@article{oai:kagawa-u.repo.nii.ac.jp:00001861, author = {安原, 由子 and Yasuhara, Yuko and 谷岡, 哲也 and Tanioka, Tetsuya and 川西, 千恵美 and Kawanishi, Chiemi and 藤川, 栄二 and Fujikawa, Eiji and 藤永, 裕之 and Hujinaga, Hiroyuki and 小林, 春男 and Kobayashi, Haruo and 大森, 美津子 and Omori, Mitsuko}, issue = {1}, journal = {香川大学看護学雑誌, Nursing journal of Kagawa University}, month = {Mar}, note = {経皮的冠動脈インターベンション(PCI)治療をうけた女性の急性心筋梗塞(AMI)患者と待機的PCI 患者の症例から,退院前後の活動リズムの違いについて検討した.対象者は,60 歳代の病状が安定した患者各1 名とした.調査方法は,入院中から退院後7 日間,腕時計型加速度センサー(アクチグラフ)を用いて,生活リズムを測定した.アクチグラフ装着中は生活日誌も記入してもらった.活動区間(Up Interval)から時間,平均身体活動数,体動活動指数,体動加速指数を専用のソフトで解析し,入院中と退院後の平均値を比較した.また,退院前3 日間を基準値としたその後の変化率を比較した.その結果,AMI 患者は,入院中よりも退院後全ての期間で平均身体活動数は低下し,時間の経過とともに平均身体活動数は増加した.また,体動加速度指数も入院中よりも低下し,退院後ゆっくりとした活動をしていた.一方,待機的PCI 患者の平均身体活動数は,退院後全ての期間で増加し,入院中から連続的な活動をしていた.症例のAMI 患者と待機的PCI 患者では退院前後の活動リズムが異なることが推察された., This case study aimed to clarify changes of daily activity rhythm, during about two weeks between before and after hospital discharge, of woman patient with acute myocardial infarction (AMI) whose symptoms were stabilized and woman patient who undertook the elective percutaneous coronary intervention (PCI) treatment. Two female patients of around 60 years of age under stable disease conditions were selected. The search procedure was to measure the activity rhythm of daily living for seven days from the four days before hospital discharge by using the wristwatch type acceleration sensor (Actigraphy). While measuring data, subjects have kept the life diary. The time, the average amount of physical exertion, the body motion activity index, and the body motion acceleration index were analyzed with special software from Up Interval. These data were compared the mean value of at the time of hospital admission and after discharge. Also, change rate was compared at the discharged from hospital with during three days before discharging hospital as standard value. As a result, compared with standard value, the average amount of physical exertion of patient with AMI has gradually decreased on every explored day after hospital discharge, and the average amount of physical exertion has increased during hospital stay. The body motion acceleration index was also lower than the standard value, and it suggested that slow activity was done after the hospital discharge. On the other hand, the average amount of physical exertion of the patient with PCI has increased on every explored day after the hospital discharge, and patient had done a continuous activity since in hospital. It was considered that there was difference in activity rhythm between the patient with AMI and the patient with PCI.}, pages = {1--7}, title = {女性の急性心筋梗塞患者と待機的経皮的冠動脈インターベンション患者の退院前後の活動リズム変化-2 症例の考察-}, volume = {15}, year = {2011}, yomi = {ヤスハラ, ユウコ and タニオカ, テツヤ and カワニシ, チエミ and フジカワ, エイジ and フジナガ, ヒロユキ and コバヤシ, ハルオ and オオモリ, ミツコ} }