HORIUCHI Shigeko

Faculty & Position:Women’s Health/Midwifery  professor
Contact:shigeko-horiuchi[at]slcn.ac.jp convert [at] to @
URL: 
Last Updated: Sep. 11, 2020 at 05:04

Researcher Profile & Settings

Academic & Professional Experience

  • Apr. 2020- TodayPresident, St. Luke’s International University
  • Apr. 1994Mar. 2020St. Luke's International University
  • Apr. 1978Mar. 1980St.Luke's International Hospital, St. Luke's International University

Qualification

  • 保健学修士
  • 看護学博士

Research Activities

Research Areas

  • Life sciences / Lifelong developmental nursing
  • Life sciences / Basic nursing

Research Interests

    Perinatal Loss , Grief work , Asia & Africa Midwife Research , continuing education , Physiological Birth , Oxytocin

Published Papers

  • Changes in salivary oxytocin levels and bonding disorder in women from late pregnancy to early postpartum: A pilot study
    SHISHIDO Eri, SHUO Takuya, TAKAHATA kaori, HORIUCHI Shigeko
    PLOS ONE 14(9) Sep. 2019 [Refereed]
    Objectives
    This pilot study aimed to 1) follow the longitudinal changes in the salivary oxytocin level of
    pregnant women from late pregnancy to early postpartum, 2) examine the factors related to
    these changes, and 3) clarify the association of these changes with mother-infant bonding.
    Methods
    This study used a longitudinal observational design and questionnaires to obtain objective
    and subjective data. For oxytocin evaluation, saliva samples were collected and their oxytocin
    levels were measured at 4-time points [i.e., 1) 36–37 gestation weeks, 2) 38–39 gestation
    weeks, 3) 1–2 days postpartum, 4) 4–5 days postpartum]. The oxytocin level was
    assayed in duplicates by enzyme-linked immunosorbent assay. Baseline data were evaluated
    using the Parental Bonding Instrument (25 items), State Trait Anxiety Inventory (20
    items), and Center for Epidemiologic Studies Depression Scale. Postpartum data were evaluated
    using the Mother to Infant Bonding Scale Japanese Version (10 items), Maternity
    Blues Scale (13 items), and ‘Fatigue after Childbirth’ using the Visual Analogue Scale (VAS:
    0–100 mm).
    Results
    The participants were 13 primiparas with a mean age of 33 years. They had no depression
    or anxiety at the baseline. Their mean salivary oxytocin levels significantly increased from
    late pregnancy (36–39 gestation weeks) up to 1 day postpartum and then decreased until 5
    days postpartum. There was a negligible correlation between the bonding disorder and the
    salivary oxytocin level on the 5th day after childbirth. A moderate correlation was observed
    between the maternity blues score and the salivary oxytocin level. There was a significant
    negative correlation between the postpartum fatigue and the salivary oxytocin level 1 day
    and 5 days after childbirth.
    Conclusion
    The mean salivary oxytocin levels significantly increased from the baseline up to 1 day postpartum
    and then decreased until 5 days postpartum. The salivary oxytocin level was moderately
    associated with maternity blues and significantly with postpartum fatigue.
  • Is Hiesho in pregnant women a risk factor for PPH?
    NAKAMURA Sachiyo, HORIUCHI Shigeko
    New Zealand College of Midwives Journal 54 38-43 Dec. 2018 [Refereed]
  • Is hiesyo in pregnant women a risl factor for postpartum haemorrhage?
    Sachiyo Nakamura, Shigeko Horiuchi
    New Zealand College of Midwives Journal 54 Dec. 2018 [Refereed]
  • Process of Establishment of Accelerated Baccalaureate Program in Nursing
     4 98-102 Mar. 2018
  • 冷え症の有無は、骨盤位妊婦の転帰、マイナートラブルに影響するのか?
    NAKAMURA Sachiyo
    JOURNAL OF JAPAN HEALTH MEDICINE ASSOCIATION 26(3) 175-176 Nov. 2017 [Refereed]
  • 自然に生じた会陰裂傷を助産師が縫合する有効性と安全性の検討
    竹内 翔子, 八重 ゆかり, 永森 久美子, 山内 淳子, 堀内 成子, 山中 美智子
    母性衛生 58(1) 49-55 Apr. 2017
  • Developing the Japanese “HUG (Help-Understanding-Guidance) Your Baby” program
    Iida, M, Shimpuku, Y, Tanimoto, K, Matsunaga, M, Horiuchi, S
    Journal of Japan Academy of Midwifery 31(2) 187-194 2017 [Refereed]
  • Identifying clinical and educational difficulties of midwives in an Indonesian Government Hospital マテrにtyっわrd:Towards improving childbirth Care
    Yasuko Magamatsu, Rie Tanaka, Miyuki Oka, Naoko Maruyama, Shigeko Horiuchi
    Jouranal of Nursing and Practice 7(11) 7-13 2017 [Refereed]
  • Overcoming barriers to inclusive education: A reproductive health awareness programme for adolescents in rural Tanzania
    Tohi, A, Horiuchi, S, Shimpuku, Y, Madeni, F, Leshabari S
    African Journal of Midwifery and Women's Health 10(1) 27-32 2016 [Refereed]
  • Mentoring Characteristics in Competent Clinical Educators who provide new Midwives with Instructions in Delivery Assistance
    Yuri Hishinuma, Shigeko Horiuchi, Haruo Yanai
    Journal of Community & Public Health Nursing doi: 10.4172/jcphn.1000103-shigeko-horiuchi@slcn.ac.jp Dec. 2015 [Refereed]
  • Comparison of Policies for the Management of Care for Women and Newborns During the Third Stage of Labor Among Japanese Hospitals, Clinics, and Midwifery Birth Centers.
    Yaeko Kataoka, Nakayama K, Yaju Y, Eto H, Horiuchi S
    Int J Childbirth 5(4) 200-209 Sep. 2015 [Refereed]
  • Global Collaboration Between Tanzania and Japan to Advance Midwifery Profession: A Case Report of Partnership Model
    Yoko Shimpuku, Shigeko Horiuchi, Sebalda C Leshabari, Dickson Mkoka, Yasuko Nagamatsu, Miwako Matsutani, Hiromi Eto, Michiko Oguro, Yukari Yaju, Mariko Iida, Columba Mbekenga, Lilian Mselle, Agnes Mtawa
    Journal of Nursing Education and Practice 5(11) 2015 [Refereed]
  • Comparison of policies for the management of care for women and newborns during the third stage of labor among Japanese hospitals, obstetricians' clinics and independent midwives' homes/clinics
    Yaeko Kataoka, Kaori Shimizu, Hiromi Eto, Yukari Yaju, Shigeko Horiuchi
    International Journal of Childbirth 5(4) 200-209 2015 [Refereed]
  • Impact of a nursing education program about caring for patients in Japan with malignant pleural mesothelioma on nurses' knowledge, difficulties and attitude: A randomized control trial
    Yasuko Nagamatsu, Yuji Natori, Haruo Yanai, Shigeko Horiuchi
    NURSE EDUCATION TODAY 34(7) 1087-1093 Jul. 2014 [Refereed]
    Purpose: In japan nursing care lags behind the growing population of patients with malignant pleural mesothelioma. This study evaluated an educational program for nurses about caring for patients with malignant pleural mesothelioma in Japan.Method: In this randomized controlled study relative to care for malignant pleural mesothelioma, Knowledge, Difficulties and Attitude were measured at baseline, at post-test and at follow-up one month later. The two-day program with a half-day follow-up program included lectures, group work, role-playing and group discussion. 188 participants were randomly assigned to the intervention group (program, n = 96) and control group (n = 92; self-study by a similar content handbook). At baseline the groups showed no statistical differences in Knowledge (p = 0.921), Difficulty (p = 0.458) and Attitude (p = 0.922). Completing the study were 177 participants yielding 88 in the intervention group and 89 in the control group. Human rights and privacy of participants were protected.Results: The Knowledge score was significantly higher in the intervention post-test (t = 14.03, p = 0.000) and follow-up test (t = 8.98, p = 0.000). Difficulty score was significantly lower in the intervention at post-test (t = -3.41, p = 0.001) and follow-up test (t = -3.70, p = 0.000). The Attitude score was significantly higher in the intervention post-test (t = 7.11, p = 0.000) and follow-up test (t = 4.54, p = 0.000). The two-way analysis of variance with repeated measures on time showed an interaction between time and group; the subsequent simple main effect test found significant differences (p = 0.000-0.001) between groups for after-program and at follow-up and a significant difference (p = 0.000) in time only within the intervention group.Conclusion: The educational program was effective in improving the nurses' knowledge and attitude toward malignant pleural mesothelioma care and decreasing the difficulty in MPM care, therefore this program has potential for nurses' in-service education throughout japan. (C) 2014 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-SA license (http://creativecommons.org/licenses/by-nc-sa/3.0/).
  • Why don't pregnant women practice antenatal perineal massage?::An empirical investigation
    TAKEUCHI Shoko, HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 28(2) 173-182 2014
    <b>Purpose</b><br>To determine women's perception of antenatal perineal massage and to identify factors impeding their massage practice.<br><b>Methods</b><br>A questionnaire survey was conducted with a purposive sample of 390 women from eight Japanese urban hospitals, clinics and birth centers and who had a vaginal and full-term delivery. The 334 (85.6%) valid responses were analyzed statistically
  • Decision support for immnization: A literature review and introduction to decision aids
    ENDO Akiko, HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 28(1) 5-15 2014
    <b>Purpose</b><br>The aims of this study were:<br> 1. to examine the effectiveness of decision support for immunization by a literature review and<br> 2. to describe the web-based decision support instruments (decision aids) for immunization with the inclusion of the quality standards<br><b>Methods</b><br> Eligible studies using decision supports for immunization were retrieve
  • Relationship between advanced maternal age, hiesho (sensitivity to cold) and abnormal delivery in Japan.
    Sachiyo Nakamura, Shigeko Horiuchi
    The open nursing journal 7 142-8 2013 [Refereed]
    BACKGROUND: In Japan, the proportion of women aged 35 and older giving birth has greatly increased in recent years, and maternal age is continuing to increase. Advanced maternal age is a risk factor for abnormal delivery, as is hiesho (sensitivity to cold). RESEARCH QUESTION: This study aimed to assess whether advanced maternal age and hiesho precipitate premature delivery, premature rupture of membranes, weak labor pains, prolonged labor and atonic bleeding. METHOD: The study design was a descriptive comparative study with a retrospective cohort group design. Subjects in this study were 2,810 Japanese women in hospital after childbirth. The research methods employed were a paper questionnaire and extraction of data from medical records. RESULTS: Comparing the rate of occurrence of abnormal delivery among women aged 35 to 39 according to whether or not they had hiesho, results were premature delivery OR: 3.51 (95% CI: 1.66-7.43), premature rupture of membranes OR: 1.25 (95% CI: 0.90-1.74), weak labor pains OR: 2.94 (95% CI: 1.65-5.24), prolonged labor OR: 2.56 (95% CI: 1.23-5.26), and atonic bleeding, OR: 1.65 (95% CI: 0.14-2.40) when hiesho was present. Among women aged 40 and over, results were premature delivery OR: 5.09 (95% CI: 1.16-22.20), premature rupture of membranes OR: 1.60 (95% CI: 0.73-3.46), weak labor pains OR: 7.02 (95% CI: 1.56-31.55), prolonged labor OR:7.19 (95% CI: 1.49-34.60) and atonic bleeding OR: 2.00 (95% CI: 0.64-6.23). CONCLUSIONS: Regardless of maternal age, the presence of hiesho is a risk factor that can precipitate premature delivery, premature rupture of membranes, weak labor pains, prolonged labor and atonic bleeding. Furthermore, hiesho coupled with advanced maternal age increases the incidence of premature delivery, weak labor pains and prolonged labor.
  • Doctoral Nursing Educaition In Japan
    Journal of Nursing Science 5-8 2013
  • Prophylactic Interventions after Delivery of Placenta for Reducing Bleeding during the Postnatal Period (Review)
    Yaju Y, Kataoka Y, Etoh H, Horiuhi S, Mori R
    The Cochrane Collaboraiton Issue 11(11) 2013
  • Rural Indonesia women's traditional beliefs about antenatal care.
    Yenita Agus, Shigeko Horiuchi, Sarah E Porter
    BMC research notes 5(589) 589-589 Oct. 2012 [Refereed]
    BACKGROUND: The Indonesia Maternal Mortality Rate (MMR) of 420/100.00 live births remains among the highest in East Asia while coverage of births assisted by skilled providers is still low. Traditional beliefs have been a key factor associated with the choice between midwives or traditional birth attendants (TBA) and the low number of antenatal care visits in rural West Sumatra. METHODS: We conducted three focus groups with 16 women from rural West Java to describe their perception regarding issues related to traditional beliefs. Focus group discussions provided data for the content analysis. RESULTS: The majority of the 16 women interviewed was from Village Dago, West Java and had only an elementary school education. Their ages ranged from 19 to 40 years. Most were multiparous housewives with an income of IDR 918.750 per month, which was lower than the monthly income in West Java (IDR. 1.172.060). Emerging from the focus group discussion were four main themes regarding their pregnancy and traditional beliefs: 1) pregnancy was a normal cycle in women's life (pregnancy is a natural phenomena, not a sickness; no recognition of danger signs during pregnancy and death of baby or mother during pregnancy was brought about by God's will); 2) women followed the traditional beliefs (positive motivation to follow the traditional beliefs and fear of not following the traditional beliefs); 3) relying on TBA called paraji rather than midwife (parajis are kind, tolerant and patient and have more experience than midwives; more accessibility than midwives and encouragement of natural birth) and 4) midwives are more secure than paraji; (they use a medical standard of care). CONCLUSIONS: Women's beliefs grounded in religion and tradition permeated the village culture making it difficult to counter their long held health practices with practices based on recent advances in health care. Use of TBA in this village was still dominant and women believed that following traditional beliefs led to a healthy pregnancy therefore, they also followed all relatives' suggestions. Understanding the complexities of local culture is the first step to improving women's awareness of how to preserve their pregnancy and prevent complications.
  • The relationship between women-centred care and women's birth experiences: A comparison between birth centres, clinics, and hospitals in Japan
    Mariko Iida, Shigeko Horiuchi, Sarah E. Porter
    MIDWIFERY 28(4) 458-465 Aug. 2012
    Objective: the goal of women-centred care (WCC) is respect, safety, holism, partnership and the general well-being of women, which could lead to women's empowerment. The first step in providing WCC to all pregnant women is to describe women's perceptions of WCC during pregnancy in different health facilities. The objectives of this study were to ask (a) what are the perceptions and comparison of WCC at Japanese birth centres, clinics, and hospitals and (b) what are the relationships between WCC and three dimensions of women's birth experience: (1) satisfaction with care they received during pregnancy and birth, (2) sense of control during labour and birth, and (3) attachment to their new born babies. Design: this was a cross-sectional study using self-completed retrospective questionnaires. Setting: three types of health facility: birth centres (n=7), clinics (n=4), and hospitals (n=2). Participants: participants were women who had a singleton birth and were admitted to one of the study settings. Women who were seriously ill were excluded. Data were analysed on 482 women. Measurements: instrumentation included: a researcher-developed WCC-pregnancy questionnaire, Labour Agentry Scale, Maternal Attachment Questionnaire, and a researcher-developed Care Satisfaction Scale. Findings: among the three types of settings, women who delivered at birth centres rated WCC highly and were satisfied with care they received compared to those who gave birth at clinics and hospitals. WCC was positively associated with women's satisfaction with the care they received. Key conclusions: women giving birth at birth centres had the most positive perceptions of WCC. This was related to the respectful communication during antenatal checkups and the continuity of care by midwives, which were the core elements of WCC. Implications for practice: health-care providers should consider the positive correlation of WCC and women's perception of satisfaction. Every woman should be provided continuity of care with respectful communication, which is a core element of WCC. (C) 2011 Elsevier Ltd. All rights reserved.
  • Relationship between infant and mother circadian rest-activity rhythm pre- and postpartum, in comparison to an infant with free-running rhythm.
    Kyoko Nishihara, Shigeko Horiuchi, Hiromi Eto, Sawa Kikuchi, Yoko Hoshi
    Chronobiology international 29(3) 363-70 Apr. 2012 [Refereed]
    Some infants show a free-running rhythm in their rest-activity. We do not know why, nor do we know exactly what the entrainment factors are for the development of the normal 24-h rest-activity rhythm. Actigraphic recordings on 10 primiparae during late pregnancy and these mothers and their infants during the 2nd, 6th, and 12th wks after birth were made over 3-5 continuous days to investigate maternal and infant entrainment. One infant showed a free-running rest-activity circadian rhythm. In late pregnancy, the period in the autocorrelogram of the mother with the free-running infant was longer than the significant period of the mean autocorrelogram of the mothers with non-free-running infants. The finding of this study indicates the free-running rhythm of infant is not reset by maternal entrainment factors.
  • Factors influencing the use of antenatal care in rural West Sumatra, Indonesia.
    Yenita Agus, Shigeko Horiuchi
    BMC pregnancy and childbirth 12(9) 9-9 Feb. 2012 [Refereed]
    BACKGROUND: Every year, nearly half a million women and girls needlessly die as a result of complications during pregnancy, childbirth or the 6 weeks following delivery. Almost all (99%) of these deaths occur in developing countries. The study aim was to describe the factors related to low visits for antenatal care (ANC) services among pregnant women in Indonesia. METHOD: A total of 145 of 200 married women of reproductive age who were pregnant or had experienced birth responded to the questionnaire about their ANC visits. We developed a questionnaire containing 35 items and four sections. Section one and two included the women's socio demographics, section three about basic knowledge of pregnancy and section four contained two subsections about preferences about midwives and preferences about Traditional Birth Attendant (TBA) and the second subsections were traditional beliefs. Data were collected using a convenience sampling strategy during July and August 2010, from 10 villages in the Tanjung Emas. Multiple regression analysis was used for preference for types of providers. RESULTS: Three-quarter of respondents (77.9%) received ANC more than four times. The other 22.1% received ANC less than four times. 59.4% received ANC visits during pregnancy, which was statistically significant compared to multiparous (p = 0.001). Women who were encouraged by their family to receive ANC had statistically significant higher traditional belief scores compared to those who encouraged themselves (p = 0.003). Preference for TBAs was most strongly affected by traditional beliefs (p < 0.001). On the contrary, preference for midwives was negatively correlated with traditional beliefs (p < 0.001). CONCLUSIONS: Parity was the factor influencing women's receiving less than the recommended four ANC visits during pregnancy. Women who were encouraged by their family to get ANC services had higher traditional beliefs score than women who encouraged themselves. Moreover, traditional beliefs followed by lower income families had the greater influence over preferring TBAs, with the opposite trend for preferring midwives. Increased attention needs to be given to the women; it also very important for exploring women's perceptions about health services that they received.
  • 2012 Evidence-Based Guidelines for Midwifery Care
    Guideline Committee, Hiromi Eto, Hiromi Asai, Mariko Iida, Yaeko Kataoka, Ayaka Sakurai, Yuriko Tadokoro, Shigeko Horiuchi, Yuko Masuzawa, Yukari Yaju
    Journal of Japan Academy of Midwifery 26(Suppl) 1-66 Jan. 2012
  • Pregnant Women's Awareness of Sensitivity to Cold (Hiesho) and Body Temperature Observational Study: A Comparison of Japanese and Brazilian Women.
    中村幸代, Sueli M.T. Ichisato, 堀内成子, 毛利多恵子, 桃井雅子
    BMC Research Notes 4 278 Aug. 2011 [Refereed]
    BackgroundSensitivity to cold (hiesho) is a serious health problem in Japan, yet it is minimally understood within Western cultures. The purpose of this study was to clarify the divergence between pregnant Japanese woman living in Japan and pregnant Brazilian women living in Brazil in awareness of hiesho and differences between core body and peripheral temperatures.MethodsThe subjects of this study were 230 pregnant Japanese women living in Japan and 200 pregnant Brazilian women living in Brazil. Data was collected in June/July and November 2005 in Japan and from October 2007 to February 2008 in Brazil. The survey methods consisted of measurement of deep body temperatures and questionnaires.Results67.0% of Japanese women and 57.0% of Brazilian women were aware of hiesho, which showed a significant difference between the Japanese and Brazilian women (p = 0.034). The difference between forehead and sole temperatures was 2.0°C among Japanese and 2.8°C among Brazilians in June-July (p = 0.01). But in November the difference between those temperatures was 5.2°C among Japanese and 2.8°C among Brazilians (p < 0.001).ConclusionsThere are differences between Japanese and Brazilians
  • Prophylactic interventions after delivery of placenta for reducing bleeding during the postnatal period (Protocal)
    Yaju Y, Kataoka Y, Eto H, Horiuchi S, Mori R
    Cochrane Database(9) 2011
  • Intimate partner violence against Japanese and non-Japanese women in Japan : A cross-sectional study in the perinatal setting
    Eriko Inami, Yaeko Kataoka, Hiromi Eto, Shigeko Horiuchi
    Japan Academy of Nursing Science(7) 84-95 Jan. 2010
  • Evaluation of the labor curve in nulliparous Japnaese women
    Rituko Suzuki, Shigeko Horiuchi
    American Journal of Obsterics & Gynecology 203(3) 226. e1-6 Jan. 2010
  • The Physiological and Emotional Responses to the Care for Postpartum Uterine Contraction
     11(1) 10-18 Jun. 2007
  • Transision of Mother's and Infants' Sleep Patterns During the 5th through 12th Weeks Postpartum.
    (28) 18-27 Mar. 2002
    Continuous sleep-logs kept by mothers were used to investigate mothers' and infants' sleep patterns from the fifth through twelfth weeks in the postpartum period. Subjects were twenty-two pairs of primiparae and their infants. Data described 1,104 days for the mothers and 1,147 days for their infants.We calculated sleep parameters: total sleep time (TST), wakefulness (AW), sleep efficiency, number of awakenings and total naptime. Means for each week were calculated from daily data. Parameters were analyzed by one-way repeated measures of analysis of variance.After the 5th and 6th weeks, mothers' TST increased from 354.4 minutes in week 5 to 418.1 minutes in week 11 and AW at night decreased from 81.2 minutes in week 5 to 36.8 minutes in week 12. The % AW at night decreased gradually; the increase in TST was seen especially after the 9th week.A gradual transition from interrupted sleep to non-interrupted sleep in the mothers was observed between 9 and 12 weeks postpartum. These results from continuous sleep-logs are similar to our previous findings based on intermittent polysomnographic measurements.There is no significant relationship between %AW at night and total n
  • Social Support in Mother and Child:Review(1)
    ARIMORI Naoko, HORIUCHI Shigeko
    Journal of Japan Academy of Midwifery 5(1) 40-48 1991 [Refereed]
  • Tutorial performance in problem-based learning -an analysis of tutor conference-
    (26) 21-30
    Problem-Based Learning(PBL) is a challenging new educational concept.The tutor's role as facilitator is essential to this concept.The purpose of this study was to clarify the performance of the tutor in supporting student learning.Our process, therefore, was to analyze interaction between students and tutors during PBL.The subjects were thirteen tutors.We analyzed the content of discussions during twenty tutor conferences.The study focused on tutorial performance, which included the content and objectives used in the PBL. The findings were as follows:Five categories were derived from the content analysis of transcribed discussion data and tutor's notes, (1)allowing students to decide the starting point, (2)allowing students to make their own rules, (3)understanding that the learning center is the student's own point of view, (4)expecting and supporting the progress of learning, and(5)encouraging and assuring student learning.The tutors used these standards of performance(categories 1 to 5)in all PBL group sessions.
  • Relationships Between Wakefulness of Mothers and Their Infants' Movements During Night Sleep of Postpartum 6 Weeks.
    (22) 42-51
    Relationships between wakefulness of mothers and their infants'movements during night sleep in postpartum period were studied under conditions in daily life. Subjects were ten primiparae, aged 23-31yrs(mean age, 26.8yrs), who had a normal course of pregnancy and delivery.Eight of their infants were breast-fed, and two were formula-fed.Mothers' polysomnograms, (EEG, EOG, EMG, and ECG)and actigrams of infants'legs were simultaneously recorded using Medilog 9000 at home in the 1st, 3rd and 6th postpartum weeks.Mothers' sleep stages and their infants' movements were visually scored by an epoch of one minute.The infants' movements were classified into four states, MOV0, MOV1, MOV2, and MOV3.We defined MOV0 as no activities during one epoch, MOV1 as less than 20 seconds activities, MOV2 as from 20 to 40 seconds activities and MOV3 as from 40 to 60 seconds activities. The average times of wakefulness on the mothers were 102.6min(SD=23.5), 84.8min(SD=52.8), and 79.4min(SD=40.5)for 1st, 3rd and 6th postpartum weeks, respectively.There were no significant differences among them. The mothers' wakefulness coincided with the infants' movements MOV3
  • On the Relationship Between the Acceptance of Menopause and Mental-Physical Complaints of Menopausal Women.
    (15) 44-55
    This investigation is about the relationship between the mental and physical complaints in the respective stages of pre-, peri- and post-menopausal periods and the acceptance of menopause and the influencing factors. The random sampling of the women aged 35-60 living in Tokyo was made with 304 effective answers. The average for age the last menstrual period was 50.7 years old. Many of them positively accepted the menopause. However, many in the pre-menopausal group replied that during the menopausal period mental and physical disorders developed. On the other hand, many in the post-menopausal group replied that those symptoms did not accompany. More than 90% of the subjects had some kind of simptoms. The group which was expecting the menopause soon had statistically significant instances of neuro-endocrine symptoms(irregular menstruation, hot fit, sensitive perception). The subjects who had many symptoms, had a sickness, had no job, had troubles in their daily lives and felt that the symptoms were painful and tried to get along with the symptoms. As the factors influencing the acceptance of menopause, age, the number of complaints, Selfesteem, attitude towar
  • Subjective Estimation of Sleep Patterns During Postpartum Period Compared with Pregnancy Periods.
    (16) 49-59
    The purpose of this study was to investigate women's subjective estimation of sleep during the early postpartum period and also to detect the changes in sleep patterns during pergnancy and the postpartum period. The questionnaire consisted of three major categories.Namely, “Factors related to falling asleep and during sleep, ““Factors related to awaking feeling, “and “Satisfaction resulting from sleep“ were developed.Eighty-six cases answered out of 100 postpartum women. The results were compared with a previous study of 289 pregnant cases. In terms of “influencing factors during falling asleep, “about half of the subjects complained of a shortage of sleep hours even though more than half of the subjects answered that “falling asleep“ was “good“ and “depth“ was “deep.“ Approximately 90 percent of the postpartum women answered “still sleepy“ and “tired feeling, “although feeling was good on awaking. As a whole, more than half of the subjects expressed feelings of dissatisfaction about their sleep. The cause of awaking was shifted from the women's physical factors to factors related to caring for the neonate. Most of the women dur
  • An Analysis of Emotional Experience of Primiparas During Labor.
    (13) 9-14
    During a course of delivery, primiparas have certain emotional experience. Purpose of this study is to analysis emotional experience of the primiparas during labor in regard to relationship between primiparas with the health team members such as nurses, midwives and obstetricians. Structured interview with 4 primiparas is carried out between 24 to 48 hours after the delivery. The emotional experiences are classified into two major categories namely, positive feeling and negative feeling. As a result, the expressed feeling of primiparas which classified under positive feelings are feeling of acceptance, fulfillment and satisfaction. The feelings classified under negative feeling are discrepancy between the expectation and reality, threatning and anger. Factors influenced on positive feeling are comfort measures given as a direct care by nurses, midwives. Negative feelings are induced by lack of communication between primiparas and health team members, in terms of lack of empathetic intuition into primiparas expection.

