論文 - 山内　慶太

Re-work Program in Japan—Overview and Outcome of the Program

Ohki Y., Igarashi Y., Yamauchi K.

Frontiers in Psychiatry （Frontiers in Psychiatry）  11   1525 2021年01月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1664-0640

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Background: The objective of this study was to examine the effect of the Japanese re-work program (RP) to aid in recurrent sick leave prevention. Methods: A multicenter retrospective cohort research was conducted for workers who returned to work (RTW) after sick leave due to mood disorder. Work continuation for subjects who RTW after RP participation and treatment as usual (TAU) and subjects who received TAU only were compared. The Kaplan–Meier method and Cox proportional hazard models were utilized. Additionally, propensity score matching was conducted to control for possible confounds. Results: Log-rank test of overall cohort (n = 323) showed that work continuation of RP + TAU subjects was significantly better compared to that of TAU-only subjects (p = 0.001). Multivariate analysis found a hazard rate of recurrent sick leave for TAU-only subjects of 2.121 (p = 0.001, 95% CI: 1.360–3.309). Additionally, the propensity score-matched cohort (n = 100) had similar differences (p = 0.008), with a hazard ratio of recurrent sick leave of 2.871 (p = 0.009, 95% CI: 1.302–6.331) for TAU-only subjects. Limitations: Only workers who RTW after sick leave were targeted, and no examination was made considering cases who dropped out from RP or TAU. Moreover, the sample was a non-randomized controlled trial, with propensity score matching performed. However, there was an inability to retrieve and adjust for working environment background factors after RTW. Conclusions: Work continuation of subjects with RP was observed to be significantly better, suggesting that the RP was effective for recurrent sick leave prevention.

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Community integration and related factors among people with mental illness in Japan: Multiple regression analysis stratified by social isolation level

Shioda A., Yamauchi K.

International Journal of Social Psychiatry （International Journal of Social Psychiatry）  66 （ 6 ） 614 - 622 2020年05月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  00207640

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© The Author(s) 2020. Backgroud and Aim: Community integration is an essential for people with mental illness that affects their health and quality of life. The objective of this study is to find the factors useful in improving community integration of people with mental illness. Methods: The study method was self-reporting questionnaires for people with mental illness living in the community. The decision tree analysis revealed that people with mental illness into high or low social isolation level strata. Multiple regression analyses stratified by using two social isolation levels were conducted. Results: Common factors among the strata were living environment of formal care accessibility and daily life activity. Specific factors for social isolation low-level stratum were self-efficacy for coping with symptoms, self-efficacy for social relationships, healthy lifestyle habits, treatment, exchange daily life information with friends and family members. Specific factors for social isolation high-level stratum were self-efficacy for daily living, self-efficacy for treatment-related behavior and satisfaction with formal care. All specific factors were positively associated with community integration. Conclusions: The findings suggest the devising interventions to enhance community integration by social isolation level among people with mental illness.

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腎移植の精神的ケアに対する移植医とメディカルスタッフの認識の違いに関する検討

鈴木吏良, 谷知正章, 仲宮優子, 小坂志保, 野口文乃, 高橋絹代, 斉藤拓, 戸田裕之, 吉野相英, 山内慶太, 高原史郎, 湯沢賢治

日本臨床腎移植学会雑誌 7 （ 1 ） 88 - 95 2019年07月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  2187-9907

患者状態像の推移に着目した後期高齢者肺炎症例における入院長期化要因の探索

古田裕亮, 尾藤誠司, 山内慶太, 渡辺美智子

日本医療・病院管理学会誌 （日本医療・病院管理学会）  56 （ 3 ） 13 - 25 2019年07月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1882-594X

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年04月

研究論文（学術雑誌）, 共著, 査読有り,  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年04月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1882-594X

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

Watanabe M., Yamauchi K.

Journal of Advanced Nursing （Journal of Advanced Nursing）  75 （ 10 ） 2122 - 2132 2019年03月

研究論文（学術雑誌）, 共著, 査読有り,  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－

太田雅代, 山内 慶太

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年11月

研究論文（学術雑誌）, 共著, 査読有り,  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－

神浦悠平, 桜井雅也, 稲垣中, 山内 慶太

臨床精神薬理 （星和書店）  21 （ 7 ） 955 - 964 2018年07月

研究論文（学術雑誌）, 共著, 査読有り,  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－

神谷昌子, 渡辺美智子, 山内 慶太

薬剤疫学 （日本薬剤疫学会）  23 （ 2 ） 75 - 87 2018年07月

研究論文（学術雑誌）, 共著, 査読有り

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 K.

Clinical Interventions in Aging （Clinical Interventions in Aging）  13   1177 - 1182 2018年06月

研究論文（学術雑誌）, 共著, 査読有り,  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

Watanabe M., Yamauchi K.

Journal of Nursing Management （Journal of Nursing Management）  26 （ 6 ） 679 - 688 2018年04月

研究論文（学術雑誌）, 共著, 査読有り,  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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精神障害者のコミュニティインテグレーションに関する研究の動向

塩田藍, 山内 慶太

日本社会精神医学会雑誌 （日本社会精神医学会）  27 （ 1 ） 25 - 37 2018年02月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  0919-1372

安定期にある地域在住統合失調症患者における生活実態に基づく支援の類型化:潜在クラスモデルによる分析

塩田藍, 田高悦子, 内川一明, 山内 慶太

日本社会精神医学会雑誌 （日本社会精神医学会）  27 （ 1 ） 13 - 24 2018年02月

研究論文（学術雑誌）, 共著, 査読有り,  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

太田雅代, 山内 慶太

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年11月

研究論文（学術雑誌）, 共著, 査読有り

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年06月

研究論文（学術雑誌）, 共著, 査読有り,  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－

渡辺真弓, 山内 慶太

日本医療・病院管理学会誌 54 （ 2 ） 65-75 2017年04月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  1882-594X

慶應義塾塾歌と富田正文－歌詞にこめられた意味－

山内 慶太

近代日本研究 （慶應義塾福澤研究センター）  33   131 - 162 2017年02月

研究論文（学術雑誌）, 単著

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年02月

研究論文（学術雑誌）, 共著, 査読有り

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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

岡檀, 久保田貴文, 椿広計, 山内 慶太, 有田幹雄

日本公衆衛生雑誌 （日本公衆衛生学会）  64 （ 1 ） 36 - 41 2017年01月

研究論文（学術雑誌）, 共著, 査読有り,  ISSN  0546-1766