Papers - Yamauchi, Keita

Relationship Between Stress Coping Mechanisms and Depression in Kidney Transplant Recipients.

Suzuki R, Nakamiya Y, Watanabe M, Ando E, Tanichi M, Koga M, Kohno K, Usui J, Yamagata K, Ohkohchi N, Toda H, Saito T, Yoshino A, Takahara S, Yamauchi K, Yuzawa K

Transplantation Proceedings (Transplantation Proceedings)  51 ( 3 ) 761 - 767 2019.04

Research paper (scientific journal), Joint Work, Accepted,  ISSN  00411345

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© 2019 Background: It has been reported that transplant recipients are exposed to physical and psychosocial stresses even after transplant surgery and exhibit psychological disorders such as depression. Purpose: In this study, we extracted trends concerning how recipients of kidney transplants cope with stress, and we also examined how they cope with depression and its countermeasures. Method: We administered questionnaire surveys to 109 kidney transplant recipients. These included items on personal attributes, medical information, depression, and stress-coping type scales. Statistical analysis was performed using factor analysis and multiple regression analysis. Results: Fifteen out of 109 (13.8%) were found to be high-risk patients for depression based on responses to the questionnaire using the depression scale. We extracted 2 factors of stress-coping type, namely Factor 1, “Directly coping with the problem,” of patients who try to directly resolve the problem in a positive manner and Factor 2, “Stress-release while avoiding the problem,” for those who relieve their feelings in response to the stress without resolving the problem itself. When multiple regression analysis was conducted with the depression scale as the dependent variable and the stress-coping factor as the independent variable, Factor 1 tended to be associated with reduced depression and Factor 2 with increased depression. Conclusions: Results showed that to improve the mental health of those who receive kidney transplants, it is necessary to examine the depression and stress-coping types of such patients at an early stage and carry out education on stress-coping, focusing on resolving the actual problem.

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病院に勤務する看護師の残業時間及びメンタルヘルスに影響する要因

渡辺真弓, 山内慶太

日本医療・病院管理学会誌 (日本医療・病院管理学会)  56 ( 2 ) 61 - 69 2019.04

Research paper (scientific journal), Joint Work, Accepted,  ISSN  1882-594X

Subtypes of overtime work and nurses' fatigue, mental status, and work engagement: A latent class analysis of Japanese hospital nurses.

Mayumi Watanabe, Keita Yamauchi

Journal of Advanced Nursing (Wiley)  75 ( 10 ) 2122 - 2132 2019.03

Research paper (scientific journal), Joint Work, Accepted,  ISSN  03092402

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© 2019 John Wiley & Sons Ltd Aims: To clarify the subgroups of overtime work motivations and to determine how fatigue, mental status, and work engagement differ among the subgroups. Design: Cross-sectional. Methods: Questionnaires were distributed to 1,075 full-time nurses working in four hospitals in Japan from October 2015 - February 2016. Nurses were categorized into subgroups of overtime work motivation by latent class analysis. An analysis of covariance was conducted to examine how fatigue, mental status, and work engagement differ among subgroups. Results/Findings: We identified five types of overtime workers differing greatly in fatigue, mental status, and work engagement. Conclusions: Even when nurses worked approximately the same work hours, the difference in motivation corresponded to different degrees of fatigue, mental status, and work engagement. When introducing policies to reduce overtime work, managers should consider the different groups of overtime workers, as effective measures may differ.