Conference Activities & Talks

  • Partnership Model of Global Collaboration:The Shared Value of “ Humanized Childbirth ”In Tanzania
    Yoko Shimpuku, Shigeko Horiuchi, Miwako Matsutani, Hiromi Eto, Yasuko Nagamatsu, Michiko Oguro, Mariko Iida, Yukari Yaju
    East Asian Forum of Nursing Scholars 17th International Conference Feb. 2014
  • Team-Based learning Collaborative
    Naoko Matsumoto, Toshiko Ibe, Shigeko Horiuchi, Hiromi Eto, Kuniko Sato, Kinya Tamaki
    Team-Based learning Collaborative Mar. 2013
    Trial of Team-Based learning in Imformation Literacy Program for Nurse managers
  • Humanization of Childbirth with Women-Centered Care (HC/WCC): Japanese Nurse-Midwives’ Application of the Concept to Global Health Research, Education, and Practice
    Shimpuku, Y Horiuchi, S
    10th Annual National Conference, Asian American Pacific Islander Nurses Association Mar. 2013
  • Process report of the collaborative project to develop the Master’s program in Midwifery in Tanzania: The seminar of “Humanized Childbirth”
    Shimpuku, Y, Horiuchi, S, Matsutani, M, Eto, H, Nagamatsu, Y, Oguro, M, Iida, M. Yaju,Y, Mori, T
    7th St. Luke’s Academia Feb. 2013
  • The Influence of feeding method on a mother's daily rhythem and on the development of her infant's Circadian Rest activitiy rhythem
    Sawa Kikuchi, Kyoko Nishihara, Hiromi Eto, Shigeko Horiuchi, Yoko Hoshi
    Congress of the European Sleep Research Sciety Sep. 2012
  • Starting a Midwifery Master’s programme in Tanzania: Lesson learned from the collaborative project between Tanzania and JapanConference (Port Louis, Mauritius) September 2012
    Shimpuku, Y, Horiuchi, S, Leshabari, S, Malima, K, Matsutani, M, Eto, H, Nagamatsu, Y, Oguro, M. Yaju
    th The East, Central, and Southern African College of Nursing the10th Scientific Conferece Sep. 2012
  • Women's perceptions on antenatal care related to traditional beliefs in rural area in Indonesia
    Yenita Agus, Horiuchi Shigeko
    15th East Asia Forum of Nursing Schlors (EAFONS) Feb. 2012
  • Infant's sleep development during the first 12 weeks under nocturnal co-sleep conditions
    H.Eto, S.Horiuchi, K. Nishihara
    20th Congress of the European Sleep Research Society Sep. 2010
  • Evidence-practice gap in material health care in Japan
    Yukari Yaju, Hiromi Eto, Yaeko Kataoka, Shigeko Horiuchi
    The 7th International Nursing Conference Oct. 2009
  • Invited Lecture : Increasing Nursing Care Demands & Expanding Regulations in an Aging Society : The Evidence Based Nursing
    Shigeko Horiuchi
    The 7th International Nursing Conference Oct. 2009
  • Considering “Decision Making ” as One of the Concepts of “Women-Centered Care ” During Pregnanncy in Japan
    Iida M, Horiuchi S, Arimori N
    5th International Shared Dicision Making Conterence Jun. 2009
  • Development and Evaluation of a Support Program for Pregnant Women who are Considering Prenatal Testing
    Tsuji, K, Arimori, N, Horiuchi, S, Yusa, H, Takeshita, N, Arita, M, Yoshino, M, Shioda, K, Sakakibara, Y, Sato, K
    21th Annual ISONG Conference Nov. 2008
  • Development and Evaluation of a Support Program for Pregnant Women who are Considering Prenatal Testing
    Horiuchi, S, Mori, A, Nakayama, K, Nakagomi, S, Miyo, K, Yoshino, M, Tsuji, K
    21th Annual ISONG Conference Nov. 2008
  • Characteristics of micro-arousals in pregnant women's sleep at naight:A comparison with non-pregnant women's sleep
    K. Nishihara, S. Horiuchi, H. Eto, M. Honda
    The 19th Europe Sleep Research Conference Sep. 2008
  • Characteristics of micro-arousals in pregnant women's sleep at night : A comparison with non-pregnant Women'S sleep
    HORIUCHI Shigeko
    The 19th Europe Sleep Research Conference Sep. 2008
  • Co-Sleeping :Infant Sleep Development in the First 12 Weeks
    HORIUCHI Shigeko
    The 11th World Association for Infant Metal Health Aug. 2008
  • Effects of Endortracheal suctioning and Respiratory Physical Therapy on Very-Low Birth- Weight Infants
    HORIUCHI Shigeko
    28th International Congress of Miedwives Jun. 2008
  • Childbirth Experiences of Immigrant women in Japan
    28th International Congress of Midwives Jun. 2008
  • Masters Education for Nurse-Midwives : Is it necessary?
    HORIUCHI Shigeko
    28th International Congress of Midwives Jun. 2008
  • Masters Education for Nurse-Midwives : Is it necessary ?
    Hiromi Eto, Yaeko Kataoka, Shigeko Horiuchi, Akiko Mori, Naoko Arimori, Masako Momoi, Kumiko Nagamori, Kaoru Osumi, Sachiyo Nakamura
    28th International Congress of Midwives 2008 Jun. 2008
  • Effects of Endotracheal Suctioning and Respiratory Physical Therapy on Very-Low Birth-Weight Infants
    Yoshie Kondoh, Yoko Sato, Shigeko Horiuchi, Rika Fukui
    28th International Congress of Midwives 2008 Jun. 2008
  • Childbirth Experiences of Immigrant women in Japan
    Yukari Fujiwara, Shigeko Horiuchi
    28th International Congress of Midwives 2008 Jun. 2008
  • Follow-up Report on the Evaluation of Six Leaflets in Six Languages : Implications for Transcultural Midwifery Care in Japan.
    Yukari Fujiwara, Hiromi Suda, Shigeko Horiuchi
    Transcultural Nursing Society 33rd Annual Conference Sep. 2007
  • A long-term monitoring of fetal movement: Evoked maternal micro-arousals during sleep
    Kyoko Nishihara, Shigeko Horiuchi, Hiromi Eto, Makoto Honda
    21st Annual Meeting of the Associated Professional Sleep Societies Jun. 2007
  • A Tentetive study of causal model on the Japanese vision Decisional Conflicts Scale (DCS) by means of convariance structure analysis.
    Arimori N, Tsuji K, Yanai H, Doeda N, Oguro M, Horiuchi S
    4th International Shared Decision Makingn Conference May 2007
  • Evaluation of Capacity Building Program for Union of Myanmar Community Level Women’s Voluntary Groups
    Michiko Oguro, Hiromi Eto, Tsuchiya Madoka, Kaoru Oosumi, Shigeko Horiuchi
    International Council of Nurses, 2007 May 2007
  • Development of a Genetic Nursing Education Program about Prenatal Tests Using an e-learning System.
    Naoko Arimori, Satoko Nakagomi, Keiko Tuji, Michiko Aoki, Shigeko Horiuchi, Kazuhiro Nakayama, Akiko Mori, Kengo Miyo
    The 20th Annual International Society of Nurses in Genetics Conference May 2007
  • Capacity Building of Women Volunteer Group in Union of Myanmar: Material and Child Health in the Rural Regions 2003-2004
    Michiko Oguro, Hiromi Eto, Tsuchiya Madoka, Kaoru Oosumi, Shigeko Horiuchi
    4th International Multidesciplinary Conference in collaboration with the Global Network of the WHO Collaborating Centres of Nursing and Midwifery Development. Jun. 2006
  • Capacity Building of Women Volunteer Group in Union of Myanmar: follow up Evaluation in 2005
    4th International Multidesciplinary Conference in collaboration with the Global Network of the WHO Collaborating Centres of Nursing and Midwifery Development. Jun. 2006
    Capacity Building of Women Volunteer Group in Union of Myanmar: follow up Evaluation in 2005
  • Development Process: Clinical Guidelines for Domestic Violence Victims in Perinatal Clinical Settings
     Mar. 2003

