Global Network of WHO Collaborating Centres for Nursing ＆Midwifery  2000/07
• The Factors Affecting Care Burden of Family Caregiving for Stroke Patients at Home in Japan  [Not invited]

  Yuki M

  Third International Conference of TheGlobal Network of WHO Collaborating Centres for Nursing ＆Midwifery  2000/07
• EVALUATION OF CRITICAL THINKING IN NURSING EDUCATION : A COMPARISON OF CCTDI TEST SCORES IN NURSING STUDENTS BEFORE AND AFTER TAKING UNDERGRADUATE COURSES  [Not invited]

  Noji A, Oda M, Yamase H, Kushiro W, Yuki M

  Third International Nursing Research Conference  1998/09
• The Relationship Between Daily Social Activities and the Level of Cognitive Impairment AmongThe Elderly in a Rural Community in Japan  [Not invited]

  Sato Y, Yuki M

  ⅩⅥ World Conference on Health Promotion and Health Education  1998/06
• Activity in Daily Life in the Elderly with Borderzone Cognitive Impairment in the Rural Community  [Not invited]

  Yuki M

  ⅩⅥ World Conference of Health Promotion and Health Education  1998/06
• Trends in Nursing Studies related to Neuroscience Nursing in Japan : 1997-1996  [Not invited]

  Yuki M

  World Federation of Neuroscience Nurses 7th Quadrennial Congress  1997/07

Association Memberships

• Oncology Nursing Society   European Society for Medical Oncology   日本地域看護学会   日本看護研究学会   日本看護科学学会   日本在宅ケア学会   日本公衆衛生学会   日本老年医学会   American Heart Association   The Gerontological Society of America   日本在宅医療連合学会   日本健康医学会   日本在宅看護学会   

Research Projects

• Development of a care model for the frailty of mild stroke patient with PSF ram for patient with mild stroke

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2021/04 -2024/03 

  Author : 結城美智子

   

  脳卒中後病的疲労(Post Stroke Fatigue:PSF)は発症率が高く、機能回復や社会生活復帰の阻害要因となり、さらにフレイルや寝たきりをもたらす重篤な後遺症の一つである。PSＦの医学的判断は本人の主観的疲労と日常生活行動から評価する困難さががある。本研究計画は、今年度はこの主観的疲労を測定する尺度についてレビューした。 データベースの一つであるPubMedを用いて、keywordを”Post-stroke fatigue”として、タイトルまたは抄録に述べている研究141のうち、さらにoutcomeとしてPSFを測している研究は75件であった。最も多く用いられていた尺度は Fatigue Severity Scale(FSS)39件であり、次いで Fatigue Assessment Scale(FAS)17件、Multidimentional Fatigue Inventory (MFI)15件であった。 FSSはPSFを測定する尺度として広く知られ使用されているが、この尺度は脳卒中患者を対象として開発された尺度ではない。FSSは疲労の重症度や日常生活行動への影響に焦点があり、PSFを測定するには表面妥当性も十分ではないことが指摘されている。また、FASはよく用いられるもう一つの尺度であり、Fatigueにおける精神的側面と身体的側面の両側面が含まれている。本尺度はテストー再テスト法は十分な結果とされる一方、内的一貫性が低いことが指摘されている。 以上のことから、PSFの特徴を適切に測定する尺度は現時点で十分なものは存在せず、これらの限界と課題はPSFの独自とするFatigueの測定への影響と患者ケアに影響している可能性がある。 次年度からの本研究計画に、上記を結果を反映させて展開する。
• Bed Bathing Care Promoting Safety and Comfort for Elderly

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2020/04 -2023/03 

  Author : 矢野 理香, 結城 美智子, 大槻 美佳, 鷲見 尚己, 小島 有沙

   

