{"created":"2023-06-19T10:05:04.808020+00:00","id":14379,"links":{},"metadata":{"_buckets":{"deposit":"52283abc-08a2-4204-804a-c2621535896e"},"_deposit":{"created_by":17,"id":"14379","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"14379"},"status":"published"},"_oai":{"id":"oai:kwmw.repo.nii.ac.jp:00014379","sets":["7:267:275"]},"author_link":["63524","63525","63527","63526"],"item_1_alternative_title_20":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Influence of Higher Brain Dysfunction on Feeding and Swallowing Functions among Elderly Nursing Home Residents"}]},"item_1_biblio_info_14":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"219","bibliographicPageStart":"212","bibliographicVolumeNumber":"26","bibliographic_titles":[{"bibliographic_title":"川崎医療福祉学会誌"}]}]},"item_1_creator_6":{"attribute_name":"著者名(日)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"福永, 真哉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"池野, 雅裕"}],"nameIdentifiers":[{}]}]},"item_1_description_1":{"attribute_name":"ページ属性","attribute_value_mlt":[{"subitem_description":"P(論文)","subitem_description_type":"Other"}]},"item_1_description_2":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"原著","subitem_description_type":"Other"}]},"item_1_full_name_7":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"FUKUNAGA, Shinya "}]},{"nameIdentifiers":[{}],"names":[{"name":"IKENO, Masahiro "}]}]},"item_1_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15112/00014344","subitem_identifier_reg_type":"JaLC"}]},"item_1_publisher_23":{"attribute_name":"公開者","attribute_value_mlt":[{"subitem_publisher":"川崎医療福祉学会"}]},"item_1_source_id_13":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN10375470","subitem_source_identifier_type":"NCID"}]},"item_1_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0917-4605","subitem_source_identifier_type":"ISSN"}]},"item_1_text_22":{"attribute_name":"その他(別言語)の雑誌名","attribute_value_mlt":[{"subitem_text_value":"Kawasaki medical welfare journal"}]},"item_1_text_9":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"川崎医療福祉大学　医療技術学部　感覚矯正学科：獨協医科大学　神経内科"},{"subitem_text_value":"川崎医療福祉大学　医療技術学部　感覚矯正学科"}]},"item_1_textarea_11":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_value":"これまで高齢者の高次脳機能障害は，先行期から口腔期の摂食嚥下機能への影響が指摘されてきた． しかし，加齢や脳血管障害などの罹患によって慢性的に認知機能障害を中心とした高次脳機能障害と 摂食嚥下障害が合併することの多い老人保健施設入所高齢者を対象に，認知機能のみならず注意機能， 意欲など複数の高次脳機能障害が摂食嚥下機能に与える影響を検討した報告は見あたらない．よって 本研究では，老人保健施設入所高齢者の高次脳機能障害が摂食嚥下機能に及ぼす影響について検討し た．対象は老人保健施設に入所中の摂食嚥下障害をもつ高齢者33例で，まず食事介助の有無による認 知機能障害，注意障害，意欲障害の検査得点の違いを検討した．その結果，食事介助が必要な高齢者 では，食事動作が自立している高齢者に比べ，すべての高次脳機能の側面で低下を認めた．次に，認 知機能障害，注意障害，意欲障害の重度障害の有無で対象高齢者を2群に分け，準備期，口腔期，咽頭期， 食道期の期ごとに，嚥下造影検査と食事観察評価の異常所見の出現率を2群間で比較した．その結果， 嚥下造影検査において，重度注意障害と重度意欲障害がある高齢者では，ない高齢者に比べ，咽頭期 の喉頭挙上が不良であることが示唆された．また，食事観察評価においても，重度認知機能障害と重 度注意障害がある高齢者では，ない高齢者に比べ，咽頭期の誤嚥物の喀出がより困難であることが示 唆され，加えて，重度意欲障害がある高齢者では，ない高齢者に比べ，咽頭期の痰の喉へのからみが 多く示された．本検討の結果，食事介助を行っている高齢者は，行っていない高齢者に比べ，高次脳 機能障害がより重度であり，重度の高次脳機能障害を持つ高齢者では，ない高齢者に比べ，これまで 指摘されてきたような先行期から口腔期の摂食嚥下機能のみならず，咽頭期の摂食嚥下機能も低下し ていることが示唆された．"}]},"item_1_textarea_12":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"Previously, no studies have examined the effects of higher brain dysfunction on the feeding and swallowing functions of elderly individuals who have complications of chronic higher brain dysfunction with dysphagia. This study examined the influence of higher brain dysfunction on the feeding and swallowing functions among elderly nursing home residents. First, differences in test scores for cognitive impairment, attention disorders, and motivation disorders were investigated according to whether feeding assistance was required. Next, elderly participants were separated into two groups depending on whether they had the severe cognitive impairment, attention disorder, or motivation disorder. Rates of abnormal findings in videofluoroscopic examinations and mealtime observations between groups were compared for each of the four stages: preparatory, oral, pharyngeal, and esophageal. Our investigation showed that elderly individuals who required feeding assistance had more severe higher brain dysfunction compared to those who did not require such assistance. In addition, compared to elderly individuals who did not have severe higher brain dysfunction, those with severe higher brain dysfunction presented decreased feeding and swallowing functions, not only in the previously known anticipatory and oral stages, but also in the pharyngeal stage."}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-05-15"}],"displaytype":"detail","filename":"07　福永真哉.pdf","filesize":[{"value":"798.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","url":"https://kwmw.repo.nii.ac.jp/record/14379/files/07　福永真哉.pdf"},"version_id":"a5954a3c-f9d0-4db1-a7ea-8e3818e95654"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"higher brain dysfunction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"dysphagia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cognitive dysfunction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"attention disorder","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"motivation disorder","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"老人保健施設入所高齢者の摂食嚥下機能に及ぼす 高次脳機能障害の影響","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"老人保健施設入所高齢者の摂食嚥下機能に及ぼす 高次脳機能障害の影響"}]},"item_type_id":"1","owner":"17","path":["275"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-05-15"},"publish_date":"2017-05-15","publish_status":"0","recid":"14379","relation_version_is_last":true,"title":["老人保健施設入所高齢者の摂食嚥下機能に及ぼす 高次脳機能障害の影響"],"weko_creator_id":"17","weko_shared_id":17},"updated":"2023-06-19T10:33:07.608824+00:00"}