Misc

  • Japan Academy of Midwifery: Evidence-based guidelines for midwifery care in pregnancy, childbirth and postnatal - 2020 Edition
    Journal of Japan Academy of Midwifery 33(別冊) 1-183 Jan. 2020
  • 実践報告 聖路加国際大学3年次学士編入制度 開始半年後から2年目前半における1年間のプロセス
    下田 佳奈, 川端 愛, 齋藤 あや, 堀内 成子
    聖路加国際大学紀要 5 68-71 Mar. 2019
  • 国際共同研究におけるミャンマー拠点形成の実際(2018年度)
    増澤 祐子, 小黒 道子, 下田 佳奈, 白倉 真理子, 野矢 麻子, 堀内 成子
    聖路加国際大学紀要 5 54-56 Mar. 2019
  • 産後のボンディング障害、マタニティブルーズ、疲労感と唾液オキシトシン値との関連 予備研究
    宍戸 恵理, 周尾 卓也, 高畑 香織, 田所 由利子, 八重 ゆかり, 堀内 成子
    日本助産学会誌 32(3) 331-331 Feb. 2019
  • ローリスク妊婦における1時間の乳頭刺激による3日間の唾液オキシトシン推移
    高畑 香織, 堀内 成子, 田所 由利子, 周尾 卓也
    日本助産学会誌 32(3) 461-461 Feb. 2019
  • 産後のボンディング障害、マタニティブルーズ、疲労感と唾液オキシトシン値との関連 予備研究
    宍戸 恵理, 周尾 卓也, 高畑 香織, 田所 由利子, 八重 ゆかり, 堀内 成子
    日本助産学会誌 32(3) 331-331 Feb. 2019
  • ローリスク妊婦における1時間の乳頭刺激による3日間の唾液オキシトシン推移
    高畑 香織, 堀内 成子, 田所 由利子, 周尾 卓也
    日本助産学会誌 32(3) 461-461 Feb. 2019
  • Learning experiences as the first JICA course student in Tanzania
    Tada, K, Shimpuku, Y, Horiuchi, S
    St. Luke's Bulletin 5 43-47 2019
  • オキシトシン受容体遺伝子の一塩基多型が唾液オキシトシン濃度と妊娠末期の子宮収縮に及ぼす影響
    高畑 香織, 田所 由利子, 周尾 卓也, 堀内 成子
    日本看護科学学会学術集会講演集 38回 [P1-3 Dec. 2018
  • オキシトシン受容体遺伝子の一塩基多型が唾液オキシトシン濃度と妊娠末期の子宮収縮に及ぼす影響
    高畑 香織, 田所 由利子, 周尾 卓也, 堀内 成子
    日本看護科学学会学術集会講演集 38回 [P1-3 Dec. 2018
  • 分娩誘発・陣痛促進のタイミングとリスク管理 安全で効果的な進め方 09 助産師にできる分娩誘発・陣痛促進のコツ
    増澤祐子, 増澤祐子, 宍戸恵理, 宍戸恵理, 堀内成子, 堀内成子
    ペリネイタルケア 37(8) 748‐752 Aug. 2018
  • 【分娩誘発・陣痛促進のタイミングとリスク管理 安全で効果的な進め方】 助産師にできる分娩誘発・陣痛促進のコツ
    増澤 祐子, 宍戸 恵理, 堀内 成子, 日本助産学会ガイドライン委員会
    ペリネイタルケア 37(8) 748-752 Aug. 2018
  • 周産期喪失を体験している女性と家族がバースプランを使用する意義
    北園 真希, 布施 明美, 関 千明, 蛭田 明子, 堀内 成子
    母性衛生 59(2) 345-354 Jul. 2018
    周産期緩和ケア(PPC)を提供している1施設におけるバースプラン(BP)使用実態と、周産期喪失におけるBPの使用意義を明らかにすることを目的とした。収斂デザインによる混合研究法を用いた。量的データの対象者は流死産・新生児死亡、妊娠期に子どもが致死的と診断されるなど、周産期喪失を体験している女性102名であった。BPに関する事前説明を69名が受け、33名は受けていなかった。BPを提出した42名は全員、事前説明を受けていた。事前説明を受けなかった場合は誰も提出しなかった。BPの事前説明の有無は、妊娠期間に医療者と関わる時間の長さ、子どもの状態、分娩方法と関連が認められた。35名のBPに基づく質的分析からは、【出産の支援】【親役割の遂行】【子どもの安楽】【望まないこと】が希望として抽出された。BPを提出するためには医療者からの事前説明が不可欠であった。BPは女性と家族が「希望を表明できる機会」と認識し、個別の願いや心情に基づいた希望を医療者と共有するための一助となることが示唆された。(著者抄録)
  • 早産児を出産した母親の産褥早期の母乳分泌を促す搾乳ケア:文献レビュー
    田中利枝, 田中利枝, 岡美雪, 北園真希, 北園真希, 丸山菜穂子, 堀内成子, 堀内成子
    日本助産学会誌 32(1) 15‐26-26 Jun. 2018
    目的 産科看護者に向けた、早産児の母親の産褥早期の母乳分泌を促す教育プログラムを開発する端緒として、母親の母乳分泌を促すための搾乳ケアについて探索する。対象と方法 PubMed、CINAHL Plus with Full Text、医学中央雑誌Web、Ver.5を用い文献検索を行った。さらにCochrane Libraryに掲載されている搾乳に関するレビューに用いられている文献を追加した。その中からタイトル、抄録、本文を参考に、早産児の母親の母乳分泌量をアウトカムとする文献を抽出し、Cochrane Handbook、RoBANS、GRADE Handbookを用い、文献の質の評価を行った。また、研究目的、方法、結果について整理し、母親の母乳分泌を促すための搾乳ケアを抽出した。結果 35文献が抽出され、介入研究24件、観察研究11件であった。無作為化、隠蔽化、盲検化に関する記述が不十分で、サンプルサイズが検討されていないなど、ランダム化比較試験の質は低く、交絡変数の検討が不十分なために非ランダム化比較試験の質も低かったが、観察研究から実践に活用可能と考えられるエビデンスが得られた。早産児を出産した母親の母乳分泌を促すための搾乳ケアでは、分娩後、可能な限り1時間以内に搾乳を開始すること、1日7回以上の搾乳回数、1日100分以上の搾乳時間を確保すること、手搾乳と電動搾乳の両方について十分な説明を行い、乳汁生成II期に入るまで電動搾乳に1日6回以上の手搾乳を追加すること、カンガルーケアを実施することが有用だとわかった。結論 今後は、産科看護者による早産児を出産した母親への搾乳ケアに関する実態把握を行い、母親の母乳分泌を促すための搾乳ケアが実践できるような教育プログラムを開発していく。(著者抄録)
  • 妊婦を対象としたふれて・感じる「Mama’s Touchプログラム」の実行可能性―オキシトシン・コルチゾールによる評価;予備研究―
    園田希, 園田希, 小川真世, 田所由利子, 高畑香織, 周尾卓也, 堀内成子, 堀内成子
    日本助産学会誌 32(1) 60‐72-72 Jun. 2018
    目的 唾液中オキシトシンおよび唾液中コルチゾールを「Mama's Touchプログラム」の評価指標とすることの実行可能性を検討することである。方法 妊娠38週台と妊娠39週台の計2回、プログラムに参加する介入群とプログラムに参加しない対照群の2群比較を実施した。プログラムは、対象者が乳児とその母親の関わりを観察し、抱っこやあやすなど実際に乳児と関わる60分間のプログラムである。両群とも、研究開始前(Pre)、研究開始後30分(Post 30)、研究開始後60分(Post 60)の3時点で唾液を採取した。唾液採取・オキシトシン濃度の解析およびコルチゾール濃度の解析・乳児とのふれ合いについて分析した。結果 妊娠38週台は介入群7名、対照群6名が研究に参加したが、妊娠39週台では介入群5名、対照群5名となった。オキシトシン濃度は、妊娠38週台、妊娠39週台ともにばらつきが大きいという結果であった。コルチゾール濃度は、妊娠38週台、妊娠39週台ともに両群ともPre- Post 30- Post 60と低下した。なかでも、妊娠39週台の介入群ではPre- Post 30で有意に低下していた(p=.044)。69検体(唾液量0.5mLから6.0mL)のうち、オキシトシン濃度は45検体(65.2%)で、コルチゾール濃度は全ての検体でduplicate assayにて解析できた。プログラムを実施した介入群では、乳児の発達や反応は個別性がありふれ合いの体験の内容に多様性があった。結語 唾液中オキシトシンおよび唾液中コルチゾールを「Mama's Touchプログラム」の評価指標とすることは、唾液採取法、生理学的解析、乳児とのふれ合いという点で実行可能性が確認された。今後は、対象数の拡大、無作為割り付き、乳児の月齢やふれ合いの内容の統一、母親からの教示を規定するという工夫、唾液採取量の増加などオキシトシン濃度解析可能検体数の増加に向けた改善が課題である。(著者抄録)
  • 早産児を出産した母親の産褥早期の母乳分泌を促す搾乳ケア 文献レビュー
    田中 利枝, 岡 美雪, 北園 真希, 丸山 菜穂子, 堀内 成子
    日本助産学会誌 32(1) 15-26 Jun. 2018 [Refereed]
    目的 産科看護者に向けた、早産児の母親の産褥早期の母乳分泌を促す教育プログラムを開発する端緒として、母親の母乳分泌を促すための搾乳ケアについて探索する。対象と方法 PubMed、CINAHL Plus with Full Text、医学中央雑誌Web、Ver.5を用い文献検索を行った。さらにCochrane Libraryに掲載されている搾乳に関するレビューに用いられている文献を追加した。その中からタイトル、抄録、本文を参考に、早産児の母親の母乳分泌量をアウトカムとする文献を抽出し、Cochrane Handbook、RoBANS、GRADE Handbookを用い、文献の質の評価を行った。また、研究目的、方法、結果について整理し、母親の母乳分泌を促すための搾乳ケアを抽出した。結果 35文献が抽出され、介入研究24件、観察研究11件であった。無作為化、隠蔽化、盲検化に関する記述が不十分で、サンプルサイズが検討されていないなど、ランダム化比較試験の質は低く、交絡変数の検討が不十分なために非ランダム化比較試験の質も低かったが、観察研究から実践に活用可能と考えられるエビデンスが得られた。早産児を出産した母親の母乳分泌を促すための搾乳ケアでは、分娩後、可能な限り1時間以内に搾乳を開始すること、1日7回以上の搾乳回数、1日100分以上の搾乳時間を確保すること、手搾乳と電動搾乳の両方について十分な説明を行い、乳汁生成II期に入るまで電動搾乳に1日6回以上の手搾乳を追加すること、カンガルーケアを実施することが有用だとわかった。結論 今後は、産科看護者による早産児を出産した母親への搾乳ケアに関する実態把握を行い、母親の母乳分泌を促すための搾乳ケアが実践できるような教育プログラムを開発していく。(著者抄録)
  • 日本助産学会 エビデンスに基づく助産ガイドライン 妊娠期・分娩期2016の概要(The outline of "Japan Academy of Midwifery: Evidence-based guidelines for midwifery care in pregnancy and childbirth-2016 edition")
    飯田 真理子, 片岡 弥恵子, 江藤 宏美, 田所 由利子, 増澤 祐子, 八重 ゆかり, 浅井 宏美, 櫻井 綾香, 堀内 成子, 日本助産学会
    日本助産学会誌 32(1) 73-80 Jun. 2018
    周産期を通して安全で快適なケアを提供するには助産実践指針が必要である。日本助産学会は健康なローリスクの女性と新生児へのケア指針を示した「エビデンスに基づく助産ガイドライン-妊娠期・分娩期2016」を刊行した。この2016年版は2012年版に新たに妊娠期の臨床上の疑問(Clinical Question、以下CQ)を13項目加え、既にある分娩期のCQ30項目には最新のエビデンスを加えた。このガイドラインでは助産実践を行う上で日常助産師が遭遇しやすい臨床上の疑問に答え、ケアの指針を示している。推奨は最新のエビデンスに基づいているため、ここに示している内容は現時点での"最良の実践"と考える。本ガイドラインに期待する役割は次の3つである:1)助産師がエビデンスに基づいたケアを実践し、女性の意思決定を支援するための指針としての役割、2)助産師を養成する教育機関において、日進月歩で進化していく研究を探索する意味を学び、知識やケアの質が改善している事実を学ぶ道具としての役割、3)研究が不足し充分なエビデンスが得られていない課題を認識し、研究活動を鼓舞していく役割。そして本稿においてガイドラインの英訳を紹介する目的は次の通りである:1)日本の助産師が編纂したガイドラインを世界に紹介・発信すること、2)日本の研究者が英語で本ガイドラインを引用する際の共通認識として用いること。2016年版では、合計43項目のCQに対して推奨を示しているが、次の6つに関しては産科領域で広く用いられているものの、医行為に関わるため推奨ではなく「エビデンスと解説」にとどめている:CQ1分娩誘発、CQ2卵膜剥離、CQ7硬膜外麻酔、CQ21会陰切開、CQ26会陰縫合、CQ28予防的子宮収縮薬投与。2012年版から推奨が改訂されたCQは次の通りである:CQ3乳房・乳頭刺激の分娩誘発効果、CQ9指圧、鍼療法の産痛緩和効果、CQ14指圧、鍼療法の陣痛促進効果。なお、本論文の一部は「エビデンスに基づく助産ガイドライン-妊娠期・分娩期2016」からの抜粋であり、推奨の部分は翻訳である。(著者抄録)
  • A feasibility and pilot study of the "Mama's Touch Program" for primiparas involving touching and holding infants using oxytocin and cortisol levels as evaluation indexes
    園田 希, 小川 真世, 田所 由利子, 髙畑 香織, 周尾 卓也, 堀内 成子
    Journal of Japan Academy of Midwifery 32(1) 60-72 Jun. 2018
    目的 唾液中オキシトシンおよび唾液中コルチゾールを「Mama's Touchプログラム」の評価指標とすることの実行可能性を検討することである。方法 妊娠38週台と妊娠39週台の計2回、プログラムに参加する介入群とプログラムに参加しない対照群の2群比較を実施した。プログラムは、対象者が乳児とその母親の関わりを観察し、抱っこやあやすなど実際に乳児と関わる60分間のプログラムである。両群とも、研究開始前(Pre)、研究開始後30分(Post 30)、研究開始後60分(Post 60)の3時点で唾液を採取した。唾液採取・オキシトシン濃度の解析およびコルチゾール濃度の解析・乳児とのふれ合いについて分析した。結果 妊娠38週台は介入群7名、対照群6名が研究に参加したが、妊娠39週台では介入群5名、対照群5名となった。オキシトシン濃度は、妊娠38週台、妊娠39週台ともにばらつきが大きいという結果であった。コルチゾール濃度は、妊娠38週台、妊娠39週台ともに両群ともPre- Post 30- Post 60と低下した。なかでも、妊娠39週台の介入群ではPre- Post 30で有意に低下していた(p=.044)。69検体(唾液量0.5mLから6.0mL)のうち、オキシトシン濃度は45検体(65.2%)で、コルチゾール濃度は全ての検体でduplicate assayにて解析できた。プログラムを実施した介入群では、乳児の発達や反応は個別性がありふれ合いの体験の内容に多様性があった。結語 唾液中オキシトシンおよび唾液中コルチゾールを「Mama's Touchプログラム」の評価指標とすることは、唾液採取法、生理学的解析、乳児とのふれ合いという点で実行可能性が確認された。今後は、対象数の拡大、無作為割り付き、乳児の月齢やふれ合いの内容の統一、母親からの教示を規定するという工夫、唾液採取量の増加などオキシトシン濃度解析可能検体数の増加に向けた改善が課題である。(著者抄録)
  • エビデンスに基づく助産ガイドライン 妊娠期・分娩期2016の概要(The outline of "Japan Academy of Midwifery: Evidence-based guidelines for midwifery care in pregnancy and childbirth-2016 edition")
    飯田 真理子, 片岡 弥恵子, 江藤 宏美, 田所 由利子, 増澤 祐子, 八重 ゆかり, 浅井 宏美, 櫻井 綾香, 堀内 成子, 日本助産学会
    日本助産学会誌 32(1) 73-80 Jun. 2018
    周産期を通して安全で快適なケアを提供するには助産実践指針が必要である。日本助産学会は健康なローリスクの女性と新生児へのケア指針を示した「エビデンスに基づく助産ガイドライン-妊娠期・分娩期2016」を刊行した。この2016年版は2012年版に新たに妊娠期の臨床上の疑問(Clinical Question、以下CQ)を13項目加え、既にある分娩期のCQ30項目には最新のエビデンスを加えた。このガイドラインでは助産実践を行う上で日常助産師が遭遇しやすい臨床上の疑問に答え、ケアの指針を示している。推奨は最新のエビデンスに基づいているため、ここに示している内容は現時点での"最良の実践"と考える。本ガイドラインに期待する役割は次の3つである:1)助産師がエビデンスに基づいたケアを実践し、女性の意思決定を支援するための指針としての役割、2)助産師を養成する教育機関において、日進月歩で進化していく研究を探索する意味を学び、知識やケアの質が改善している事実を学ぶ道具としての役割、3)研究が不足し充分なエビデンスが得られていない課題を認識し、研究活動を鼓舞していく役割。そして本稿においてガイドラインの英訳を紹介する目的は次の通りである:1)日本の助産師が編纂したガイドラインを世界に紹介・発信すること、2)日本の研究者が英語で本ガイドラインを引用する際の共通認識として用いること。2016年版では、合計43項目のCQに対して推奨を示しているが、次の6つに関しては産科領域で広く用いられているものの、医行為に関わるため推奨ではなく「エビデンスと解説」にとどめている:CQ1分娩誘発、CQ2卵膜剥離、CQ7硬膜外麻酔、CQ21会陰切開、CQ26会陰縫合、CQ28予防的子宮収縮薬投与。2012年版から推奨が改訂されたCQは次の通りである:CQ3乳房・乳頭刺激の分娩誘発効果、CQ9指圧、鍼療法の産痛緩和効果、CQ14指圧、鍼療法の陣痛促進効果。なお、本論文の一部は「エビデンスに基づく助産ガイドライン-妊娠期・分娩期2016」からの抜粋であり、推奨の部分は翻訳である。(著者抄録)
  • 分娩介助指導における熟練指導者にみられた臨床指導実践能力の特徴
    菱沼由梨, 堀内成子
    日本助産師学会抄録集 74th 31 May 2018
  • 医療介入を見極める乳腺炎診断アセスメントツール開発に向けた基礎調査
    長田知恵子, 堀内成子
    日本助産師学会抄録集 74th 33 May 2018
  • The relationships among women's perception of "women-centred care", maternity blues and postpartum depression
    飯田真理子, 堀内成子, 堀内成子, 永森久美子
    母性衛生 59(1) 81‐89 Apr. 2018
  • Hope of delivery using epidural anesthesia during labor compared with no anesthesia and delivery outcomes
    宍戸恵理, 宍戸恵理, 堀内成子, 堀内成子
    母性衛生 59(1) 112-120 Apr. 2018
  • Conclusions from an Early Essential Newborn Care Seminar Held at a Health Facility in Tanzania
    福冨理佳, 五十嵐由美子, 新福洋子, 片岡弥恵子, 堀内成子
    聖路加国際大学紀要 4 58‐62 Mar. 2018
  • Preparation Necessary for Conducting Field Research in Tanzania: Cultural Understanding, Ethical Clearance, and Safety Management
    Shimpuku, Y, Shimoda, K, Horiuchi, S
    St. Luke's International University Bulletin 4 33-37 Mar. 2018
  • 妊娠後期女性におけるクラリセージ・ラベンダー精油,ジャスミン精油による足浴前後のオキシトシン・コルチゾールの変化:非無作為化臨床試験
    田所由利子, 堀内成子, 堀内成子, 高畑香織, 岡美雪, 周尾卓也, 片岡弥恵子, 八重ゆかり
    日本助産学会誌 31(3) 319-319 Feb. 2018
  • 明日から使える!冷え症ケアの「技」の実施と評価
    中村幸代, 毛利多恵子, 竹内翔子, 堀内成子, 飯田真理子, 中村幸代, 毛利多恵子, 竹内翔子, 堀内成子, 堀内成子, 飯田真理子
    日本助産学会誌 31(3) 380-380 Feb. 2018
  • 妊娠末期における陣痛発来のための乳頭刺激プロトコルおよび唾液オキシトシン測定の実行可能性
    高畑 香織, 堀内 成子, 田所 由利子, 周尾 卓也, 八重 ゆかり
    日本助産学会誌 31(3) 381-381 Feb. 2018
  • 搾乳モデル機器の開発
    長田 知恵子, 堀内 成子
    日本助産学会誌 31(3) 393-393 Feb. 2018
  • 妊婦が乳児とふれあう「Mama Touchプログラム」および唾液オキシトシン測定の実行可能性
    小川 真世, 園田 希, 田所 由利子, 高畑 香織, 周尾 卓也, 堀内 成子
    日本助産学会誌 31(3) 475-475 Feb. 2018
  • 育児支援プログラム「HUG Your Baby」の有用性 産後のアンケートとインタビューを通して
    柏原 由梨恵, 新福 洋子, 堀内 成子
    日本助産学会誌 31(3) 476-476 Feb. 2018
  • ローリスク初産婦における陣痛発来を目的とした乳頭刺激によるオキシトシンへの影響:準ランダム化比較試験
    高畑香織, 堀内成子, 堀内成子, 田所由利子, 丸山菜穂子, 周尾卓也
    母性衛生 58(3) 230-230 Sep. 2017
  • 妊娠28週以降の骨盤位の頻度と自然回転率
    東原 亜希子, 堀内 成子, 山中 美智子
    母性衛生 58(2) 371-379 Jul. 2017
    【目的】妊娠28週から分娩に至るまでの骨盤位の頻度および頭位への自然回転率の推移を探索する。【方法】診療録の後方視的調査を行った。選択基準は、1)日本人を含めたアジア人女性、2)2007年4月1日〜2015年3月31日の間に分娩に至ったもの、3)妊娠28週以降の単胎、4)外回転術を実施していないものとした。【結果】妊娠28週から分娩までの健診で胎位が確認できた2,112名の骨盤位の頻度を妊娠週数毎にみると、妊娠28週時点で24.2%、妊娠30週で17.4%、妊娠32週11.6%、妊娠34週7.6%、妊娠36週5.6%、分娩時5.4%であった。骨盤位から頭位への自然回転率は妊娠28週で82.2%、妊娠30週で72.8%、32週で58.6%、妊娠34週で37.3%、妊娠36週で10.2%であり、分娩に近づくにつれ下降していた。また、頭位への自然回転率には、分娩歴の差を認めなかった。【結語】骨盤位から頭位への自然回転率は、妊娠32週では58.6%であったが、妊娠34週では37.3%になっていた。従って、骨盤位のままでとどまるかどうかは、妊娠32週から34週の時期が境界になる可能性があった。(著者抄録)
  • 妊娠28週以降の骨盤位の頻度と自然回転率
    東原 亜希子, 堀内 成子, 山中 美智子
    母性衛生 58(2) 371-379 Jul. 2017
    【目的】妊娠28週から分娩に至るまでの骨盤位の頻度および頭位への自然回転率の推移を探索する。【方法】診療録の後方視的調査を行った。選択基準は、1)日本人を含めたアジア人女性、2)2007年4月1日〜2015年3月31日の間に分娩に至ったもの、3)妊娠28週以降の単胎、4)外回転術を実施していないものとした。【結果】妊娠28週から分娩までの健診で胎位が確認できた2,112名の骨盤位の頻度を妊娠週数毎にみると、妊娠28週時点で24.2%、妊娠30週で17.4%、妊娠32週11.6%、妊娠34週7.6%、妊娠36週5.6%、分娩時5.4%であった。骨盤位から頭位への自然回転率は妊娠28週で82.2%、妊娠30週で72.8%、32週で58.6%、妊娠34週で37.3%、妊娠36週で10.2%であり、分娩に近づくにつれ下降していた。また、頭位への自然回転率には、分娩歴の差を認めなかった。【結語】骨盤位から頭位への自然回転率は、妊娠32週では58.6%であったが、妊娠34週では37.3%になっていた。従って、骨盤位のままでとどまるかどうかは、妊娠32週から34週の時期が境界になる可能性があった。(著者抄録)
  • 混合研究法による助産師の心的外傷体験の実態 PTSD、レジリエンス、心的外傷後成長との関連
    麓 杏奈, 堀内 成子
    日本助産学会誌 31(1) 12-22 Jun. 2017
    目的 喜ばしい体験と同時に不測の急変に直面することのある助産師の心的外傷体験の実態を明らかにし、その心的外傷体験後の心的外傷後ストレス障害(Posttraumatic Stress Disorder:PTSD)発症リスクやレジリエンス、外傷後成長(Posttraumatic Growth:PTG)との関連を探索することである。対象と方法 全国の周産期関連施設と教育機関から、層別化無作為割り付け法で抽出した308施設1,198名の就業助産師に質問紙を郵送した。有効回答者681名(56.8%)のデータから混合研究法を用いて、量的データは統計学的分析を、質的データは自由記載の内容分析を行い、得られたカテゴリと各変数との関連を検討した。結果 心的外傷体験を記載した者は575名(84.4%)で、その内容は【分娩に関連した母子の不測な状態】【助産師の辛労を引き起こした状況】【対象者の悲しみとその光景】【自分に向けられた不本意な発言や苛酷な環境】の4つに分類された。【自分に向けられた不本意な発言や苛酷な環境】という直接外傷体験をした助産師の、日本語版改訂出来事インパクト尺度(Impact of Event Scale-Revised:IES-R)平均値が最も高く、またPTG平均値が最も低かった。さらに86名(15.0%)がその心的外傷体験を機に退職を検討していた。また、PTSDと就業継続意思(r=-.229)、サポートと就業継続意思(r=-.181)、PTSDとサポート得点(r=-.143)、PTGとサポート(r=.148)、PTGとレジリエンス(r=.314)は有意な関連を認めた(p<.001)。結論 直接外傷体験をした就業助産師はPTSD発症リスクが高かった。心的外傷体験をした助産師が職場内のサポートを得ることは、PTSD発症のリスクの低減、離職予防、さらにその助産師を成長させるポジティブな要素として働くことが示唆された。(著者抄録)
  • タンザニアにおけるJICA連携コースと国際協働論演習の相互学習効果(Reciprocal Learning Effects between the JICA Collaborative Course and the International Cooperation Seminar in Tanzania)
    新福 洋子, 堀内 成子, 長松 康子
    聖路加国際大学紀要 3 58-62 Mar. 2017
  • 語ることでもたらされること 周産期喪失後のグリーフ・カウンセリング
    石井 慶子, 堀内 成子, 堀内ギルバート 祥子, 蛭田 明子
    聖路加国際大学紀要 3 84-89 Mar. 2017
  • EBNのステップ The Power of habit
    堀内 成子
    日本遺伝看護学会誌 15(2) 21-26 Mar. 2017
  • 妊婦の冷え症が弛緩出血に及ぼす影響
    中村 幸代, 堀内 成子
    神奈川母性衛生学会誌 20(1) 84-84 Feb. 2017
  • 妊婦のセルフケアプログラム「冷え症改善パック」のマイナートラブルへの効果 ランダム化比較試験
    中村 幸代, 堀内 成子
    日本助産学会誌 30(3) 467-467 Feb. 2017
  • わが子がNICUに入院した母親へのケア ロールプレイによる看護職者教育プログラムの有用性の検討
    木村 晶子, 堀内 成子
    日本助産学会誌 30(3) 493-493 Feb. 2017
  • 助産師主導クリニックにおける多様な分娩体位の実践
    大林 薫, 仙波 百合香, 堀内 成子
    日本助産学会誌 30(3) 576-576 Feb. 2017
  • エビデンスに基づくガイドライン 妊娠期・分娩期 2016
    堀内 成子, 浅井 宏美, 飯田 真理子, 江藤 宏美, 片岡 弥恵子, 櫻井 綾香, 田所 由利子, 増澤 祐子, 八重 ゆかり, 日本助産学会, エビデンスに基づく助産ガイドライン妊娠期, ガイドライン委員会
    日本助産学会誌 30(別冊) 1-126 Jan. 2017
  • 冷え症改善プログラムの自己管理アプリケーションを使用した妊婦による評価
    中村 幸代, 堀内 成子
    日本看護科学会誌 36 60-63 Dec. 2016
    目的:冷え症改善プログラムを実施した妊婦による,自己管理ツールとして開発したWebアプリケーションの使用評価を分析することである.方法:対象は,冷え症改善プログラムを実施した妊婦60名である.Webアプリケーションには,レッグウォーマーの着用,エクササイズの実施,足裏のツボ押しの項目があり,対象者は4週間セルフ評価を実施した.データ収集は実施終了後の質問紙調査であり,リッカート尺度で,「1.全く思わない」〜「5.非常に思う」の5段階で評価した.結果:プログラム実施の継続に役立った:中央値4.0「やや思う」(四分位範囲0.7),自分自身の冷えの状態を認識することができた:中央値4.0(1.0),プログラムを意欲的に実施することができた:中央値4.0(1.0)であった.結論:妊婦によるWebアプリケーションの使用は,プログラムの継続やセルフケアに役に立ったという意見が多く得られた.(著者抄録)
  • 周産期喪失のケアに従事する看護者を対象とした認知行動理論に基づくコミュニケーションスキルプログラムの開発と評価
    蛭田 明子, 堀内 成子, 石井 慶子, 堀内ギルバート 祥子
    日本助産学会誌 30(1) 4-16 Jun. 2016
    背景と目的 患者のケアニーズを引き出し、患者中心のケアを提供するために、コミュニケーションは重要な鍵となる。しかし、周産期喪失は予期せずして起こり、患者の感情と自分自身の感情の双方に対処する難しさから、多くの看護者がコミュニケーションの難しさを経験する。本研究は、周産期に子どもを亡くした両親にケアを提供する看護者を対象に、認知行動理論に基づくコミュニケーションスキルプログラムを開発し、その有用性を評価することを目的とした。方法 一群による事前事後評価研究。対象は周産期喪失のケアに従事する看護師/助産師。プログラムのゴールは、対象者の態度・行動に変容が認められること。有用性の評価指標は、自己効力感、ケアの困難感、共感満足と共感疲労、コミュニケーションの変容とし、プログラム実施前、実施後、実施1ヵ月後の3時点で測定した。結果 47名の看護師/助産師が1日のプログラムに参加、内37名(78.7%)が1ヵ月後の質問紙まで終了した。(1)自己効力感は実施後有意に上昇し(p=.000)、1ヵ月後も実施前より有意に高かった(p=.000)。(2)ケアの困難感は実施後有意に減少し(p=.000)、1ヵ月後も有意に低かった(p=.000)。(3)共感満足と共感疲労は、実施前後で有意差はなかった。サブグループ解析により、実施前に自己効力感が低くケアの困難感が高い群(13名)では、共感疲労の要因である二次的トラウマが有意に減少した(p=.001)。(4)実施1ヵ月後のコミュニケーションの態度・行動の変容を感じている者が28名(75.7%)であった。結論 本プログラムは、看護者の自己効力感を高め、困難感を軽減することに機能し、その変化は1ヵ月後も持続していた。さらに、看護者の認知の変容をもたらし、コミュニケーションにおける態度・行動の変容をもたらしていることが示された。(著者抄録)
  • 生体インピーダンスによる妊婦の体水分と妊娠・分娩期の異常との関連 パス解析を用いた検討
    中田 かおり, 堀内 成子
    日本助産学会誌 30(1) 78-88 Jun. 2016
    目的 生体インピータンスによる妊婦の体水分と関連のある妊娠・分娩期の異常(切迫早産、妊娠高血圧症候群(PIH)、低出生体重等)を探索し、関連を検討する。対象と方法 妊娠26週から29週の健康な単胎妊婦を対象とした。データ収集は、妊娠26〜29週と妊娠34〜36週の妊娠中2回と、分娩終了後に実施した。生体インピーダンスの測定には、マルチ周波数体組成計を使用した。妊婦の体水分と関連のある生理学的検査値と妊娠・分娩経過に関するデータは、質問紙と診療録レビューにより収集した。変数間の関連は、パス解析により検討した。結果 研究協力の承諾を得られた340名の内、332名を分析対象とした。生体インピーダンスとの関連性が示唆された妊娠・分娩期の異常は、「切迫早産およびその疑い(妊娠26〜29週の測定後から妊娠34〜36週の測定まで)」(p<0.01)、「妊娠期の血圧上昇(妊娠34〜36週の測定後から分娩まで)」(p<0.05)、「低出生体重」(p<0.01)であった。「切迫早産およびその疑い」と「低出生体重」はレジスタンス(R)が高く体水分が少ないことが示唆され、「妊娠期の血圧上昇」はRが低く体水分が多いことが示唆された。パス解析の結果、「切迫早産およびその疑い」と「低出生体重」、「妊娠期の血圧上昇」の全てにRあるいはヘモグロビン値(Hb)からのパスを描くことができた。「切迫早産およびその疑い」と「低出生体重」は、RあるいはHbが高く体水分と血漿量が少ない可能性が示唆され、「妊娠期の血圧上昇」ではRが低くHbが高い、つまり体水分は増加しているが血漿量は増加していない、という可能性が示唆された。結論 体水分をあらわす指標と生体インピーダンスおよび、特定の妊娠・分娩期の異常との関連性が示唆された。しかし、異常の予測につながる指標の組み合わせは特定できなかった。今後、妊婦の生活やリスク発見後の対応を考えながら、妊娠期の健康につながる体水分評価指標の組み合わせや基準値を探索する、基礎研究が必要である。(著者抄録)
  • 鍼灸治療を受けた骨盤位の転帰と胎動の変化
    東原 亜希子, 堀内 成子
    日本助産学会誌 30(1) 120-130 Jun. 2016
    目的 胎児が骨盤位である妊婦が鍼灸治療を受けた際の治療経過を追跡し、特に治療に伴う胎動の変化を把握し、鍼灸治療と胎動との関連を探索した。対象と方法 妊娠28週から37週の鍼灸治療を希望する骨盤位妊婦を対象とし、治療前後の心身の反応、不定愁訴の変化、胎動について分析した。胎動の「数」は胎動記録装置(FMAM)を用い客観的指標として把握した。結果 初産婦11名、経産婦1名の計12名を分析対象とした。年齢の平均は32.7歳であった。12名全員、治療延べ24回中毎回「手足がぽかぽかと温かくなる」と答え、「リラックスして眠くなった」妊婦は治療24回中22回(91.7%)に生じ副作用は認められなかった。「足のつり」「イライラ感」が治療前に比べ治療後有意に頻度が減少した(「足のつり」z=-2.53、p=.011、「イライラ感」z=-2.00、p=.046、Wilcoxon符号付き順位和検定)。胎位変換した頭位群は8名(66.7%)、骨盤位のままだった骨盤位群は4名(33.3%)であった。骨盤位診断から治療開始までの日数は、頭位群平均8.6日、骨盤位群27.3日であり、頭位群の方が有意に短かった(t=-3.7、p=.02)。治療開始時期は、頭位群平均31.5週、骨盤位群34.1週であり、頭位群の方が統計的に有意に早い週数で始めていた(t=-2.4、p=.04)。客観的な胎動数の変化として、初回治療時の平均を、「治療前20分」「治療中」「治療後20分」で比較すると、「治療中」に有意差があり、頭位群173.71回/時、骨盤位群105.63回/時と頭位群の方が有意に多かった(t=2.78、p=.02)。対象毎にみると、頭位群では「治療前20分」に比べて、「治療中」または「治療後20分」に胎動が増加していた。結論 鍼灸治療は、手足が温まり、リラックスして眠くなることが生じ、副作用は認められなかった。「足のつり」「イライラ感」の頻度が治療後有意に減少した。胎位変換率は66.7%であり、頭位群は診断から平均8.6日以内に治療を始め、平均妊娠31.5週までに開始していた。胎動の変化として、頭位群は「治療中」または「治療後20分」に胎動増加が認められた。(著者抄録)
  • 生体インピーダンス法を用いた切迫早産およびその疑いのある妊婦の体水分に関する考察
    中田 かおり, 堀内 成子
    日本助産学会誌 29(3) 444-444 Mar. 2016
  • 助産師による自然に生じた会陰裂傷縫合の有効性と安全性の検討
    竹内 翔子, 堀内 成子, 永森 久美子, 山内 淳子, 八重 ゆかり
    日本助産学会誌 29(3) 449-449 Mar. 2016
  • 育児支援クラス"HUG Your Babyプレママ・パパクラス"の実践
    新福 洋子, 飯田 真理子, 麓 杏奈, 仙波 百合香, 永森 久美子, 田中 夢子, 堀内 成子
    日本助産学会誌 29(3) 469-469 Mar. 2016