  清拭は、対象者の清潔を保持し、温熱刺激等による気持ちよさをもたらす看護ケアである。清拭時間が同じであるならば、誰もが質の高いケアを求めることは当然のことである。しかし、皮膚が脆弱で、スキンテア発生リスクが高い高齢者において、タオル素材に関わらず、どのように清拭すると（清拭圧、回数、温タオル貼用など）、安全で、気持ちよさを提供できるか、清拭方法のエビデンスが十分とは言えず、清拭ケアプログラムは確立されていない。私たちは、気持ちよく、かつ皮膚バリア機能を保持する清拭ケアを目指して、これまで清拭方法に着目して基礎的研究を進めてきた。本研究ではこれまでの成果を基盤とし、追研究を行うとともに、高齢者における安全で、気持ちよさをもたらす清拭ケアプログラムを開発し、その効果を検証する。 2021年度は、高齢入院患者約50名を対象に 弱圧と通常圧による3回の清拭を行う単盲検ランダム化クロスオーバー 試験を実施した。皮膚バリア機能（経表皮水分蒸散量TEWL・角質水分量SCH）の 経時的変化と主観的評価を比較した。その結果、弱圧でも3回の拭き取りで十分に汚れを除去できるため皮膚を強く拭く必要性はないことを可視化した。 また、清拭前の 皮膚乾燥度を簡易的に測定するために、Overall dry skin score ODS 日本語版の信頼性および妥当性を検証し、ODS日本語版を開発した。さらに、これまで清拭における主観的効果は十分に可視化されていないことに着眼し、清潔ケアを提供する看護師の認識から清拭を含む清潔ケアの意味を記述し、構造化した。清拭の効果を生理学的視点から可視化することに加えて、心理・社会的効果を検証することにつながる研究を進めた。
• 体重測定を指標とした地域高齢者のフレイル予防・改善の啓発活動

