{"created":"2023-06-19T11:37:23.959630+00:00","id":4688,"links":{},"metadata":{"_buckets":{"deposit":"bf3f1877-050a-47cb-a1ca-96b742ba5424"},"_deposit":{"created_by":13,"id":"4688","owners":[13],"pid":{"revision_id":0,"type":"depid","value":"4688"},"status":"published"},"_oai":{"id":"oai:mie-u.repo.nii.ac.jp:00004688","sets":["334:335:354:364"]},"author_link":["9747","9748","9749","9750","9751","9752","9753","9754","9755","9756","9757","9758"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-03-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"44","bibliographicPageStart":"35","bibliographicVolumeNumber":"17","bibliographic_titles":[{"bibliographic_title":"三重看護学誌"}]}]},"item_4_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"I ．目　的\nNICUにおける照度，音の治療環境による睡眠・覚醒状態と，生理的身体活動反応への影響や日内変動および昼夜別の関係を明らかにし，児にとって発達に望ましい養育環境を考察する．\nII．方　法\n在胎31～32週齢で生まれ，呼吸循環状態が落ち着いた修正在胎33～36週齢時（生後8～21日）に，男児27名（75％），女児9名（25％）の計36名のNICUクベース収容児に，生理的活動量と睡眠状態の観測を行った．\nActigraph活動計を児の足首に装着し，照度と音圧測定器は児の頭上近くに設置し，それぞれ1分毎の値をカウントした．観察項目は，Actigraphによる活動量，呼吸心拍モニターによる呼吸数，心拍数，経皮酸素飽和度，児の就寝環境である部屋の照度と音圧を3日間昼夜にわたり継続測定した．\n解析は，Sadehらのアルゴリズムを用いたソフトウェアActionWをinfantに設定し，自動解析した．分析にはSPSS Ver.16を使用し，統計学的分析には，対応のある2群のT検定,時間毎の昼夜における活動量の多重比較にはScheff Posthoc検定を行った．活動量と環境（照度，音圧）の相関係数を求め，有意差検定は有意水準5％以下とした．1分間隔で睡眠の質判定（覚醒，動睡眠，静睡眠）の経時的推移と昼夜別割合の比較を行った．\nIII．結　果\n1．対象児の測定開始時期は，修正在胎週齢35.3±2.6週で，環境条件は，照度167.0±251.7lx（n=16503），音圧68.5±10.4dB（n=12530）であった．\n2．3日間の活動量は，3日間とも昼帯の方が有意に多く，呼吸については夜帯の変動は少なく，昼間の変化が大きかった．\n3．同時測定した養育環境は，夜帯の方が照度は低く，音刺激は日による差が大きく昼夜の音圧の有意な差はなかった．\n4．時間経過による睡眠の質から睡眠・覚醒はウルトラデイアンリズムを認めた．\n5．昼夜の睡眠の質判定は，昼帯では覚醒27.3％，静睡眠22.3％，動睡眠50.4％，夜帯では覚醒21.4％，静睡眠24.5％，動睡眠54.1％であった．\nIV．結　論\n児の成熟度による差については今後追跡調査が必要であるが，昼夜の明暗環境を保持しつつ，過度な人為的刺激をせずに入眠を促す必要性が示唆された．","subitem_description_type":"Abstract"}]},"item_4_publisher_30":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"三重大学医学部看護学科"}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13446983","subitem_source_identifier_type":"PISSN"}]},"item_4_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11353824","subitem_source_identifier_type":"NCID"}]},"item_4_subject_16":{"attribute_name":"日本十進分類法","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_4_text_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"The influence of premature infants・sleep and  physiological response under NICU environment (illuminance, noise) ― seen from circadian variation and comparison of day and night ―"}]},"item_4_text_65":{"attribute_name":"資源タイプ（三重大）","attribute_value_mlt":[{"subitem_text_value":"Departmental Bulletin Paper / 紀要論文"}]},"item_4_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"新小田, 春美","creatorNameLang":"ja"},{"creatorName":"Shinkoda, Harumi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木下, 義晶","creatorNameLang":"ja"},{"creatorName":"Kinoshita, Yoshiaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"光武, 玲子","creatorNameLang":"ja"},{"creatorName":"Mitsutake, Reiko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"上野, ふじ美","creatorNameLang":"ja"},{"creatorName":"Ueno, Fujimi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"荒田, 弘樹","creatorNameLang":"ja"},{"creatorName":"Arata, Hiroki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"清原, 千賀子","creatorNameLang":"ja"},{"creatorName":"Kiyohara, Chikako","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"末次, 美子","creatorNameLang":"ja"},{"creatorName":"Suetsugu, Yoshiko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"古賀, 靖子","creatorNameLang":"ja"},{"creatorName":"Koga, Yasuko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"穴井, 謙","creatorNameLang":"ja"},{"creatorName":"Anai, Ken","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"白水, 雅子","creatorNameLang":"ja"},{"creatorName":"Shiramizu, Masako","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"落合, 正行","creatorNameLang":"ja"},{"creatorName":"Ochiai, Masayuki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加来, 恒壽","creatorNameLang":"ja"},{"creatorName":"Kaku, Tsunehisa","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-02-18"}],"displaytype":"detail","filename":"AA11353824170106.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AA11353824170106.pdf","url":"https://mie-u.repo.nii.ac.jp/record/4688/files/AA11353824170106.pdf"},"version_id":"e8c1898c-e0c6-4f34-ba5c-e377a2594497"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"NICU","subitem_subject_scheme":"Other"},{"subitem_subject":"早期産児","subitem_subject_scheme":"Other"},{"subitem_subject":"睡眠・覚醒リズム","subitem_subject_scheme":"Other"},{"subitem_subject":"生理学的反応","subitem_subject_scheme":"Other"},{"subitem_subject":"昼夜別","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":"NICU環境（照度・音刺激）における 早産児の睡眠と身体活動生理学的反応への影響","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"NICU環境（照度・音刺激）における 早産児の睡眠と身体活動生理学的反応への影響","subitem_title_language":"ja"}]},"item_type_id":"4","owner":"13","path":["364"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2015-08-28"},"publish_date":"2015-08-28","publish_status":"0","recid":"4688","relation_version_is_last":true,"title":["NICU環境（照度・音刺激）における 早産児の睡眠と身体活動生理学的反応への影響"],"weko_creator_id":"13","weko_shared_id":-1},"updated":"2023-10-04T01:47:48.889801+00:00"}