2023/06/30 更新

写真a

キタガワ　ツネミ
北川　恒実
所属
付属病院 リハビリテーション科 講師
職名
講師
外部リンク

論文

  • [The effects of a respiratory education class on psychological status for patients with chronic respiratory disease].

    Eiichi Sudo, Hiroaki Kitade, Tsunemi Kitagawa, Minoru Kawaguchi

    Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics   43 ( 5 )   630 - 4   2006年9月

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    記述言語：日本語   掲載種別：研究論文（学術雑誌）  

    AIM: To educate patients with chronic respiratory disease about respiratory diseases and pulmonary rehabilitation, a respiratory education class was held for patients with chronic respiratory diseases and their families. In this study, we evaluated the psychological effects of the class. METHODS: The respiratory education class was held twice during the 2-year period (2002-2004) while the physician specializing in geriatric and respiratory diseases worked at the hospital. Before, during, and one year after the class, we investigated the mental and physical condition in 24 chronic respiratory patients (aged 72.7 +/- 1.3 years) using the State-Trait Anxiety Inventory (STAI) to measure anxiety, the Self-Rating Depression Scale (SDS) to evaluate depressive state, and the General Self-Efficacy Scale (GSES) to evaluate self-efficacy. RESULTS: Before, during, and one year after the class, the mean STAI scores were 39.2 +/- 2.5, 40.0 +/- 2.5, and 39.4 +/- 2.7, the mean SDS scores were 37.6 +/- 22, 37.0 +/- 2.0, and 38.0 +/- 2.0, and the mean GSES scores were 7.4 +/- 0.7, 8.0 +/- 0.8, and 8.6 +/- 0.8, respectively. No statistically significant difference was observed for scores on the STAI, SDS between the time points. The score during the class significantly (p < 0.05) increased compared to the score before the class, and remained significantly increased one year after the class on the GSES. CONCLUSION: These results suggest that conducting a respiratory education class might be beneficial for patients with chronic respiratory disease.

    PubMed

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  • [The influence of complications on rehabilitation of spinal cord injuries: economical minus effects and physical disadvantages caused by urinary tract infection and decubitus ulcer].

    Tsunemi Kitagawa, Tetsuhiko Kimura

    Journal of Nippon Medical School = Nippon Ika Daigaku zasshi   69 ( 3 )   268 - 77   2002年6月

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    記述言語：日本語   掲載種別：研究論文（学術雑誌）  

    There are few studies on the many complications that disrupt the rehabilitation of patients with cervical cord injuries and their subsequent health-economic benefits. I particularly focused on the treatment of urinary tract infection and decubitus ulcers because these are very frequently encountered complications in a clinical setting. I examined how these complications affect the progress of rehabilitation and facilitate a patient's return to society. The subjects included ninety-eight cervical cord injury patients with tetraplegia who were discharged from the Rehabilitation Center for Severely Disabled Persons from 1995 to 2000. I retrospectively investigated these ninety-eight subjects regarding ninety-six items from clinical records, among which twenty items were selected because they are considered to be closely associated with outcome, such as age, sex, length of stay, medical expense, urinary tract infection, and decubitus ulcer. Moreover, I examined the influence that urinary tract infection and decubitus ulcer had on other items. The average length of stay and total medical expenses per patient were 1,174.4 +/- 559.9 days and 13,563,128.4 +/- 6,351,078.1 yen, respectively. Urinary tract infection and decubitus ulcer occurred at a rate of 97% in patients with cervical cord injury undergoing chronic stage rehabilitation, and these complications caused a two-fold prolongation of the length of stay and a three-fold increase in medical expenses compared with patients without complications. It is important to fully recognize that these complications produce many expenses as well as those for the medical treatment of cervical cord injury.

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  • 小柴胡湯によるC型慢性肝炎から肝硬変への進展抑制効果

    中島 修, 曽根 美好, 大西 英胤, 井上 恒美, 杉本 健, 荻野 宏, 諸星 政治, 佐久間 徹, 黒川 香, 小林 潔正, 西野 義隆, 新浪 千加子, 麻生 智子, 野口 三四朗, 畔田 浩一, 長谷川 慶華

    臨牀と研究   76 ( 5 )   1008 - 1016   1999年5月

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    記述言語：日本語   出版者・発行元：大道学館出版部  

    INF療法を終了したC型慢性活動性肝炎100例のうち陰虚証の1例を除外した99を2群に分け,カネボウ小柴胡湯1日6gを食前分三に服用(A群)し,B群には一般の肝庇護薬を与え,更にINF未治療の同肝炎患者13例に肝庇護薬を与え,対照として比較した.その結果ALT値でA群に有意の改善を示した.またHCV-RNAは有意にA群で50ヵ月で低値(p<0.05)を示した

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  • 抗α型インターフェロン抗体陽性のC型慢性活動性肝炎症例にβ型インターフェロンを投与し奏効した2例

    小林 潔正, 西野 隆義, 井上 恒美

    医学と薬学   37 ( 3 )   737 - 740   1997年3月

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    記述言語：日本語   出版者・発行元：(株)自然科学社  

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