  公益信託タニタ健康体重基金：

  Date (from‐to) : 2021/10 -2022/09 

  Author : 結城美智子
• 高齢糖尿病患者への外来看護実践に関する質指標の開発

  日本学術振興会：科学研究費：基盤研究（ｃ）

  Date (from‐to) : 2018/04 -2022/03 

  Author : 分担研究者
• 福島原子力災害による長期避難者への健康支援と評価：アクションリサーチ

  日本学術振興会：科学研究費 基盤研究（B）一般

  Date (from‐to) : 2016 -2020 

  Author : 結城 美智子
• 患者ー看護師相互作用プロセスにおけるケア効果を引き出す最適プロセス設計の開発

  日本学術振興会：科学研究費 基盤研究（B)一般

  Date (from‐to) : 2016/04 -2019/03 

  Author : 分担研究者
• 外来科学療法を受けるがん患者の家族への抗がん薬曝露予防の検討－バイオロジカル・モニタリングを用いた曝露評価－

  公益財団法人政策医療振興財団：平成28年度研究助成

  Date (from‐to) : 2016/06 -2017/05 

  Author : 結城 美智子
• エビデンスに基づいた在宅がん患者の治療に伴う家族への抗がん剤曝露予防対策

  文科省科学研究費：挑戦的萌芽研究

  Date (from‐to) : 2014 -2016 

  Author : 結城 美智子
• 福島原子力災害避難者の住民交流と健康支援のためのコミュニティサロンの運営と評価

  文科省科学研究費：基盤研究（B）

  Date (from‐to) : 2012 -2015 

  Author : 結城 美智子
• 在宅がん患者の治療に伴う抗がん剤の人的環境曝露予防のための地域安全システムの構築

  公益法人法人セコム科学技術振興財団：

  Date (from‐to) : 2009 -2012 

  Author : 結城 美智子
• 超高齢の親を介護する高齢者の生活状況と精神的健康に関する研究

  財団法人三井住友海上福祉財団：

  Date (from‐to) : 2008 

  Author : 結城 美智子
• 地域で高齢者を支えるためのシステム構築に関する研究

  福島県：受託研究

  Date (from‐to) : 2007 

  Author : 結城 美智子
• 縦断調査による包括的外来呼吸リハビリテーションプログラムに継続参加している高齢者の栄養状態とQOLとの関連

  財団法人慢性疾患・リハビリテーション研究振興財団：

  Date (from‐to) : 2007 

  Author : 結城 美智子
• 交通事故障害に起因する在宅医療の調査・研究

  財団法人在宅医療助成勇美記念財団：

  Date (from‐to) : 2007 

  Author : 結城 美智子
• 若年性脳卒中患者の重症化予防のための介入研究

  財団法人フランスベット・メディカルホームケア研究助成財団：

  Date (from‐to) : 2006 

  Author : 結城 美智子
• 在宅に移行した高齢脳卒中患者の要介護状態重症化予防のためのケアモデルの開発

  文科省科学研究費：基盤研究（C）

  Date (from‐to) : 2003 

  Author : 結城 美智子
• Program development and its Evaluation of Effectiveness to Support Stroke Patients and their Families by Nursing Intervention

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2001 -2002 

  Author : KAWAHARA Kayoko, AMIMOTO Kazu, TAKAISHI Junko, SUGIMOTO Masako, YUKI Ichiko

   

  In Japan, stroke patients account for about 70% of all patients at home care setting. Nursing care to prevent patients at home from falling into a bedridden state is the most important and essential care for the improvement of QOL of patients. Though a large number of studies on standing balance and/or walking ability have been reported, they are few studies on a positional motion of "getting up from supine position and maintaining sitting position on the edge of the bed". Moreover, relatively large analytical devices used traditionally were difficult to apply to the practical site of home care. We conducted this study to develop a quantitative method to evaluated the efficacy of nursing intervention to prevent patients from falling into a bedridden state at home care site, and to verify its usefulness at care setting. The study had two stage:1) A device to measure the change in position that can be used at the site of homecare was developed. In order to verify the reliability and validity of this device experiment was performed where the following two motions(test motions) were measured and compared between normal subjects and mimic patients who emulated hemialgia.a) to maintain sitting position on the edge of the bed, and b) to stand up from sitting position on a wheelchair. 2) The test motions were measured at two points (in the interval of about one month) in stroke center. 1) Reliability and validity of a device to measure the change in position consisted of a piezoelectric vibrating gyro, amplifier and PC: Changes in the angle, angular speed and power were measured in two female subjects, and the results revealed significant differences in the angle, mean angular speed, power and motion time as compared with those in normal subjects. 2) The test motions were measured in 12 stroke patients, and longitudinal changes in the angle and angular speed in each case were determined, which revealed changes in position specific for cerebrovascular disease. Results of the basic and clinical experiments demonstrated that the measuring device developed in this study was effective for quantitative and visual determination of changes in position. It was also indicated that its applicability in the site of home care would allow visual presentation of the effect of training to stroke patients, their family and care providers at home, which may serve as the indicator for motivating the patients and setting the target of care for care providers.
• 高齢者を対象とした再転倒予防のための地域リハビリテーションモデルの開発

  日本看護協会出版会：日本看護協会出版会研究助成

  Date (from‐to) : 2001 

  Author : 結城 美智子
• Development of a care support system for the demented elderly and their families : A comparison of communities of the elderly and the young

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 1998 -1999 

  Author : OTA Kikuko, YAMANOUCHI Kazushi, YAMADA Yoshiaki, ANZAI Yukiko, OHMORI Junko, YUKI Michiko

   