  • 妊婦のセルフケアプログラム「冷え症改善パック」の有効性 ランダム化比較試験による検証
    中村 幸代, 堀内 成子, 深澤 洋子
    日本助産学会誌 29(3) 480-480 Mar. 2016
  • タンザニア農村部の思春期学生に対するリプロダクティブヘルス教育プログラム評価質問紙改善のための認知インタビュー
    川野 嘉子, 新福 洋子, 堀内 成子
    日本助産学会誌 29(3) 496-496 Mar. 2016
  • 聖路加JICA連携プログラム「タンザニア連合共和国母子保健支援ボランティア連携事業」の実践報告
    新福 洋子, 堀内 成子
    日本助産学会誌 29(3) 586-586 Mar. 2016
  • 都市部の助産師主導クリニックにおける産褥入院(ショートステイ)の意義
    大林 薫, 仙波 百合香, 堀内 成子
    日本助産学会誌 29(3) 623-623 Mar. 2016
  • 【産科領域に対する鍼灸マッサージ】 (PART1)妊婦にみられる症状のメカニズムと接遇の注意点 つわりと逆子を例に
    東原 亜希子, 堀内 成子
    医道の日本 75(1) 164-171 Jan. 2016
  • 【助産実践能力習熟段階(クリニカルラダー)レベルIII認証への期待】 CLoCMiP「レベルIII」認証制度の概要および初年度認証の振り返りと今後の予定
    堀内 成子, 江藤 宏美
    看護 68(2) 040-041 Jan. 2016
  • 助産師の心的外傷体験の実態 PTSD、レジリエンス、心的外傷後成長との関連
    麓 杏奈, 堀内 成子
    母性衛生 56(3) 220-220 Sep. 2015
  • 母乳栄養の支援 母児同床と2週間健診の影響
    浦嶋 由依, 堀内 成子, 畠山 藍, 仙波 百合香
    母性衛生 56(3) 275-275 Sep. 2015
  • 【助産師の将来構想】 日本助産師会ビジョン2025(案) すべての女性に助産師のケアを
    堀内 成子, 山本 詩子, 安達 久美子, 毛利 多恵子, 井本 寛子, 渕元 純子, 将来構想検討特別委員会
    助産師 69(2) 14-24 May 2015
  • Expansion of the International Cooporation Seminar in Women's Health and Midwifery, the Graduate Program, to Tanzania.
    Shimpuku, Y, Fumoto, A, Oba, K, Kawano, Y, Niitsuma, Y, Iwai, K, Oka, M, Nagamatsu, Y, Horiuchi, S
    St. Luke's International University Bulletin 1 46-51 Mar. 2015
  • 【ペリネイタル・ロスのケアを考える】 家族が望むペリネイタル・ロスのグリーフケア 人工死産の会から聞こえる声
    堀内 成子
    助産雑誌 69(3) 208-210 Mar. 2015
  • 【始まる!助産実践能力認証制度】 レベルIII認証を受けるには
    堀内 成子
    助産師 69(1) 22-24 Feb. 2015
  • 周産期喪失後のグリーフ・カウンセリング
    石井 慶子, 堀内 成子, 蛭田 明子, 堀内 祥子
    日本助産学会誌 28(3) 428-428 Feb. 2015
  • 大学院助産教育における国際協働の基礎 タンザニアでの学びと今後の展開
    新福 洋子, 堀内 成子, 長松 康子
    日本助産学会誌 28(3) 475-475 Feb. 2015
  • Risk factors for postpartum hemorrhage : a retrospective multivariate analysis
    前田 菜穂子, 片岡 弥恵子, 岡田 智恵, 堀内 成子, 江藤 宏美
    Health science research 27 29-34 Jan. 2015
    目的:経腟分娩の分娩後出血のリスク因子を検討することを目的とした. 研究方法:主にローリスクの分娩を扱う 1 か所の病院にて,医療記録から分娩後出血とリスク因子データを抽出したケースコントロール研究である.交絡因子を調整するため多重ロジスティック回帰分析を行った. 結果:対象者798名のうち,800ml以上の出血は35人(4.4%)であった.リスク因子として,児出生体重4,000g以上(OR34.4, 95% CI5.2-229.4),子宮筋腫(OR=4.7, 95% CI 1.2-18.1)に有意差が認められた. 結論:分娩後出血のリスク因子として児出生体重と子宮筋腫が明らかになった.これらの因子はスクリーニングに活用することができる.
  • Estimation of Causal Effects of Pregnant Women's Sensitivity to Cold (hiesho) on Uterine Inertia and Prolonged Labor : Adjustment of Confounding Factors by Propensity Scores
    中村 幸代, 堀内 成子, 柳井 晴夫
    日本看護科学会誌 33(4) 3-12 Dec. 2013
  • 晩産化妊婦の冷え症と分娩時異常との関係性
    NAKAMURA SACHIYO, HORIUCHI SHIGEKO
    日本助産学会誌 25(3) 62 Apr. 2012
  • Record of a Nine-year Student Exchange Program between St. Luke’s College of Nursing and Villanova University College of Nursing
    (38) 71-75 Mar. 2012
    〔Abstract〕 Student exchange programs between St. Luke’s College of Nursing in Tokyo, Japan and VillanovaUniversity College of Nursing in Pennsylvania, United States were held eight times from 2002 to 2010.Program participants were obliged to be a part of the future development of St. Luke’s Medical Center,which consists of St. Luke’s International Hospital and St. Luke’s College of Nursing. They were alsoexpected to understand the historical relationship between the Episcopal Church in the United States and St.Luke’s Medical Center, and to become bridges between Japan and the U.S. Four Japanese students and four U.S.students joined the exchange program alternately with the financial and operative support of the AmericanCouncil. This exchange program provided the participants from St. Luke’s College of Nursing with opportunitiesto observe the excellent nursing care practices in the U.S. as well as to recognize the positive aspects ofnursing in Japan through the comparison of nursing practices in the two countries. By drawing on thefeedback received from students who participated in the exchange program, it is hoped that St. Luke’sCollege of Nursing wi
  • Sensitivity to cold among pregnant women : An analysis of Brazilian women
    NAKAMURA Sachiyo, HORIUCHI Shigeko, MORI Taeko, MOMOI Masako
    J. Jpn. Acad. Midwif. 24(2) 205-214 Dec. 2010
    <B>Purpose</B> To analyze the body temperature of pregnant Brazilian women living in Brazil who are aware of <I>hiesho</I> (sensitivity to cold) and to analyze the characteristics of their accessory symptoms during pregnancy and daily activities.<B>Method</B> Subjects were 200 Brazilian women living in Brazil who were in the 20th or later week of pregnancy. Data was collected by measuring body temperature and through a paper questionnaire. The study took place between October 2007 and February 2008.<B>Results</B> 1. The average difference between forehead core temperature and core temperature of the sole of the foot among pregnant women aware of <I>hiesho</I> was 2.8°C and 2.0°C among pregnant women with no awareness of <I>hiesho</I>, a significant difference between the two groups (p=0.018). 2. In a comparison of awareness of <I>hiesho</I> and the scale for determining <I>hiesho</I>, among pregnant women aware of <I>hiesho</I>, 70.2% also met the scale for determining <I>hiesho</I>. Among pregnant women with no awareness of <I>hiesho</I>, 89.5% were determined not to have <I>hiesho</I>, also based on the scale for determining <I>hiesho</I> (Terasawa). 3. With regard to the relationship between <I>hiesho</I> among pregnant women and accessory symptoms/daily activities, no cause-and-effect relationship was observed between awareness of <I>hiesho</I> and <I>hiesho</I>-related pregnancy-associated troubles. There was a positive correlation between irregular living habits and <I>hiesho</I>-related pregnancy-associated troubles (β=0.41, p=0.049). Additionally, there was a positive correlation between irregular living habits and consumption of "unhealthy" foods through <I>hiesho</I>-related pregnancy-associated troubles (β=0.38, p=0.021).<B>Conclusions</B> 1. The difference between forehead core temperature and core temperature of the sole of the foot among pregnant women aware of <I>hiesho</I> and pregnant women with no awareness of <I>hiesho</I> was significantly large. Awareness of <I>hiesho</I> reflects temperature differences, which is an objective indicator. 2. Among pregnant women with no awareness of <I>hiesho</I>, the coincidence ratio with the scale for determining <I>hiesho</I> (Terasawa) was approximately 80%. 3. Among pregnant Brazilian women, there was no cause-and-effect relationship between differences in core temperature and awareness of <I>hiesho</I> on the one hand and <I>hiesho</I>-related pregnancy-associated troubles, irregular living habits and consumption of "unhealthy" foods on the other; daily activities have no impact on <I>hiesho</I>.
  • International Trends of Academic Journal Publication
    HORIUCHI S
    日本看護科学会誌 30(4) Dec. 2010
  • Establishment of Japan Academy of Midwifery, General Incorporated Association
    HORIUCHI Shigeko, TAKADA Masayo
    日本助産学会誌 24(1) Jun. 2010
  • Breastfeeding mothers identify attitudes and actions of healthcare professionals that resulted in confusion and anxiety about breastfeeding
    NAGAMORI Kumiko, DOEDA Narumi, KOBAYASHI Noriko, NAKAGAWA Yuka, HORIUCHI Shigeko, KATAOKA Yaeko, HISHINUMA Yuri, SHIMIZU Aya
    日本助産学会誌 24(1) 17-27 Jun. 2010
  • Intimate Partner Violence Screening and Intervention Practices of Health Care Providers in Japan.
    (36) 59-63 Mar. 2010
  • 使える!助産ケアのエビデンス 分娩後のカンガルーケアの効果とリスク
    新井 香里, 片岡 弥恵子, 江藤 宏美, 八重 ゆかり, 堀内 成子, 松本 直子, るかデンス研究会
    ペリネイタルケア 28(9) 936-940 Sep. 2009
  • 出生前検査に関するe-learningプログラム受講者の経験
    吉野 美紀子, 青木, 有森 直子, 辻 恵子, 中込 さと子, 堀内 成子
    日本遺伝カウンセリング学会誌 30(1) 86-86 Apr. 2009
  • Development of a Health Education Strategey for Adolescents to Prevent Maternal Mortality in Liberia
    HORIUCHI Shigeko
     35 86-97 Mar. 2009
  • 妊婦の冷え症の民族学的特徴―ブラジル人妊婦の分析―
    NAKAMURA SACHIYO, HORIUCHI SHIGEKO, MORI TAEKO, MOMOI MASAKO
    日本助産学会誌 22(3) 360 Feb. 2009
  • 使える!助産ケアのエビデンス 骨盤位の矯正にお灸は有効か?
    加藤 千穂, 片岡 弥恵子, 八重 ゆかり, 松本 直子, 堀内 成子, 江藤 宏美
    ペリネイタルケア 27(6) 629-633 Jun. 2008
  • Report of the International Collaboration Research Workshop : Collaborative Research for Strengthening Community Health Nursing in Developing Countries : Action and Evaluation Research
    長松 康子, 堀内 成子, 平野 かよ子
    聖路加看護大学紀要(34) 31-35 Mar. 2008
  • New phase of midwifery issues
    HORIUCHI Shigeko
    日本助産学会誌 21(2) 1-3 Dec. 2007
  • 遺伝看護に関するPeople Centered Careの試み 海外からの評価
    有森 直子, 青木 美紀子, 辻 恵子, 有田 美和, 黒川 寿美枝, 中込 さと子, 堀内 成子
    日本遺伝看護学会誌 5(2) 25-25 Sep. 2007
  • Process Evaluation for Development of Capacity Building Program for Reproductive and Child Health at the Community Level in Union of Myanmar, PhaseII -2005~2006-
    Tsuchiya Madoka, Oguro Mihciko, Eto Hiromi, Osumi Kaoru, Horiuchi Shigeko
    Journal of St. Luke's Society of Nursing Research 11(1) 83-89 Jun. 2007
    Background: Since September 2003, a Women's health Volunteer Group (WVG) has been established in two villagesin Myanmar's central dry zone. The purpose of the group is to improve regional reproductive and child health,and training program has been given to women who fulfilled certain conditions. This human resources trainingprogram is divided into Phase I (foundation phase), Phase II (maintenance and continuation phase) and Phase III(independent phase) during the period from September 2003 to March 2008. The WVG is expected to become capableof conducting activities independently in four and a half years.Aim: To grasp the activities maintained and continued by the WVG in Phase II (September 2005-February 2006), inwhich the WVG received support from external parties, and to clarify the contents of support in Phase III.Method: We conducted focus group interviews with the WVG members who agreed to participate. Interviewswere held twice in each of the nutrition centers in two villages, where the WVG is based. The interview detailswere written down at the time of the interviews, and among them, we analyzed the discourse on WVG activities inProgram Phase II.Results: At v
  • Literature Review of International Nursing Cooperation/Collaboration with Educational Relationship Focused on Human Development.
    Yamazaki Yoshimi, Kajii Fumiko, Tashiro Junko, Suzuki Yoshimi, Hishinuma Michiko, Horiuchi Shigeko, Hirabayashi Yuko, Sakai Masako, Arimori Naoko, Hayashi Naoko, Eto Hiromi, Sakyo Yumi, Hayashi Akiko
    Journal of St. Luke's Society of Nursing Research 11(1) 38-44 Jun. 2007
    The purpose of this study was to identify, through an integrative literature review, the challenges to andstrategies for international nursing collaboration/cooperation among organizations seeking to promote the educationof nurses and enhance the capacities of nursing personnel. We searched for relevant articles using CINAHL andPubMed, without time restriction. We found 31 articles with the term INTERNATIONAL and COLLABORATIONor INTERNATIONAL and COOPERATION in their titles, and NURSING in their texts. Of these, 23 articles wereconcerned with collaborations for education and human resource development. We classified these articles into twocategories focusing on their collaborative processes, outcomes, challenges and strategies.Nine articles published between 1997 and 2005 were classified in the first category: international nursingcollaboration/cooperation between organizations in two developed countries. Major contents of collaboration in thiscategory were nursing student exchange programs and human resource development for practitioners. Commonchallenges observed here were budget management, language barrier, and evaluation of collaborative programs.Internet was
  • Consultation Services for Breastfeeding Mother-Baby Pairs.
    DOEDA Narumi, NAKAGAWA Yuka, TSUCHIYA Madoka, NAGAMORI Kumiko, KOBAYASHI Noriko, HORIUCHI Shigeko
    Bulletin of St. Luke's College of Nursing(33) 85-92 Mar. 2007
    Since September 2004, consultation services for breastfeeding mother-baby pairs at the clinic "Lukako". This project is sponsored by St. Luke's College of Nursing Research Center for Development of Nursing Practice and the Japanese Midwives Association, Tokyo branch. Consultation services for mothers and babies with breastfeeding difficulties when they are at home are provided by mainly graduate student nurse midwives at open clinic every Friday and home visiting at any time. In the just two years there were 289 consultations for 54 mother-baby pairs. From record review we recognized that the mothers had a variety of concerns : "lack of breast milk, " "soreness of breast, " "weaning, " "positioning and attachment, " "breast refusal, " etc. As for the impression of the mothers, "solving the problem, " "getting confidence in rearing baby, " and "want to continue coming to clinic". In addition to continuing the clinic and home visiting we are planning to expand our focus in three areas : 1) To support mothers who have something worrying them not early in the postpartum period but also through-out their nursing period ; 2), To provide services where there is a shortage of support systems and resources ; 3) To collaborate with hospitals, medical clinics to support mother-baby pairs and their families.
  • Report of the International Collaboration Research Workshop : Collaborative Research for Strengthening Community Health Nursing in Developing Countries : Action and Evaluation Research.
    UMEDA Maki, YAMAZAKI Yoshimi, KAJII Fumiko, HORIUCHI Shigeko, HIRANO Kayoko, ATSUTA Izumi, ETO Hiromi, SAKYO Yumi, ICHIKAWA Wakako, HAYASHI Akiko, TASHIRO Junko
    Bulletin of St. Luke's College of Nursing(33) 31-38 Mar. 2007
    This workshop at St. Luke's College of Nursing in November 2005 was a part of the research study 'Strengthe ning Community Health Nursing in Developing Countries : Action and Evaluation Research.' This study is composed of five research groups implementing their own projects in five different countries, and a research team at the college. The researchers presented progress reports and discussed with each other and three advisors from the U.K. and U. S. their results and future courses of action. Two major points were addressed. One, it was acknowledged that changes in relationships among key participants and partners during the conduct of the research projects affect their course and results. Two, evaluation criteria were needed. It was suggested that during the next years each research project should develop evaluation criteria to reflect the social and cultural backgrounds of the communities involved as well as actual project activities. And, it was proposed that the college team should initiate development of a model of effective collaboration for strengthening community health nursing in developing countries as a final product of the three year research program.
  • 志望動機の比較 学部4年次教育課程と大学院修士課程において
    桃井 雅子, 片岡 弥恵子, 森 明子, 有森 直子, 江藤 宏美, 大隅 香, 堀内 成子, 小陽 美紀, 土屋 円香
    日本助産学会誌 20(3) 127-127 Feb. 2007
  • Toward prevention of academic misconduct
    HORIUCHI Shigeko
    日本助産学会誌 20(2) 97-99 Oct. 2006
  • Implementing and evaluating a new sibling preparation class for children and parents
    NAKAMURA Ayako, KATAOKA Yaeko, HORIUCHI Shigeko, TSUCHIYA Mayumi, TANAKA Shinobu, YAJIMA Chihiro
    日本助産学会誌 20(2) 85-93 Oct. 2006
  • 看護における国際協力と協働モデルの概念化 先進国間・先進国と開発途上国間の協働・協力研究の文献検討
    梶井 文子, 山崎 好美, 田代 順子, 鈴木 良美, 菱沼 典子, 堀内 成子, 平林 優子, 酒井 昌子, 有森 直子, 林 直子, 江藤 宏美, 佐居 由美, 林 亜希子
    聖路加看護学会誌 10(2) 46-46 Sep. 2006
  • Development of Capacity Building Program for Reproductive and Child Health at the Community Level in Union of Myanmer : Phase I 2003〜2004
    Oguro Michiko, Horiuchi Shigeko
    Journal of St. Luke's Society of Nursing Research 10(1) 46-53 Jun. 2006
    The author Oguro was sent to the Union of Myanmar by AMDA, A non-governmental organization. Since October 2003, the author was engaged in a program on human resource development in Women's health Voluntary Groups (WVGs). The WVGs aim to improve regional maternal and child health in two villages. The aim of this report is to describe the process of the development of the capacity building program. The program looks at reproductive and child health, and the behavior changes in WVGs focusing on the period from September 2003 to November 2004, which is defined as phase I . The program will be slated to continue until March 2008. The author and others planned the program based on the primary baseline survey, and set the objectives and methods in 1.set up the group, 2.training, and 3.starting activity. After selection of the members, trust was developed between WVGs/community and implementers through meetings and workshops, and the WVGs'capacity was built through training. Each member of the WVGs is in charge of approximately 15 households and the program is slowly being accepted by the villagers through these activities. The following activities were conducted by the WVGs up to November 2004 : (1) Management of The Family Plan Revolving Fund Program, which gives women who cannot afford birth control an interest-free loan, (2) Encouraging pregnant women and mothers of infants to have a regular checkup and vaccination, (3) Giving basic first aid, (4) Joining the community clinic, (5) Conducting health education. As the result of the development of the program that respects the WVGs spontaneity and the regional characteristics, the WVG members have been encouraged to participate. It was found that it is important to focus on the process of how they form the local organization. It was also found that the WVGs have changed their behavior and have empowered each, through the interaction with the implementers.