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自閉症児をもつ母親の障害受容過程－受容前と受容後の比較－

YAMAUCHI KEITA

日本社会精神医学会雑誌 (日本社会精神医学会)  27 ( 4 ) 271 - 284 2018.11

Research paper (scientific journal), Joint Work, Accepted,  ISSN  0919-11372

維持期統合失調症患者におけるariprazole持続性注射剤と経口薬に関する費用効果分析－マルコフモデルを用いたシミュレーション研究－

YAMAUCHI KEITA

臨床精神薬理 (星和書店)  21 ( 7 ) 955 - 964 2018.07

Research paper (scientific journal), Joint Work, Accepted,  ISSN  1343-3474

PMDA医薬品有害事象報告データベースを用いた総合感冒剤有害事象の集団的背景の研究－潜在クラス分析を使った発症症例の分類－

YAMAUCHI KEITA

薬剤疫学 (日本薬剤疫学会)  23 ( 2 ) 75 - 87 2018.07

Research paper (scientific journal), Joint Work, Accepted

Cost and outcome of occupation-based practice for community dwelling frail elderly: a pilot study

Nagayama H, Kobayashi N, Ishibashi Y, Kobayashi R, Murai C, YAMAUCHI KEITA

Clinical Interventions in Aging (Dovepress)  13   1177 - 1182 2018.06

Research paper (scientific journal), Joint Work, Accepted,  ISSN  11769092

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© 2018 Nagayama et al. Purpose: The purpose of this pilot study was to determine the effectiveness and costs of the occupation-based practice for community dwelling frail elderly. Design: Pilot pre-post design without a control group. Setting: A care management center involving 37 local elderly. Subject: The final analysis included 26 frail elderly in a community dwelling center. Intervention: The intervention was occupation-based practice involving setting of client-centered goals, observation of real living situations, and provision of advice on the individual problem of real occupation. Outcome: The outcome was the Frenchay Activities Index (FAI), which is used to evaluate the instrumental activities of daily living (IADL). Additionally, the frequency, duration, and cost of the intervention were calculated. Results: Regarding the FAI score before and after the interventions, there were significant improvements in all items except work (P<0.05, effect size [r]: 0.67–0.93). A total of 15 people out of 26 (57.7%) showed improvement in activities of daily living. The frequency of interventions was 3.7 (95% confidence interval [CI]: 2.83–4.48), and the duration was 7.4 weeks (95% CI: 5.27–9.42). The average intervention cost was $258 (95% CI: 200.4–317.4). Conclusion: The results of this study showed that occupation-based practice has a potential to improve IADL in frail elderly, with low frequency of intervention, within a short-term, and direct cost reduction. We believe that this pilot study will contribute to future clinical studies for frail elderly, and the findings can be easily applied to daily clinical intervention. A well-designed prospective randomized-controlled trial is necessary to verify these results.

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The effect of quality of overtime work on nurses' mental health and work engagement

Mayumi Watanabe, YAMAUCHI KEITA

Journal of Nursing Management (John Wiley & Sons Ltd)  26 ( 6 ) 679 - 688 2018.04

Research paper (scientific journal), Joint Work, Accepted,  ISSN  09660429

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© 2018 John Wiley & Sons Ltd Aim and Background: Recent research has suggested that the reasons why nurses work overtime hours exert differential effects on the overall impact of the work. This study aimed to clarify why nurses work overtime, and whether well-being effects differed by reason, at both the ward and individual level. Methods: Participants were 1,075 permanent nurses from 54 wards. Overtime reasons’ distribution and impact on nurses were examined by a multilevel structural equation modelling approach. Results: Nurses typically worked overtime due to a pressure to conform, high workload and to enhance self-development. Involuntary overtime work demonstrated a detrimental effect on mental health and work engagement at both the ward and individual level, whereas voluntary overtime work exerted a beneficial effect on well-being. Conclusions: The distribution and impact of overtime work differed by the reasons for working the overtime. Implications for Nursing Management: These results suggest the importance of assessing the reasons for overtime, aside from the length of overtime hours. When trying to reduce overtime work, hospital managers and nurse managers need to advance the plan by ward as a whole, and also carefully assess the reasons for overtime.