  The purpose of this study was to compare and contrast services for demented elderly in communities of the elderly and of the young. We surveyed early intervention systems in the community and actual state of health, dementia and family caregivers. We compared the average ages of 134 people from an elderly community (25.8% elderly) and 137 people from a young community (8.9% elderly). There was no significant difference in age - 73.3 years and 74.6 years. Three-generation households were seen most in the elderly community and elderly couples in the young community. We found a high level of subjective satisfaction with life and health outlook in 80-90% of the elderly in both communities. The ability to carry on daily life activities was high in both communities, with no differences due to gender or household composition. We confirmed deterioration in those over age 85, but there were few cases of possible dementia. We analyzed the type of home care support available to 5 demented elderly in the elderly community and 6 in the young community. Care centered around the home helper in the elderly community, whereas family caregivers would pull together a care system themselves in the young community. This study suggests there is a need for understanding dementia and how to deal with it in all communities. We must find ways of supporting the demented elderly and their families in a way that will take root easily in all types of communities.
• The Development of a Care Model for Elderly Patients with Delirium-like Symptoms in General Hospitals

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 1996 -1997 

  Author : OTA Kikuko, YUKI Michiko, MINAMIKAWA Masako, AOUDA Tomoko

   

  This research aims at developing an acute care model for elderly patients hospitalized with delirium-like symptoms. The research was carried out in cooperation with nurses in a private general hospital. In the 1996 academic year, we summarized the results of a study (from the 1995 academic year) on the actual conditions of patients with delirium in a private general hospital. We analyzed the primary factors in the appearance and disappearance of symptoms of delirium. We also conducted a questionnaire survey of 160 nurses on their perception of delirium and the care they are delivering. This survey showed that important factors in the care of patients with delirium include securing safety, communication, observation, stimulation and the rhythm of daily life. The results were presented at the 1^ Scientific Meeting of the Japan Academy of Gerontological Nursing (January, 1996). In the 1997 academic year, we examined the literature on the assessment of and care plans for delirium. We considered the content and structure of a care model based on our studies. We developed "a Proposal for a Care Model of Delirium"to clarify how to determine the pressence of delirium, and how to deal with and distinguish the causes of delirium. This proposal includes a delirium rating scale, information on causes, and guidelines for acute and preventive care. The model is intended as a guideline for nurses in a clinical setting for making decisions and taking action. In order to increase the content validity of the care model, we analyzed case studies in which the model was actually used, and obtained evaluations of the model from specialists and clinical nurses. We revised the model based on the above results and devised the "Care Model for Delirium".
• The development of a Japanese Version of the Quality of life Index and its Use in the Evaluation of Home Care Nursing Services

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 1994 -1995 

  Author : NOJI Ariko, NARUKI Hiroko, YUKI Machiko

   

  Quality of Life (QOL) is a complex construct that must be defined clearly to be clinically useful. One instrument that captures the varying importance of quality dimensions in a very structured menner is the Ferrans and Powers Quality of Life Index (QLI). A Japanese version of the QLI has been developed, incorporating trends found in previous QOL studies. In the Japanese version, patients are first asked to rate their satisfaction with 35 aspects of life, and then to rate the importance of those same aspects. In this way, scores reflect how satisfied/dissatisfied patients are with the things that matter most to them. The research reported on here, which rests on an application of this instrument in a cross-sectional study, focused on the QOL structures of home care patients and the role of nursing services in supporting QOL.The research was undertaken in connection with the WHO/QOL development study, an international comparative study of QOL.A pilot study resulted in the following findings. 1.The Japanese version of the QLI covers eight of the ten evaluation items presented by Gill, and can be easily used in home care settings to identify problems and evaluate nursing sevices. 2.A cross-sectional study of home care patients shows the rate of satisfaction to be lower than the rate of importance for each and every aspect of QOL.Nursing intervention is required to improve QOL in areas such as usefulness to others, leisure activities, social activities, personal appearance, emotional support, and standard of living. 3.The WHO/QOL pilot study suggests that questionnaires developed by Japanese for use in Japan are not very sensitive, and underscores the fact that the same aspects of life are important for individual QOL in nations and cultures around the world.

Social Contribution

• 第1回北海道大学大学院保健科学研究院 市民公開講座

  Date (from-to) : 2017/03/10

  Role : Panelist

  Sponser, Organizer, Publisher  : 北海道大学保健科学研究院