  • Synchronizing the Essence of People-Centered Care and Experiences of Women with Wisdom and Courage : St. Luke's College of Nursing 21st Century COE Program 5th International Relay Symposium
    Eto Hiromi, Horiuchi Shigeko, Sakyo Yumi, Ichikawa Wakako, Kajii Fumiko, Yamazaki Yoshimi, Hayashi Akiko, Umeda Maki, Tashiro Junko
    Journal of St. Luke's Society of Nursing Research 10(1) 68-74 Jun. 2006
    This paper summarizes the St. Luke's College of Nursing 21st Century COE Program, 5th International Relay Symposium titled "Sharing Wisdom, Courage and Experiences : Women Supporting Each Other in Society" and serves to compare the constructive concept of People-Centered Care, with the commonality of activities shared by the symposium panelists. This relay symposium was planned and carried out by the members of two projects, "Women-Centered Care" and "Development of a Practical Model for International Collaboration that Contributes to Everyone's Health", both of which are part of the research project, "Nursing for People-Centered Initiatives in Health Care and Health Promotion". Four symposium panelists presented their experience. They spoke about difficult issues and unforeseen events facing women, and how they have been giving women courage amidst difficulties through mutual support, wisdom, and experience. Ms. Oguro has been involved as a midwife in activities that aid women's groups in Myanmar aiming to improve maternal and child health. Ms. Ishii has conducted self-help groups for people who have experienced a miscarriage, stillbirth, or neonatal death and she has developed mutual-support activities to help people deal with the sadness of losing a child. Ms. Chonan has founded an NPO that supports non-Japanese women living in Japan who share similar problems concerning marriage, birth, and child-rearing in Japan. Dr. Puffet, as a specialist on international and family nursing, shared her experiences with capacity building with women in the Central Asia. Each panelist's experience was essentially different yet had in common the resulting empowerment of women. Their activities implied the significance of collaboration between medical professionals and citizens, which indicated the changes and growth towards the structure of a smoother alliance. This symposium gave us a chance to reconfirm the elements of People-Centered Care that we realized from our COE activities. They are : compassion, learning from life experiences, words of mutual understanding, creation of useful health information, connections from different points of view, and decision-making.
  • Women-centered care in midwifery : Reconsidering the application of the episiotomy
    TSUJI Keiko, OGURO Michiko, DOEDA Narumi, NAKAGAWA Yuka, HORIUCHI Shigeko
    日本助産学会誌 20(1) 7-15 Jun. 2006
  • Synchronizing the Essence of People-Centered Care and Experiences of Women with Wisdom and Courage.
     10(1) 68-74 Jun. 2006
    This paper summarizes the St. Luke's College of Nursing 21st Century COE Program, 5th InternationalRelay Symposium titled “Sharing Wisdom, Courage and Experiences: Women Supporting Each Other inSociety“ and serves to compare the constructive concept of People-Centered Care, with the commonality ofactivities shared by the symposium panelists.This relay symposium was planned and carried out by the members of two projects, “Women-CenteredCare“ and “Development of a Practical Model for International Collaboration that Contributes toEveryone's Health“, both of which are part of the research project, “Nursing for People-Centered Initiativesin Health Care and Health Promotion“.Four symposium panelists presented their experience. They spoke about difficult issues and unforeseenevents facing women, and how they have been giving women courage amidst difficulties through mutualsupport, wisdom, and experience.Ms. Oguro has been involved as a midwife in activities that aid women's groups in Myanmar aiming toimprove maternal and child health.Ms. Ishii has conducted self-help groups for people who have experienced a miscarriage, stillbirth, orneonatal deat
  • Development of Capacity Building Program for Reproductive and Child Health at the Community Level in Union of Myanmar Phase I 2003~2004.
     10(1) 46-53 Jun. 2006
    The author Oguro was sent to the Union of Myanmar by AMDA, A non-governmental organization.Since October 2003, the author was engaged in a program on human resource development in Women'shealth Voluntary Groups (WVGs). The WVGs aim to improve regional maternal and child health in twovillages.The aim of this report is to describe the process of the development of the capacity building program. Theprogram looks at reproductive and child health, and the behavior changes in WVGs focusing on the periodfrom September 2003 to November 2004, which is defined as phase I . The program will be slated to continueuntil March 2008.The author and others planned the program based on the primary baseline survey, and set the objectivesand methods in 1.set up the group, 2.training, and 3.starting activity. After selection of the members, trustwas developed between WVGs/community and implementers through meetings and workshops, and theWVGs'capacity was built through training. Each member of the WVGs is in charge of approximately 15households and the program is slowly being accepted by the villagers through these activities. The followingactivities were conducted by the WVGs up to N
  • A report of the bioethics study group:Care of life from the viewpoint of identity.
    (32) 20-27 Mar. 2006
    The Bioethics Study Group, formed in 2000, has been conducting case study meetings once every month. In 2003 the group selected the topic Search for Spiritual Care and reported their findings in issue No.30 (2004) of this Bulletin. In 2005 we continued the Search, focusing particularly on the topic of identity. This report summarizes the discussions introduced by seven members based on cases from eachmember's special area of nursing. These cases are: 1) A conflict of identity between parents and medical professionals concerning decisions about their baby's treatment. 2) A mother's identity crisis when faced with the death of her baby due to an abnormal chromosome. 3) The case of a mother who had difficulties with identity due to a problematic pregnancy and childbirth. 4) The identity of a patient who lost her self-respect and suffered depression. 5) The case of a terminal-stage patient who regained his identity with the assistance of a student nurse. 6) The case of a husband with terminal cancer whose reconciliation with his wife and family was aided by home care. 7) The identity problem of an elderly person with dementia. These discussions did not follow any
  • Development of a graduate program in women's health and midwifery education and utilizing of international exchange agreement.
    (32) 28-36 Mar. 2006
    St. Luke's College of Nursing (SLCN) has expanded its graduate program by adding a Women's Health and Midwiferycourse in April 2005. There were major challenges both within the college and with other institutions in developing this new program. There are two courses, one for academic researchers and one for advanced practitioners. Permission to implement the program was granted with the understanding that, in addition to completing the master's course, those advanced practitioners who wish to qualify to sit for the national midwifery exam must also enroll in the specified courses necessary to take the exam. In the interest of developing midwifery education in the master's program, in August 2004 we invited faculty from our sister school, Oregon Health & Science University (OHSU) School of Nursing, and held a seminar. This was easily accomplished due to the International Exchange Agreement between OHSU and SLCN. The seminar included the introduction and comparison of the midwifery programs at each institution, an educational lecture, observing training at the college, and visiting a birth center. In February of the following year we visited OHSU. In order to pr
  • Experiences of expectant first-time fathers attending small group participative childbirth education class
    NAGAMORI Kumiko, HORIUCHI Shigeko, ITO Kazuhiro
    J. Jpn. Acad. Midwif. 19(2) 28-38 Dec. 2005
    PurposeThis paper aims to describe the experiences of the expectant first-time fathers, who attended small group participative childbirth education classes during the process of pregnancy, childbirth, and child-rearing, and also tries to explore the meaning of the classes to them.Subject and methodSemi-structured interviews were conducted with six expectant first-time fathers, who attended small-group participative childbirth classes. Three interviews with each expectant father were conducted after the classes ended. Qualitative and descriptive analyses based on the phenomenological approach were used for four of six expectant fathers' interviews.ResultsThis study found that attending small group participative child birth classes meant to the expectant first-time farthers: (i) restructuring the perception of pregnancy and childbirth within themselves to tackle their own problems, (ii) satisfaction in the process of sharing their experience as a couple, (iii) building confidence in the process of becoming parents, and (iv) understanding the changes of their life after the birth of the children, which they couldn't consider before.ConclusionThe expectant first-time fathers who attended the childbirth classes shared their anxiety and problems with other participants who were in similar circumstances of impending childbirths. The expectant fathers listened to the experiences of those who already became parents, developed new ideas about pregnancy and childbirth and mentally prepared themselves for the birth. This was a collaborative work of couples that attended the childbirth classes who felt satisfied with the birth experiences. However, it is also concluded that the expectant fathers found themselves unprepared for the postnatal life, although they actively participated to the childbirth education classes.
  • Evaluation of the self-managing team as a management system by team members
    KATAGIRI Masumi, HUKUI Toshiko, HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 19(1) 43-51 Jun. 2005
  • Difficulties and Fruitfulness of Randmized Controlled Trials in Nursing Research
    HORIUCHI S
    Journal of Japan Academy of Nursing Science 25(2) 116-118 Jun. 2005
  • Care for Mothers of Stillborn Babies : Self-help Meetings to Encourage Their Psychological Growth
    Miyamoto Nagisa, Ota Naoko, Horiuchi Shigeko
    Journal of St. Luke's Society of Nursing Research 9(1) 45-54 Jun. 2005
    The purpose of this study was to describe the process of self-help meetings for mothers of stillborn babies. In addition, the feelings that were expressed during the self-help meetings were categorized. Nursing professionals collaborated with mothers who experienced a stillborn baby and created a self-help group named WAIS(With the Angles in the Sky). The purpose of the group was to foster psychological support for mothers who shared the same experiences. Preparations began in June 2004 and the group was started in September 2004. The group met, once a month for three months, through December. Twelve mothers attended the meetings. Every self-help meeting lasted 4 hours. The mothers would talk; they shared their story with tears in their eyes and spoke openly and freely from their heart about their lost babies. The WAIS staff had over 1 year of experience with other similar self-help meetings and recognized the feelings expressed in the self-help group. Seven categories of meanings were identified : (1) The bitter experience of having a stillborn baby, (2) Their feelings for their husband, (3) Their feelings for their family and others, (4) The experience of the self-help activities, (5) Daily living after loss of the baby, (6) Their feelings for a role of facilitator, (7) Expectations for the hospital and nursing staff. For these mothers the self-help meetings meant a safe place in which they could open their hearts to feelings of grief, sorrow and isolation. The members experienced the same kind of loss and grief so they shared the same feelings and as a result they were able to heal themselves and they changed their lives. They wanted to make use of their experience for the benefit of others. This in turn led to increased self-esteem and encouraged their psychological growth. The successful key point is that the nursing professional has to be a good collaborator with people who are empowered by self-help meetings.
  • 出生前検査の決定に関する葛藤
    有森 直子, 青木 美紀子, 堀内 成子, 佐藤 孝道, 塩田 恭子
    日本遺伝カウンセリング学会誌 26(1) 30-30 Apr. 2005
  • A Study of Factor and Causal Model Structure Analyses Related to E-Learning Neeeds of Professional Nurses
    OKUBO Nobuko, KAMEI Tomoko, KAJII Fumiko, HORIUCHI Shigeko, HISHINUMA Michiko, TOYOMASU Keiko, NAKAYAMA Kazuhiro, YANAI Haruo
    Journal of Japan Academy of Nursing Science 25(1) 31-38 Mar. 2005
  • Educational programs of international health and nursing in United Kingdom and Japan:A survery report.
    TASHIRO Junko, SAKAI Masako, SAKYO Yumi, HORIUCHI Shigeko, SUZUKI Yoshimi
    Bulletin of St. Luke's College of Nursing(31) 56-61 Mar. 2005
    This survey was a portion of the lager study for development of educational programs enabling Japanese nurses to fully participate in international cooperation for international development. International cooperation for global development is in demanded from Japan as a developed country. The authors visited and conducted interviews with two educational programs : "Tropical Nursing" at London School Health and Tropical Medicine, University of London and "International Health" at Department of Nursing, Midwifery and Community Health designed for graduate nurses at Glasgow Caledonian University. The authors collected information about : history and philosophy of educational program, degree or qualification after completion, targeted students, goals of course, students' background, jobs of graduates. In addition, the authors collected the same information on an international health program Japanese nurses attending and entitled "Health System Management" provided by National Institute of Public Health in Japan. "Tropical Nursing" is designed by using knowledge base and skills of tropical medicine and public health. "International Health" from an experienced nurse is designed to provide global perspectives for graduate nursing and health sciences students. In Japan, "Health System Management" provides both Japanese health professions as well as trainees from developing countries rich contents and learning environment. However, the number of nurses able to attend is limited. Currently, a number of nurses is working for development of nursing in developing host countries, and demands for appropriate competencies for international cooperation is great. The authors identify that new international program designed for Japanese nurses should be developed in the near future in order to responding to their continuing learning needs.
  • A report from the International workshop about the study findings: 'Design of educational programs for Japanese nurse whose mission is to transfer nursing knowledge in developing countries'.
    KAJII Fumiko, YAMAZAKI Yoshimi, TASHIRO Junko, HORIUCHI Shigeko, HIRABAYASHI Yuko, ARIMORI Naoko, SAKAI Masako, HISHINUMA Michiko, ETO Hiromi, SAKYO Yumi, ARAI Chouko, HIRANO Kayoko, YOSHINO Yae, INAOKA Mitsuko, HIRAGA Keiko, YAMADA Takumi, ICHIHASHI Tomiko, HONMA Satsuki, NIKAIDOU Noriko, KONISHI Yoshiko, SUZUKI Satomi, OHNO Natsuyo
    Bulletin of St. Luke's College of Nursing(31) 17-25 Mar. 2005
    This article describes the January 24-25, 2004 international workshop proceedings held at St. Luke's College of Nursing. The purpose of the workshop was to share the 2002 and 2003 findings, from the research study titled 'Design of Educational Programs for Japanese Nurses whose Mission is to Transfer Nursing Knowledge in Developing Countries' with three international advisors. The focus of the research was to develop graduate, continuing and postgraduate programs in order to prepare those Japanese international nursing collaborators who engage in technical transfer activities in developing countries. Three groups conducted this research. Groups one and two focused on 'Personn el development Program' and 'Basic Nursing Educational Program'. Group three focused on the Process of Technical Transfer. Each of the groups presented their findings and proposed preliminary educational guidelines or educational programs. The members of the workshop provided additional suggestions and ideas for the final year of this study in 2004.