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Direction of Community Integration Research for People with Psychiatric Disorders

Ai Shioda, YAMAUCHI KEITA

Japanese Bulletin o Social Psychiatry (日本社会精神医学会)  27 ( 1 ) 25 - 37 2018.02

Research paper (scientific journal), Joint Work, Accepted,  ISSN  0919-1372

Classifying Support for Community Dwelling People with Schizophrenia in the Stable Phase Using a Latent Class Model

Ai Shioda, Etsuko Tadaka, Kazuaki Uchikawa, Keita Yamauchi

Japanese Bulletin of Social Psychiatry (日本社会精神医学会)  27 ( 1 ) 13 - 24 2018.02

Research paper (scientific journal), Joint Work, Accepted,  ISSN  0919-1372

わが国における広汎性発達障害児をもつ親の心理に関する研究の動向

YAMAUCHI KEITA

日本社会精神医学会雑誌 (日本社会精神医学会)  26 ( 4 ) 290 - 298 2017.11

Research paper (scientific journal), Joint Work, Accepted

母親からみた自閉症児の養育の特徴－テキストマイニングを用いた探索的分析－

太田雅代, 山内慶太

ストレス科学 (日本ストレス学会)  31 ( 4 ) 68 - 77 2017.06

Research paper (scientific journal), Joint Work, Accepted,  ISSN  1349-4813

職場リーダーの長時間労働が部下のワーク・ライフ・バランス満足度に及ぼす影響－病院に勤務する看護職における検討－

YAMAUCHI KEITA

日本医療・病院管理学会誌 54 ( 2 ) 65-75 2017.04

Research paper (scientific journal), Joint Work, Accepted,  ISSN  1882-594X

慶應義塾塾歌と富田正文－歌詞にこめられた意味－

YAMAUCHI KEITA

近代日本研究 (慶應義塾福澤研究センター)  33   131 - 162 2017.02

Research paper (scientific journal), Single Work

Cost effectiveness of the occupation-based approach for subacute stroke patients: result of arandomized controlled trial

Hirofumi Nagayama, Kounosuke Tomori, Kanta Ohno, Kayoko Takahashi,Ryutaro Nagatani, Ryota Izumi, Kensuke Moriwaki, Keita Yamauchi

Topics in Stroke Rehabilitation 24 ( 5 ) 337 - 344 2017.02

Research paper (scientific journal), Joint Work, Accepted

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和歌山県の地理的特性と自殺率の関係:地理情報システムによる可視化と地域差を表す指標の検討

YAMAUCHI KEITA

日本公衆衛生雑誌 (日本公衆衛生学会)  64 ( 1 ) 36 - 41 2017.01

Research paper (scientific journal), Joint Work, Accepted,  ISSN  0546-1766

医療情報担当者(MR)の医薬品情報提供活動に対する医療関係者の意識と行動についての研究－確率的クラスタリング手法による分類と考察－

毛利有希子, 渡辺美智子, 山内 慶太

日本医療・病院管理学会誌 (日本医療・病院管理学会)  54 ( 1 ) 19 - 31 2017.01

Research paper (scientific journal), Joint Work, Accepted

Mortality risk in current and new antipsychotic AD users: Large scale Japanese study

Heii Arai, Yu Nakamura, Masamoto Taguchi, Hiroyuki Kobayashi, Keita Yamauchi, Lon S. Schneider

Alzheimer's & Dementia 12 ( 7 ) 823 - 830 2016.07

Research paper (scientific journal), Joint Work, Accepted

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Cost-effectiveness of Occupational Therapy in Older People: Systematic Review of Randomized Controlled Trials

Nagayama Hirofumi, Tomori Kounosuke, Ohno Kanta, Takahashi Kayoko , YAMAUCHI KEITA

Occupational Therapy International (JohnWiley&Sons,Ltd.)  23 ( 2 ) 103 - 120 2016.06

Research paper (scientific journal), Joint Work, Accepted

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調和設計を用いた汎用的な患者用用具の設計

鈴木圭介, 高橋武則, 山内 慶太

日本医療・病院管理学会誌 53 ( 2 ) 33 - 41 2016.04

Research paper (scientific journal), Joint Work, Accepted,  ISSN  1882-594X