{"created":"2023-06-19T10:05:12.919598+00:00","id":14584,"links":{},"metadata":{"_buckets":{"deposit":"be5a9c06-3ace-4c64-840d-abc6ef283af3"},"_deposit":{"created_by":20,"id":"14584","owners":[20],"pid":{"revision_id":0,"type":"depid","value":"14584"},"status":"published"},"_oai":{"id":"oai:kwmw.repo.nii.ac.jp:00014584","sets":["7:287:301"]},"author_link":["64139","64141","64133","64142","64135","64137","64134","64138","64136","64140"],"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 Cognitive Function and Vitality on Feeding and Swallowing Functions in Care Needing Elderly Patients: Using the Quantitative Analysis of Videofluoroscopic Imaging"}]},"item_1_biblio_info_14":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1-2","bibliographicPageEnd":"219","bibliographicPageStart":"213","bibliographicVolumeNumber":"28","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":[{}]},{"creatorNames":[{"creatorName":"時田, 春樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"塩見, 将志"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"永見, 慎輔"}],"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":"短報","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"}]},{"nameIdentifiers":[{}],"names":[{"name":"TOKIDA, Haruki"}]},{"nameIdentifiers":[{}],"names":[{"name":"SHIOMI, Masashi"}]},{"nameIdentifiers":[{}],"names":[{"name":"NAGAMI, Shinsuke"}]}]},"item_1_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15112/00014525","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"}]},"item_1_textarea_11":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_value":"本研究では，要介護高齢者の認知機能と意欲が摂食嚥下機能に及ぼす影響を検討した．研究対象は，摂食嚥下障害の疑いで認知機能検査，意欲検査と嚥下造影検査を実施した介護老人保健施設入所の要介護高齢者20名とした．対象者の多くに脳血管障害の既往が認められた．研究方法は，認知機能検査である N式老年者用精神状態尺度，改訂長谷川式簡易知能スケール，臨床的注意評価スケールと意欲検査である Vitality indexの4つの評価，ならびに嚥下造影検査の口腔通過時間と咽頭通過時間の計測からなる定量的指標を用いて，対象者の認知機能，意欲と摂食嚥下機能の関連を検討した．その結果，N式老年者用精神状態尺度，改訂長谷川式簡易知能スケール，注意評価スケールのいずれにおいても咽頭期の嚥下指標である咽頭通過時間との間で，有意な相関を認めた．Vitality Indexでは口腔通過時間，咽頭通過時間のいずれの指標においても有意な相関は認められなかった．これまで，アルツハイマー型認知症では初期段階から，嚥下反射の遅延，舌骨移動の減少といった咽頭期の摂食嚥下障害を生じることが報告されている．本研究の結果から，脳血管障害の既往をもつ要介護高齢者の場合，認知機能は口腔期の嚥下指標である口腔通過時間との間では相関を認めず，咽頭期の嚥下指標である咽頭通過時間との間で有意な相関を認めたことから，認知機能障害は口腔期の摂食嚥下機能に先んじて咽頭期の摂食嚥下機能に影響している可能性が示唆された．"}]},"item_1_textarea_12":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"This study examined the influence of cognitive function and vitality on feeding and swallowing functions in care needing elderly patients. Among the evaluation indicators, cognitive function and vitality were evaluated using Nishimura’s dementia scale, Attention rating scale and Vitality index. Feeding and swallowing function was evaluated using the quantitative indicators of oral transit time and pharyngeal transit time on videofluoroscopic imaging. A significant relationship was seen between NM scale score and pharyngeal transit time, revised version of Hasegawa’s dementia scale score and pharyngeal transit time, Attention rating scale score and pharyngeal transit time. These examinations suggest that the cognitive function of care needing elderly patients is related to feeding and swallowing function only in the pharyngeal stage, but a significant association is not recognized in the oral stage.\n"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-02-28"}],"displaytype":"detail","filename":"07_福永真哉_他4名.pdf","filesize":[{"value":"681.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","url":"https://kwmw.repo.nii.ac.jp/record/14584/files/07_福永真哉_他4名.pdf"},"version_id":"5dbfda6c-414d-4d25-a7da-8d37792d8825"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"care needing elderly patients","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cognitive function","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"feeding and swallowing functions","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"vitality","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"videofluoroscopic imaging","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":"要介護高齢者の認知機能と意欲が摂食嚥下機能に及ぼす影響―嚥下造影画像の定量的分析から―","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"要介護高齢者の認知機能と意欲が摂食嚥下機能に及ぼす影響―嚥下造影画像の定量的分析から―"}]},"item_type_id":"1","owner":"20","path":["301"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-02-28"},"publish_date":"2019-02-28","publish_status":"0","recid":"14584","relation_version_is_last":true,"title":["要介護高齢者の認知機能と意欲が摂食嚥下機能に及ぼす影響―嚥下造影画像の定量的分析から―"],"weko_creator_id":"20","weko_shared_id":20},"updated":"2023-06-19T10:30:48.960722+00:00"}