  • Crisis : Midwife manpower shortage in clinics : How did this happen? Can we solve it?
    堀内 成子
    日本助産学会誌 18(2) 2-3 Dec. 2004
  • The lived experiences of reproduction for woman who has hereditary characteristics : a phenomenological study
    NAKAGOMI Satoko, HORIUCHI Shigeko, ITO Kazuhiro
    日本助産学会誌 18(2) 44-62 Dec. 2004
  • Approaches towards the smart use of methods in evidence-based medicine
    MAEDA Naomi, SATO Taiko, OSUMI Kaoru, YAJU Yukari, HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 18(2) 94-106 Dec. 2004
  • 不妊治療中の女性がストレスを軽減できるようなケアプログラムにおける教材開発
    森 明子, 小陽 美紀, 堀内 成子, 桃井 雅子, 有森 直子
    日本看護科学学会学術集会講演集 24回 597-597 Dec. 2004
  • Japan Journal of Nursing Science(JJNS)への投稿のすすめ
    江藤 宏美, William Holzemer, 田代 順子, 堀内 成子, 菅田 勝也, 片田 範子, 萱間 真美, 村嶋 幸代, 野嶋 佐由美, 真田 弘美, 大西 和子, 鈴木 志津枝
    日本看護科学学会学術集会講演集 24回 611-611 Dec. 2004
  • Competency of Genetic Nursing Practice in Japan : A Comparison between Basic & Advanced Levels
    ARIMORI Naoko, NAKAGOMI Satoko, MIZOGUCHI Michiko, MORITA Minako, ANDO Hiroko, MORI Akiko, HORIUCHI Shigeko, HOLZEMER William L
    Journal of Japan Academy of Nursing Science 24(2) 13-23 Jun. 2004
    The purpose of this study was to survey experienced genetic health care provider's perceptions of the level of practice competency required for Basic Level and Advanced Level Genetic Nursing. Basic level refers to the general nurse and the advanced level refers to the genetic nurse. The respondents who agreed to participate in the study were 491 nurses and physicians who were involved in genetic care in 113 institutions of 40 prefectures. The questionnaire we developed was comprised of 89 items in seven areas of competency for genetic nursing. The respondents were asked to assign the competency items to one of the following nursing levels: (a) General Nurse; (b) nurse who specializes in Genetic Nursing; or (c) not appropriate for the nurse. Data were collected from January to March 2001. The Delphi Method was used to explore areas of agreement regarding competency fit among the respondents. Three iterations of the survey, resulting in a response rate of 60%(295 respondents), provided sufficient clarity for assigning levels of competence. <BR>Respondents selected the following areas of competence for the General Nurse: living support, psychological support and identifying client's needs. For the Genetic Nurse they selected: provision and exchange of appropriate genetic information among health care providers, reference and collaboration with other institutions and helping clients to understand their conditions and characteristics. As a result, competency of the Basic Level and the Advanced Level were clarified in Genetic Nursing. The results help provide directions for the furtherance of genetic education in nursing in Japan.
  • Safety management for independent midwives
    ETO Hiromi, ARIMORI Naoko, HORIUCHI Shigeko, KATAOKA Yaeko, NOGUCHI Makiko, IMAMURA Tomoko
    日本助産学会誌 18(1) 56-61 Jun. 2004
  • Evaluation of the Peer Counseling Seminar
    WATANABE Junichi, HORIUCHI Shigeko, KOYOH Miki, TAKEUCHI Chieko, KATAGIRI Masumi, TAKAMURA Hisako
    思春期学 = ADOLESCENTOLOGY 22(1) 167-174 Mar. 2004
  • The needs survey on E-learning lectures in the professional Nurses who work in Health, Medical, Welfare and Educational Institutions.
    KAMEI Tomoko, KAJII Fumiko, HORIUCHI Shigeko, HISHINUMA Michiko
    Bulletin of St. Luke's College of Nursing(30) 66-73 Mar. 2004
    In 2002, St. Luke's College of Nursing faculty began exploring the possibility of delivering e-learningin higher education to nurses who had completed their basic nursing education. It was deemed importantto understand the e-learning situations and problems both in Japan and abroad.The purpose of this survey was to understand the learning needs and interests of nurses workingin health, medical, welfare, and educational institutions in Japan for the eventual development ofcourses including learning materials to be used in an e-learning program scheduled for 2005.A survey to determine educational interests and needs was developed and sent by post to a randomstratified sample of nurses in Japan. Included in the survey were public health nurses, midwives,and nurses working in health, medical, welfare and educational institutions, and companies. Excludedwere nurses working in clinics, public health centers and other institutions. Eligible institutions numbered810 with a total of 3,466 nurses. For the most part, each institution was asked to choose fivenurses to respond to the survey. Agencies with small numbers of nurses were sent one survey form.The response ra
  • A report of the bioethics study group : search for spiritual care.
    NISHIMURA Tetsuro, HORIUCHI Shigeko, ITO Ryuko, OSAKO Tetsuya, SHIMOEDA Keiko, MATSUMURA Chizuka, IBA Noriko, AOKI Mikiko, ARIMORI Naoko, KATSURAGAWA Junko, KAWACHI Kanako, NAKAGOMI Satoko, NODA Yoko
    Bulletin of St. Luke's College of Nursing(30) 48-56 Mar. 2004
    The Bioethics Study Group was formed in the year of 2000 by a group of graduate students of this college, T. Nishimura the instructor of the bioethics course being an advisor. The Group met once amonth and each participant took his/her turn presenting a case study relating one's own field of nursing.This report, after a brief sketch of the work up to 2003, summarizes the discussions on Search forSpiritual Care the Group devoted in 2003.In the beginning is described a view on “Spirituality“ and “Spiritual Care“ in general and follow thediscussions based on the cases six members introduced of each one1s special area.The following are the topics of the discussions; (1) advanced medicine and spiritual care in thearea related to assisted reproduction, (2) in child health nursing area, about spiritual care for amother and her child based on literature reviews related to the growth of children, (3) in adult nursingarea, about spiritual care in finding the meaning of life through diet, (4) in psychiatric nursingarea, about spiritual care for a patient to regain eagerness for life, (5) in home nursing area, abouta difficulty of spiritual care for a patient who
  • Barriers to the development of the midwifery model : Problems of hospital care systems, as seen by midwives
    HORIUCHI Shigeko, MORI Akiko, EMISU Fumie, FUJIMOTO Eiko, KISHIDA Sachi, NAITOH Kazuko, IWASAWA Kazuko
    日本助産学会誌 17(1) 47-53 Jun. 2003
  • 開業助産師に関するリスクマネジメント 要因の分析と具体策の検討
    江藤 宏美, 有森 直子, 堀内 成子, 片岡 弥恵子, 今村 朋子, 野口 真貴子
    日本助産学会誌 16(3) 162-163 Mar. 2003
  • Characteristics of Theses and Dissertations at St.Luke's College of Nursing Graduate School: The First Twenty Years.
    ARIMORI Naoko, IBA Noriko, SUZUKI Satori, MATSUMOTO Naoko, ITO Kazuhiro, HORIUCHI Shigeko, YOKOYAMA Miki, OIKAWA Ikuko, SIRAKI Kazuo, HISHINUMA Michiko, OZAWA Michiko
    Bulletin of St. Luke's College of Nursing(29) 59-72 Mar. 2003
    The purpose of this study was to describe characteristics of masters' theses and doctoral dissertationsduring the first twenty years of the Graduate School to make that a basis from whichto discuss the future of the Graduate School. A total of 278 masters' theses and 24 doctoral dissertationswere studied. Major analysis items included: student specialty, year of submission,source of data, study design, method of data gathering, type of quantitative analysis, type ofqualitative analysis and inclusion of a statement describing ethical considerations.Care receivers (child and adult patients) were the source of data for more than half the masters'theses. Of all studies, 70% were descriptive. Interview was the most frequently used datagathering method, followed by questionnaire and observation. Regarding data analysis, 205 usedqualitative analysis, 128 used quantitative analysis and 55 used both. 80% of the theses includeda statement describing ethical considerations. Care receivers (child and adult patients) were the source of data for 80% of doctoral dissertations. For the preliminary studies, qualitative descriptive design was most frequently used (6studies).
  • Experience of Graduates and Their Views about the Graduate School for the Future: St. Luke's College of Nursing Graduate School 1980~2000
    OZAWA Michiko, OIKAWA Ikuko, YOKOYAMA Miki, ITO Kazuhiro, SIRAKI Kazuo, HORIUCHI Sigeko, IBA Noriko, ARIMORI Naoko, SUZUKI Satori
    Bulletin of St. Luke's College of Nursing(29) 47-58 Mar. 2003
    St. Luke's College of Nursing Graduate School has celebrated its 20th anniversary. Theobjective of this study was describe characteristics of the graduates of the first 20 yearsand learn their ideas about graduate education in order to take them into consideration inour discussions of the future orientation and policies of the Graduate School. In July 2001we mailed questionnaires to the 299 graduates (278 master's graduates and 21 doctoralgraduates). Slightly more than one-third provided data for our study.The findings refer to both groups, with some detail presented for master and doctoralgraduates separately.・Of the graduates, 80% entered graduate school as private persons and 20% were takingofficial leave from their employers or receiving other support from them.・Motivations for entering graduate school included: improvement of research ability, study in a field or theme of particular interest, improvement of ability in a special nursingfield and motivation to learn more. More than 90% reported that these objectiveswere achieved.・Their present occupations are : 70% in education-related positions; 20% in clinical settings. They wish to continue in their fields.
  • Appropriate fetal monitoring during labor in the management of low risk pregnancies : An evidence based guideline
    YAJUU Yukari, HORIUCHI Shigeko
    日本助産学会誌 16(2) 6-15 Feb. 2003
  • Developing the academy of midwifery through research-based orientation
    HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 16(1) 58-66 Aug. 2002
  • わが国における初の遺伝看護教育プログラム 一般看護職向けの遺伝看護セミナー
    溝口 満子, 有森 直子, 守田 美奈子, 安藤 広子, 中込 さと子, 森 明子, 堀内 成子
    Quality Nursing 8(8) 675-684 Aug. 2002
  • Evidence-based Guidelines for Use of Electronic Fetal Monioring (EFM) : Appropriate Use of Electronic Fetal Monitoring in Low Risk Pregnancies
    Yaju Yukari, Horiuchi Shigeko
    Journal of St. Luke's Society of Nursing Research 6(1) 34-43 Jun. 2002
    Objectives : Electronic fetal monitoring (EFM) with the cardiotocography is widely used monitoring methods in most of hospitals in developed countries. In Japan, most obstetric units are equipped with EFM and EFM monitoring becomes a routine procedure in many units. Despite its prevalence, the effectiveness and safety of its usage are questionable. Some literature pointed out the false positive rate and increase of mechanical delivery as a result. The purpose of this study was to identify evidence based application criteria and usage of EFM. Quality assessment on the practice guidelines for labor and delivery management involving EFM was implemented. The guidelines for use of EFM in low risk deliveries were compared and evaluated. Methods : Practice guidelines for the management of labor were collected by electronic database search and from references of the retrieved guidelines. The collected guidelines were evaluated based on two kinds of checklists and quality of evidence included in the guidelines. Results : The most well-designed, and evidence-based guideline with the highest quality was the guideline The Use of Electronic Fetal Monitoring' developed by the Royal College of Obstetricians and Gynaecologists followed by Fetal Health Surveillance in Labour' developed by the Society of Obstetricians and Gynecologists Canada. In those guidelines, the routine use of EFM for low risk labor was not recommended, instead they recommended the intermittent auscultation. Conclusions : In low risk pregnancies intermittent auscultation is the first choice for fetal monitoring on both admission screening and throughout labor. The routine use of EFM must be limited to high risk pregnancies. The use of EFM during labor needs to be considered based on the risk factors of mother and fetus in each case.
  • Evaluation of the Revised Curriculum by Three Graduating Classes (1999-2001)
    OZAWA Michiko, MORI Akiko, KUSHIRO Wakako, MOMOI Masako, KATAGIRI Kazuko, HORIUCHI Shigeko, ONJOJI Yasuko, KIKUTA Fumio
    Bulletin of St. Luke's College of Nursing(28) 39-49 Mar. 2002
    In 1995 a revised curriculum was implemented at St.Luke's College of Nursing, beginning with first year students. Changed aspects included promoting self-learning ability and integrated learning, and sequencing of curriculum subjects. Evaluations were obtained from students from the first three classes to experience the new curriculum.An evaluation questionnaire was given and collected on the day before graduation day. Students responded to questions about the relation between a senior-level course called “Integrated Nursing ・ Nursing ResearchⅡ“ and the already completed subjects, the sequencing of subjects in the curriculum, satisfaction level and evaluation of classes, educational system and educational support.Four major findings were identified. ① That students identified the relevance of many courses for “Integrated Nursing ・ NursingResearchⅡ“ was interpreted as confirming the integrity of the curriculum.②The revised curriculum put general educational subjects in the first year in light of their importance as a foundation for nursing but evaluations from students indicated that they hoped for nursing subjects from the first year. The problem fo
  • 女性のリプロダクティブ・ヘルスに関する認識の比較:マラウイと日本
    (28) 106-115 Mar. 2002
  • A Comparison of Reproductive Health Knowledge Between Malawi and Japanese Women
    NASORO Fortunate Ethel, ARIMORI Naoko, MORI Akiko, HORIUCHI Shigeko
    Bulletin of St. Lukes’ College of Nursing 28, 106-115(28) 106-115 Mar. 2002
    The purpose of this study was to compare the knowledge and understanding of reproductive health of women and adolescents in Malawi and Japan with the goal of promoting safe motherhood by preventing unwanted pregnancy and induced abortion. Documents and interviews provided data for this study. Significant issues warranting interventions were observed in the two countries. These are lack of adequate reproductive health knowledge, social problems and gender imbalance. We found out that these three are the main contributors to unwanted pregnancy, hence induced abortion. The results suggest that midwives in the two countries have a significant responsibility in promoting reproductive health education with adequate follow-up for the promotion of safe motherhood. High rates of unprotected sex are a threat to the promotion of safe motherhood. During the study we also realized the importance of increasing the awareness of the different cultures and exchanging ideas from the two countries.
  • The coexistence humanistic midwifery & the technology model of medicine within hospital and community
    HORIUCHI Shigeko
    日本助産学会誌 15(2) Feb. 2002
  • 看護職に必要な遺伝看護実践能力(2) デルファイ調査・看護職の回答から
    有森 直子, 中込 さと子, 溝口 満子, 守田 美奈子, 安藤 広子, 森 明子, 堀内 成子
    日本看護科学学会学術集会講演集 21回 220-220 Dec. 2001
  • 看護職に必要な遺伝看護実践能力(1) 遺伝医療現場の実態調査
    中込 さと子, 有森 直子, 溝口 満子, 安藤 広子, 守田 美奈子, 森 明子, 堀内 成子
    日本看護科学学会学術集会講演集 21回 72-72 Dec. 2001
  • The practical skills and resposibilities that a midwife should have
    平澤 美恵子, 松岡 恵, 江角 二三子, 園生 陽子, 堀内 成子, 村上 睦子
    日本助産学会誌 15(1) 43-59 Aug. 2001
  • Creating the Theory of Nursing Policy to meet the Public Needs
    MURASHIMA Sachiyo, YASUDA Miyako, HASHIMOTO Maki, HORIUCHI Shigeko, KATADA Noriko, HISATSUNE Setsuko
    Journal of Japan Academy of Nursing Science 21(2) 81-89 Aug. 2001
  • Nurses' attitude and knowledge about sexual assault
    KATAOKA Yaeko, HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 15(1) 14-23 Aug. 2001
    The purpose of this study was to examine nurses' attitudes toward sexual assault, general knowledge of sexual assault, and comprehension of nursing care for survivors, and explored the relationship between these aspects and personal characteristics of the nurse.<BR>379 nurses working on obstetric/gynecologic (OBGY), surgery, and emergency room units at 11 hospitals and 1 clinic participated in this survey. The Rape Supportive Attitude Scale (RSAS) was translated by the author. The Test of General Knowledge of Sexual Assault and the Comprehension Test of Nursing Care for Rape Survivors were author-developed. Factor analysis of the RSAS yielded four factors:(1) image of the rape victim and justification of assailants, (2) some rape is induced by women and is their responsibility, (3) women's sexual preferences, (4) men desire rape.<BR>As a result, three personal characteristics of nurses were correlated with the dependent variables: being a midwife, working in OBGY and interest in nursing care for rape survivors. Midwives had more favorable attitudes toward survivors (RSAS), higher general knowledge of sexual assault, and greater knowledge of nursing care.<BR>The above findings, together with the findings that 71% of respondents were interested in nursing care for survivors but few had the chance to learn, indicate that an educational program that focuses on the nursing care for rape survivors should be planned for nurses.
  • Collaboration Between a Project in Northeast Brazil and the Department of Maternal Infant Nursing and Midwifery at St.Luke's College of Nursing from 1996 to 2000.
    HORIUCHI Shigeko, ARIMORI Naoko, KATAGIRI Masumi, OKAMURA Haruko, MOMOI Masako, MORI Akiko, MITSUHASHI Yasuko, MORI Taeko
    Bulletin of St. Luke's College of Nursing(27) 26-34 Mar. 2001
    This report traces international cooperation for a project between Brazil and the Department of Maternal infant Nursing and Midwifery at St. Luke's College of nursing over the past five years. As one of our goals as members of the WHO Collaborating Center for Nursing Development in Primary Health Care, we are searching for effective strategies to ensure safe motherhood.The Maternal and Child Health Improvement Project in Northeast Brazil was launched in April 1996, and will be carried out though march 2001 in the State of Ceara. This project is collaboration between the Government of the Federal Republic of Brazil and the Government of Japan with the purpose of improving health conditions in Northeast Brazil. One of the objectives of the project is to improve maternal and child health services and to promote health education activities at the community level by including the training of community - based health personnel.The initial survey revealed that cesarean section rates were high and there was much artificial intervention. In addition, laboring women did not receive humanistic care. It was felt that delivery related care, including care at the primary level, Would
  • Research Trends and Issues : An Analysis of Studies Published in the Journal of Academy of Midwifery from 1987 to 2000
    NOGUCHI Mayumi, HORIUCHI Shigeko, MITSUHASHI Yasuko, TAGA Yoshiko
    日本助産学会誌 14(2) 59-65 Feb. 2001
  • Evidence-Based Nursing and Literature Database : Development a Database to Support Nursing Practice and Research
    MIYO Kengo, HORIUCHI Shigeko, TSURU Satoko, ISHIGAKI Kyoko, ETO Hiromi, KASHIWAGI Kimikazu, SANADA Hiromi, MATSUMOTO Naoko, YANAGIDA Masahiro, YAMADA Masako
    医療情報学連合大会論文集 20 208-209 Nov. 2000
  • マタニティサイクルにある女性と子どもに対する継続的な一貫したケアの提供に関する検討 母親学級の改革とその評価
    中窪 優子, 新 秋枝, 斉藤 京子, 黒川 寿美江, 田口 亜紀, 秋屋 伸子, 池永 玲子, 伊藤 綾夏, 三橋 恭子, 有森 直子, 堀内 成子, 森 明子, 大久保 功子
    聖路加健康科学誌 7〜8 1-8 Oct. 2000
    母親学級の改革を実施し,質問紙調査により得た妊産婦からの評価をデータとして改革の効果を検討した.その結果,大人数制から小人数制に変えることで友人ができたとする妊産婦が有意に増え,母親学級に対する満足度も有意に高かった.小人数・担当制では,母親学級担当者が出産時にケアを行った場合の出産に対する満足度や出産の評価が有意に高かった.母親学級の改革は妊産婦からよい評価を得た
  • Night Sleep and Infant's Temperament during First Four Month after Delivery
    ETO Hiromi, HORIUCHI Shigeko
    日本助産学会誌 14(1) 24-34 Aug. 2000
  • An Intelligence Network and Support for Research : a JANS Concept
    HORIUCHI S, TSURU S, MIYO K, SANADA H, ISHIGAKI K, YAMADA M, KASHIWAGI K, YANAGIDA M, ETO H
    Journal of Japan Academy of Nursing Science 20(1) 44-48 Mar. 2000
  • 産褥3ヵ月迄の母子の眠りの関連性
    江藤 宏美, 堀内 成子, 森 明子, 三橋 恭子, 有森 直子, 片桐 麻州美, 桃井 雅子, 岡村 晴子
    日本助産学会誌 13(3) 120-121 Mar. 2000
  • Threat of Technology
    HORIUCHI Shigeko
    日本助産学会誌 13(1) Nov. 1999
  • 【助産婦教育 どこで行うか 質と量の確保】 4年制大学での助産婦教育 聖路加看護大学の助産教育
    有森 直子, 片桐 麻州美, 片岡 弥恵子, 森 明子, 三橋 恭子, 桃井 雅子, 堀内 成子
    助産婦雑誌 53(4) 291-295 Apr. 1999
  • Participation in the Second International Conference of the Global Network of WHO Collaborating Centers for Nursing and Midwifery.
    (25) 81-86 1999
    The Second International Conference of the Global Network of WHO Collaborating Centres for Nursing and Midwifery was held in Korea this past year.St.Luke's College of Nursing joined in the poster session in the “Expo Nursing Edu“which focused on nursing education, specifically education for nursing specialists.The midwifery curriculum and master and doctoral courses were introduced in the poster session.Information exchange and discussion at this session gave us an opportunity to learn more about the current status of education in universities in various countries and territories.Throughout the conference, we found opportunities for collaboration within the global network, regional offices, countries and centers.We also gained a greater understanding of global and regional viewpoints, and we obtained information and recommendations as to our role as a member of the WHO Collaborating Centres.
  • Quality of Cares During Pregnancy, Delivery and Postpartum Periods Evaluated by Women
    HORIUCHI Shigeko, SHIMADA Keiko, SUZUKI Miyako, MOHRI Taeko, TANIGUCHI Michie, TAGA Yoshiko, MIYAZATO Kuniko
    日本助産学会誌 11(1) 9-16 Dec. 1997
    本研究はケアの受け手である女性が妊娠・分娩・産褥期のケアをどのように評価しているか実態を明らかにすることを目的として行った。6都府県26施設 (助産所・個人医院・総合病院・大学病院) に入院中の正常褥婦1,065名に質問紙が配布され, 有効回答は816名 (76.6%) から得られた。測定用具は, 研究者らが開発した自記式質問紙であり, 信頼性・妥当性の検討を行った。その結果, 妊娠・分娩・産褥期のすべてのケア得点が最も高かったのは助産所であり, いずれも低得点であったのは総合病院でケアを受けた褥婦であった。ケアの満足度についても, 最も高かったのは助産所であり, 次に個人医院, 大学病院, 総合病院の順であった。これらの各期のケア得点と全期間のケアに対する満足度は助産所の得点が, 他の施設に比べて有意な差で高得点であった。顧客の再来・他者への紹介については, 助産所が最も高く, 次いで, 個人医院, 総合病院, 最後は大学病院であった。この施設間の平均値には, 有意な差が認められた。ケアの満足度を予測する変数としては, 妊娠・分娩・産褥期のケア得点であり, 同様に, 顧客の再来・他者への紹介を予測する変数としても, 先述の各期のケア得点が選ばれた。
  • Quality Assessment of Intrapartum Care : The Care Perceived by Mothers and Midwives
    KISHIDA Sachi, FUJIMOTO Eiko, MORI Akiko, HORIUCHI Shigeko, IWASAWA Kazuko, EMISU Fumie, NAITO Kazuko, SUZUKI Setsuko
    日本助産学会誌 10(1) 20-28 Dec. 1996
  • Development of Questionnaire to Measure the Quality of Nursing Care for Patients and Nurses : A Study of Validity and Reliability
    HORIUCHI Shigeko, OTA Kikuko, KOYAMA Mariko, MORI Akiko, KOMATSU Hiroko, OKAYA Keiko, TAKADA Sanae, IBE Toshiko, IWASAWA Kazuko, IIZUKA Kyouko, SHIMIZU Kimiko, YAMADA Masako, MINAMI Hiroko, HOLZEMER W. L.
    Journal of Japan Academy of Nursing Science 16(3) 30-39 Nov. 1996
    The present study was designed to develop questionnaires to measure the quality of nursing care from viewpoints of nurses and patients and to examine the validity and reliability of the instruments.
    Subjects were patients who were able to fill in the questionnaire form by themselves and nurses working at the same wards (46 wards) in 9 medical institutions located in Tokyo and 3 prefectures. An effective response was received from 626 patients and 742 nurses. The questionnaires used in the study were self-report instruments (2nd version) designed to assess the quality of nursing care, consisting of 39 question items in 11 subscales for patients (QNCQ-PT) and 43 question items in 11 subscales for nurses (QNCQ-NS). Both types of questionnaires included 4 Likert scales from disagree to strongly agree.
    Results of testing for the validity of QNCQ-PT supported construct validity, concurrent validity and predictive validity. Reliability tests also showed internal consistency and stability, which was examined using the test-retest method, of QNCQ-PT as a whole.
    Validity tests of QNCQ-NS supported construct validity. Reliability tests also showed internal consistency and stability, which was examined using the test-retest method, of QNCQ-NS as a whole.
    The above findings indicate that QNCQ-PT and QNCQ-NS have enough reliability and validity for practical use.
  • Report on the 1st Academic Lecture
    宮里 和子, 園生 陽子, 毛利 多恵子, 堀内 成子
    日本助産学会誌 9(1) 62-64 Dec. 1995
  • Comparative Study of Electric Fetal Monitoring and Intermittent Auscultation
    HAKU Mari, ATOGAMI Fumi, ARIMORI Naoko, HORIUCHI Shigeko
    日本助産学会誌 9(1) 11-22 Dec. 1995
  • Evaluation of the 1994 Revised Curriculum by Graduating Senior Students of St.Luke's College of Nursing, Class of 1999, after Completion of the Baccalaureate Program.
    (26) 133-143
    This report identifies levels of student satisfaction with the revised curriculum(begun in 1995), as well as their satisfaction with the arrangement of subjects and the correlation among them.A survey by questionnaire was conducted just before graduation using 57 graduating seniors as subjects.The content of the questionnaire included the following:(1)what subjects contributed to their writing the paper for Comprehensive Nursing/Nursing Research II;(2)what was the degree of satisfaction with the curriculum and reason(s);and (3)how did the students assess the classes taken, the educational facilities and equipment.The 10 question items were selected from the survey done in 1997 by Bennese Bunkyosoken(Educational Survey Corporation)The results were:(1)the subjects studied significantly contributed to writing the Comprehensive Nursing/Nursing Research II(graduation paper);(2)the correlation between each subject taken and the Comprehensive Nursing/Nursing Research II was significantly strong;(3)the degree of student satisfaction with the entire curriculum was approximately 80%;and(4)the student responses concerning overall satisfaction with the classes in the program as well as the
  • Pregnant women:A comparison of Ghanaian Japanese experiences duri
    Boateng-Botwe, Iris,Eto, Hiromi,Momoi, Masako,Horiuchi, Shigeko
    (26) 111-116
    The purpose of this study was to compare the experiences of pregnant women in Ghana and Japan with the ultimate goal of exploring ways to improve maternal and child care.We interviewed 28 pregnant women in three Maternity Homes and in one hospital in Japan and obtained their informed consent to participate in the study.Following collection of this data, discussions were held with midwives who are owners of maternity homes, practitioners, and researchers.The data was gathered from May through July in 1999.The mean age of the pregnant women interviewed was 30 years, and their ages ranged from 17 to 43 years.There were 10 primipara and 18 multipara.The study compared three aspects of the pregnant women's experiences in Ghana and Japan:issues related to the individual, environment, and institution.We found that pregnant women were motivated in their self-care by the interventions of midwives, which were not only directed toward solving their medical problems, but also toward encouraging adaptation to motherhood.Our results suggested that midwives have significant responsibility in promoting good maternal and child health in these two countries.
  • The New Curriculum at St. Luke's Callege of Nursing(1995 edition)
    (22) 113-121
  • Participation in the IEC Workshop on Adolescent Sexual Health. -A Challenge to Protect Reproductive Health / right in Latin America and Caribbean Region-
    (23) 69-80
    In order to explore the possibility of new global activity in nursing/midwifery to be performed by the WHO Collaborating Center for Nursing Development in Primary Health Care at St.Luke's College of Nursing, the center sent two faculty members to attend the IEC Workshop on Adolescent Sexual Health held in November 1996in Mexico.The two representatives took part as resource persons and reported to the workshop on the activities of nurses and midwives for adolescent sexual health in Japan.During the session, they obtained information on the actual situation of adolescent sextual health in Latin America and Caribbean region and the novel strategies which were carried out in cooperation between governmental and non-governmental organizations.The workshop also provided a good opportunity for international communication and information exchange with health workers in the region about adolescent sexual health. By participating in the workshop, we obtained firsthand information on various aspects of cooperation in international health.
  • A Study of Nursing Systems in Transition in Developed Countries.
    (23) 49-68
    The present study was designed to investigate nursing systems in other countries in comparison with the current system in Japan, and thereby assess how nursing personnel should be in order to improve the quality of nursing.The study focused on the actual situation of the nursing system and licensed practical nurses(LPNs)or second-level nurses similar to LPNs in other countries. The survey was conducted in regard to six countries considered to be advanced in the development of nursing activities and likely to provide usueful suggestions for the future direction of nursing in Japan:Australia, Canada, France, Sweden, the United Kingdom and the United States.Questionnaires were sent to the heads or staff of a total of 29 organizations, including WHO Collaborating Centers and professional organizations for nursing, in these countries.Nineteen organizations responded(response rate:65.5%), and an effective response with completed questionnaire forms was obtained from 15 organizations.In addition, an interview survey was conducted on three nursing administration and education experts in the United States in order to acquire clear understanding of the actal state of nursin
  • An Experiment in a New Method of Nursing Education -the Problem-Based Learning for Prenatal Nursing-
    (23) 29-39
    At the opening of lectures in 1995 on the Science of maternity Nursing in the Special Subjects of Nursing, a problem-based learning was tried as a new educating method in the unit if “Prenatal Nursing.“In the present paper, reviewing the introduction/implementation of the method, subjects in the future are described. This process contained two major flows, one was the training of tutors in problem-based learning, including participanting the workshop held at McMaster University, and the other was the preparation for the class at the introduction of the new educational method, such as the overall subject composition and the development of teaching materials of prenatal nursing and resources, etc.according to the procedures of the problem-based learning. As the results of the actual implementation, various different reactions in comparison with the lecture method were observed both in tutors and students. As the subjects hereafter, the following three points have been clearly elucidated, that is, in order to proceed the problem-based learning under the present condition that it is not in the comprehensive curriculum, to prevent the overload and conflict
  • An Experiment in Midwifery Education -A New Method to Reinforce the Ability to Diagnose -
    (24) 60-65
    In our midwifery program, the goal is to prepare students who can integrate knowledge, diagnose individually, and plan uniqe care.During the theoretical component of our program, students acquired knowkedge through lectures.The students had not yet had the opportunity to gain experience in the clinical setting.When students tried to understand a real phenomenon, like that of childbirth, they had difficulty.We, therefore, developed a new teaching method to assist the student in achieving our goal. In order to reinforce the ability to diagnose, we planned no lectures, but instead, planned the review of many paper patiens.We developed simulated practices in the classroom, lectures by specialists, and practices in hospitals and birth centers where case studies were reviewed to help students conceptualize real cases. In this paper, we will describe the process of how we considered this new teaching method and how we applied it in our program.
  • Nursing Systems in Relation to Licenced Practical Nurses in Overseas Countries.
    (24) 43-59
    With the coming of an aging society associated with a low birth rate, the people of Japan are facing major changes in their health care system.Including a shift to community-based health care.The present study was designed to investigate the actual situation of nursing practice and the educational background of nursing personnel, including registered nurses(RNs), licensed practical nurses and similar second-level nurses(LPNs) and auxiliary nursing personnel(ANP), in other countries and to analyze the situation in relatation to the health care system. A questionnaire survey was conducted on medical and health care facilities, including general hospitals, clinics and nursing homes selected with the cooperation of WHO collaborating centres for nursing/midwifery development located in various countries.Information about facilities in countries having no WHO collaborating centres was obtained from participants in a seminar hosted by the International Nursing Foundation of Japan.Self-report questionnaire used in the survey mainly consisted of questions concerning (1)the type and number of health personnel working in the facilities, (2)educational preparation, qualificatio

Awards & Honors

  • Aug. 2018 Oxytocin response following breast stimulation in pregnancy: A systematic review

Research Grants & Projects

  • Development and dissemination of the Oxycontin activation program for promoting tailor-made childbirth and child rearing experience
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (A)
    Project Year: Apr. 2017 - Mar. 2021  
  • Cohort study of influence of Restless Legs Syndrome and physiological states for perinatal period
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Exploratory Research
    Project Year: Apr. 2016 - Mar. 2019  
    Japanese edition Cambridge-Hopkins questionnaire short form (CH-RLSq13) was developed through a regular translation procedure, for a diagnosis of the restless legs syndrome with reliability and usefulness. Following pilot study, it showed 88.9% of sensitivity and specificity 100%, and it is suggested to be a useful tool. RLS/WED prevalence of the pregnancy diabetes pregnant woman was 13.2%, and there were almost same prevalence of the study for high-risk pregnant women. Blood sugar level and parturient outcome did not have the significant difference between RLS/WED group and non-RLS/WED group. In terms of the sleep, the RLS/WED group had decreased sleep efficiency, and it was concerned that influence on sleep during pregnancy.
  • Explore of developmental index for infant sleep between premature and one year old
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: Apr. 2015 - Mar. 2019  
    This study examined preterm infants' sleep development during NICU/GCU hospitalization to one year after birth. We examine quiet sleep, active sleep, and wakefulness during their first one year. During hospitalization, it was recognized decrease of Active sleep (REM sleep) , increase of Quiet sleep (NREM sleep) , and self-soothing ability. The sleep developed over time, and the circadian rhythm was formed around 25 weeks after birth. However, it was suggested that more Active sleep and delay of the circadian rhythm formation compare to infants after the same life.
  • The effect of CBT based communication skill training program for nurses and midwives in perinatal loss care: A randomized controlled trial
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2015 - Mar. 2019  
    In order to provide individually tailored care for parents who have lost their baby due to perinatal loss, we developed a communication skills training (CST) program for nurses and midwives. This random controlled trial was based on Bandura’s concept of self-efficacy. The study aimed to verify the effectiveness of this program. Results indicated that self-efficacy in communication with bereaved parents significantly increased in the intervention group. Anxiety and difficulty regarding providing care were significantly reduced, and scores for communication skills were significantly increased. Moreover, the percentage of nurses who used communication skills that elicited parents' concerns was significantly increased. Compassion fatigue score decreased and the self-compassion increased, although no significance was found. This CST program may facilitate communication between nurses or midwives and parents and may allow patients to be provided with individually tailored care.
  • Mama Touch Program to Stimulated Mother-Baby Bonding for First-time Pregnancy
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Exploratory Research
    Project Year: Apr. 2016 - Mar. 2018  
    The purpose of this study was to clarify the psychological and physiological changes of women in the third trimester of pregnancy who had no experience of interacting with infants. A randomized control trial with two groups was conducted: a) the intervention group experienced the actual interaction with infants; b) the control group only watched a DVD movie of infants. Low-risk Japanese primipara women at 38 weeks gestation were enrolled in the study yielding 38 women allocated to intervention group and 42 women to the control group. While there were no pre or post differences for cortisol or oxytocin levels between the two groups, there was a significant pre and post difference in cortisol levels within each group. Also, after the intervention the state-anxiety was significantly decreased and the approach score was significantly increased intervention group.
  • Sleep disturbances on a pregnant woman and influences on her fetus and infant--------For early findings of postpartum depression state
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2015 - Mar. 2018  
    We have been developing a system of fetal movement acceleration measurement (FMAM). This system consists of two channels of fetal and maternal movements. This study examined whether the FMAM system is useful to see maternal sleep disturbances and influences of fetal movement during a pregnant woman’s sleep on maternal sleep. The subjects were eighteen healthy pregnant women at 24-36 gestational weeks. We recorded fetal and maternal movement signals simultaneously.At the results,maternal time in bed, and maternal waking time were similar to those of our previous polysomnographic studies. The number of synchronized fetal-maternal movements corresponded to that of maternal micro-arousals.This study suggest that the FMAM system is useful to see a pregnant woman’s sleep disturbance, especially relationships with her fetus. Further studies of fetal-maternal synchronization from late pregnancy to early postpartum are needed to investigate postpartum depression state.
  • Research for spread of systematic reviews and development of infrastructure in midwifery care
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2015 - Mar. 2018  
    As part of human resource development in midwifery and of the promotion of understanding the Cochrane activity, we held seminars named ‘the St. Luke’s Cochrane School’ annually (twice a year) through the study period. The numbers of participants were around thirty per each seminar. Two of the participants in the seminar recognised the necessity of the randomised controlled trial and conducted the trials evaluating the effectiveness of midwifery care, respectively. Another participant of the seminar conducted the questionnaire survey on midwifery care policy. Further, we completed the protocol of the Cochrane systematic review on homeopathy for reducing blood loss in the third stage of labour.
  • Relationship between intimate partner violence and infant abuse using structural equation modeling: A prospective cohort study
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: Apr. 2013 - Mar. 2018  
    The aim of this study was to identify the structure of relationships between intimate partner violence and infant abuse. Study participants were 319 women (mothers) and 203 their partners (fathers). Three factors, sleep disorder, IPV and bonding disorder, had a stronger correlation between parents’ abusive behaviors. Two types of model were guided by hypothesis A and B. According to multiple group analysis (model A), each parent’s bonding disorder (T1) affected abusive behavior (T2). Especially, in the father’s model, IPV (T1) affected IPV (T2), and IPV (T2) affected abusive behavior (T3). In model B, mother’s IPV (T1) also affected father’s IPV (T2).
  • The Effect of Aromatherapy and Nipple Stimulation on Oxytocin Release
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: Apr. 2014 - Mar. 2017  
    Oxytocin level changes between before and after the foot bath infused with ①clary sage and lavender essential oils (n = 27), ②jasmine essential oil (n = 26), ③no essential oil (n = 25) and feasibility of the study protocol were examined in pregnant women. Oxytocin level significantly increased after the foot bath① (p = .035), although significant differences were not observed in the foot bath② and ③.Oxytocin level had large variance and the cause is required to be clarified. 22 low-risk primiparas (intervention group) at the end of pregnancy performed self-breast stimulation with 1 hour per day for 3 days. The control group as usual care was 20 women. The saliva oxytocin level on the third day was significantly higher in the intervention group and the frequency of uterine contractions during the experiment was also significantly increased in the intervention group. Repeated breast stimulation for spontaneous onset of labor led to increased oxytocin levels.
  • Randomised controlled trial using smartphone website vs leaflet to support antenatal perineal massage practice for pregnant women
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Exploratory Research
    Project Year: Apr. 2014 - Mar. 2016  
    In Japan, the rate of pregnant women who practice antenatal perineal massage was only 15.1%.The aim of this study was to develop and evaluate a smartphone website and a leaflet to support antenatal perineal massage practice for primiparous women.Methods:In a randomised control trial, 161 primiparous women were randomly assigned to a smartphone website group (n = 81) or a leaflet group (n = 80). Data analysis were by per protocol analysis and intention to treat analysis. Findings:Of the 161 women participants, 47 in the smartphone website group and 49 in the leaflet group completed all questionnaires. Primary outcome was continuance rate (three times a week over a three week period) of antenatal perineal massage practice. The rates by a per protocol analysis were 51.1% in the smartphone website group and 51.0% in the leaflet group, respectively. There was no significant difference between the groups.
  • RCT to Assess the Effectiveness of a Self-Care Program for Pregnant Women for Relieving Hiesho
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2013 - Mar. 2016  
    Objective:To assess differences in improvement of hiesho (sensitivity to cold) through a randomized controlled trial (RCT) of one group that used a self-care program (the Home Care Package Program for Relieving Hiesho) and another that did not. Results:Findings for 140 pregnant women, 73 in the experimental group and 67 in the control group, were analyzed. Participants’ body temperatures were measured after completion of the program for four weeks and compared to their temperatures before starting the program. Compared to the control group, arm skin temperature was 3.0°C (p<0.001) higher and leg skin temperature was 1.93°C (p=0.02) higher among the experimental group, significantly higher compared to the control group.
  • Implementation and evaluation of an educational transcultural nursing program for perinatal nursing staff in the multicultural society
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2013 - Mar. 2016  
    This research is to implement and assess ‘the program to train perinatal nurses to nurture a multicultural sensitivity’, which enables nurses to accommodate patients from diverse backgrounds.The research method consists of three steps; the program development based on programs we have previously built: the main survey: and publications of the results at both domestic and international academic conferences after analyzing the data.At the same time, the researcher regularly organized and held a workshop named ‘Healthcare Cafe’ to raise a consciousness of a care for foreign patients. The researcher believes the program and the workshop have encouraged nurses to learn different languages and cultures and also made a change in minds and attitudes towards foreigners. Accordingly, it has improved the medical care system for foreign patients.
  • Prevalence and clinical features of restless legs syndrome among Japanese pregnant women
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Exploratory Research
    Project Year: Apr. 2013 - Mar. 2016  
    Aims: To determine the prevalence of restless legs syndrome (RLS) among Japanese pregnant women, and clarify correlation between RLS and clinical outcomes. Methods: RLS screening was conducted using the Johns Hopkins Telephone Diagnostic Interview for low-risk 140 and high-risk 81 pregnant women in their third trimester. Blood test and biochemistry results, and delivery outcomes were compared between the RLS group and the control group. Results: RLS was experienced by 22 (15.7%) of the 140 women, and 14 (17.3%) of the 81 women. No significant difference was found for hemoglobin, serum ferratin, serum folate levels and delivery outcomes between the RLS group and the control group. Conclusion: The prevalence of RLS was high in Japanese pregnant women whose pregnancy courses were good with no complications.
  • Development of a SDM Educational Program for Nursing Professionals
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: Apr. 2012 - Mar. 2016  
    The objective of this research is to develop a SDM educational program for nursing professionals. Methods: There are 3 steps for the development of this educational program: 1)Confirmation of the SDM concept and determination of the research design,2)Determination of the objectives and goals of the program and examination of the outcomes,3)Creation of the educational program with case study materials. The members of the program committee include nursing professionals who are interested and involved in the decision-making support, a lawyer, and a nursing informatics specialist. Results: 1.The goal of this program is to let the trainees to be able to conduct SDM with utilization of Ottawa Personal Decision-Making Guide, for clients who have reproduction related conflicts 2.The outcome was evaluated with SDM evaluation scale before and after attending the program, and the process evaluation questionnaire was taken for each trainee.
  • Narratives for Bereaved Parents Who Have Experienced the Crisis of Perinatal Loss and Then Reconstructed Their New Family
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2011 - Mar. 2015  
    The purpose of this study was to develop a support tool for bereaved parents who have lost their babies due to perinatal loss. We interviewed 31 fathers and mothers. Although all couples have their own unique stories, there were common factors that encourage forming a new family that includes the child who is no longer present in bodily form. The factors were to ;1) get their own support from others outside the family who show respect, sympathy and consideration other than those inside the family, 2) be able to anticipate the fluctuation of each other’ s feeling due to deep sorrow, 3) be in a comfortable state as a family where-in their deceased child exists with them. We made two narratives in leaflets format, one is for a couple and the other is for the grandparents of the deceased child.
  • Developing and analyzing infant night sleep by hybrid-sensing home-monitoring system
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: Apr. 2011 - Mar. 2015  
    This study aimed to develop a home-monitoring system for recording and auto-analyzing nocturnal infant sleep-wake during co-sleeping, and to describe nocturnal infant sleep at 2 and 25 weeks after birth. Developed was an image processing and a hybrid-sensing activity counter to monitor twelve low-risk infants. Sleep-wake patterns were analyze at 2, 4, 7, 12, 25 weeks after birth. Longitudinal data indicated sleep variables increased and wake variables decreased. Sleep development by 12-week. The majority of the longest sleep periods were observed during the first sleep period resembling adult sleep. Adult sleep patterns may appear as early as 12 weeks.
  • Evaluation of program to improve mental and physical health
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: Apr. 2011 - Mar. 2014  
    This study evaluated mental and physical health during the postpartum period and after they had participates in a program designs to improve women's health.The subjects were 135 mothers two-six months after delivery who participates in a postpartum program.They two hour weekly program,included;aerobic exercise,communication skills, and self-care, and last four consecutive weeks.There was statistical significance(p<.001)for changes in total points for poor physical condition,improvement at the 4th session,and the effect continued until one month after program completion.A significant difference(p=0.002)was found for changes in total points for subjective well-being.
  • Relationships between fetal brain development and maternal state on stress: Using an original system for recording fetal movement
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2011 - 2013  
    Fetal movement which is a biological indicator of fetal well-being is thought to become an index of neurological development. In the present study, we examined to demonstrate a process of fetal neurological development using an original system for recording and analyzing fetal movement during long term. Eleven pregnant women under daily life conditions participated in the study. At the results, number of fetal movement from gestational 24 to 32 weeks increased with individual differences on development, and decreased at gestational 36 weeks. Ultradian rest-activity rhythm of fetal movement started in gestational 28 weeks. This study continues for a pregnant woman under stressful conditions.
  • Exploring maternal hydration status for safe and healthy pregnancy outcomes
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2011 - 2013  
    This prospective cohort study explored indices for evaluating maternal hydration status. The indices included bioimpedance values that were evaluated using a multifrequency bioelectrical impedance analyzer. Data from 332 participants, who were healthy singleton pregnant women, were analyzed. Higher resistance (R) values or higher hemoglobin (Hb) values, suggesting lower hydration status and lower plasma volumes, were found in a "suspected preterm labor (SPTL)" and a "low birth weight (LBW)" groups. Lower R values and higher Hb values, suggesting higher hydration status and lower plasma volumes, were found in a "elevated blood pressure after 34-36 weeks of gestation through to delivery (EBP)" group. Possible correlations of indices, related to maternal hydration status, with negative pregnancy outcomes were found in this study. Future studies are needed to explore the indices for evaluating maternal hydration status and for indicating healthy pregnancy outcomes.
  • Sustainable development of novice researchers program which will contribute evidence based midwifery in Tanzania
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Exploratory Research
    Project Year: 2011 - 2013  
    This study was focused on sustainable development of novice researchers who will contribute evidence based midwifery for the promotion of maternal child health in Tanzania.In the first year we developed the curriculum of new midwifery master's program,which had been developed collaboratively,was accepted by the Muhimbili university.In the second year we conducted a survey to evaluate midwives' perceptions of the general concept of ' humanized Childbirth based on the women-centered care'.Completing the entire program were 104 participants.Participants understood of the concept and perceptions had changed. The seminar motivated them to improve care for their patients.The third year we interviewed midwives to describe their expectations for professional development.Sixteen midwives participated in this interviews.The results showed that although they experienced a number of barriers to access higher education,their desire to learn to be a good help of mothers and infants.
  • Development of a Narrative-based Care Guideline for Care of Perinatal Loss
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2010 - 2012  
    The purpose of this study was to develop a narrative-based care guideline for care of perinatal loss. First, I describe the development process of narrative-based guidelines on perinatal loss care in other countries. Then, we translated and revised a set of guidelines used in the UK for use in Japan. These newly revised guidelines provide continued care for parents through self-help meetings that take place for 1-3 months after bereavement. Furthermore, this guideline contains internal assessments of their own efficacy, such as the impact of the self-help meetings on parents. Moreover, as a new initiative on care for perinatal loss, many countries have adopted specialized caregivers-perinatal hospice care and bereavement midwives-that we suggest should be adopted inJapan.
  • Woman-centered care that provides long-lasting empowermentfor women experiencing childbirth and childrearing
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2010 - 2012  
    The year 2010~2011Purpose The objective of this study was to compare the outcomes of women and infants who received midwife-led care with obstetrician-led care. Methods Included were women who had a term-singleton-birth by vaginal delivery . Instruments included: Women-centred care (WCC) pregnancy questionnaire, Stein’s maternity blues (Stein’s MB) scale, Edinburgh Postnatal Depression Scale (EPDS) and Care Satisfaction Scale. Findings1) the perception of WWC was higher in the midwife-led group (p< .001) and their satisfaction with care was higher throughout the maternity period (p< .001) than the women in the obstetrician-led group. 2) women in the midwife-led group had less premature rupture of membranes (p= .030). 3) women in the midwife-led group engaged more exclusively in breast-feeding (p< .001) and 4) women in the midwife-led group showed significantly lower scores in Stein’s MB scale than those in the obstetrician-led group (p< .001). The year 2012 PurposeThe objective of this study was to investigate women’s experiences who had recently experienced childbirth and who received "woman-centered care" services Methods Group focus interviews were conducted. Participants were asked about their "Types of care services," and "Impressions of care services." FindingsThe categorized as follows: "Building a trustful relationship with the midwife," "Relieving anxiety and obtaining a sense of security," "Handling things proactively," "Personalized care thanks to familiarity," "Letting one be oneself," and "Bonding with the midwife.”
  • Development of care program for multiple-pregnancy following infertility treatment
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2010 - 2012  
    The purpose of this research is to development care program for multiple-pregnancy following infertility treatment. As a result of the first phase of this research, three categories were identified as characteristic care-needs of pregnant women after infertility treatment. Therefore in the second stage, education program for nurse and midwife providing pregnant women has been developed. As a result of the second research, it has suggested that staff (nurse and midwife) had needs to want to learn about care for pregnant women after infertility treatment, and by performing the education program, their needs were satisfied.
  • Development and evaluation of advocacy program for survivors of domestic violence: A randomized controlled trial
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2010 - 2012  
    IPV is worldwide health problem that negatively affects a wide range of physical, mental and social well-being of women and children. The purpose of this study was to develop, implement and evaluate advocacy program for abused women. Advocacy program was consisted based on the result of interview of experienced professionals. In addition, the Violence Against Women Screen was revised. Advocacy program was evaluated with action research methods. As a result of this, negative for IPV attitude of midwives and lack of resources were clarified as barriers to disseminatethis program.
  • Measuring causal effects between hiesho in pregnant women andabnormal delivery - identifying unmet medical needs
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2010 - 2012  
    It is common knowledge in the field of midwifery that hiesho (sensitivity to cold)among pregnant women is a risk factor for abnormal delivery. But this isexperience-based knowledge for which there is no concrete evidence. Therefore, thereis a strong need
  • Building of the foundation for clinical research and systematic review to create new evidence in nursing care.
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Research Activity start-up
    Project Year: 2010 - 2011  
    In order to spread knowledge on the methodology of systematic review of research evidence and a randomised controlled trial we produced and evaluated teaching materials for the systematic reviews and randomised controlled trials in a graduate nursing course. Its purpose also is to help nursing researchers conduct a systematic review or a randomised controlled trials. We also provided consultation to 83 students in total regarding nursing research methods, so that they could build knowledge base of systematic reviews. The principal investigator has become a member of the Pregnancy and Childbirth Group in the Cochrane Collaboration. We published the protocol"Prophylactic interventions after delivery of placenta for reducing bleeding during the postnatal period"in the Cochrane Library and has started the review.
  • Factors Associated with Couples Unwillingly Interrupting Infertility Treatment
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2009 - 2011  
    The purpose of this study was to examine factors associated couples unwillingly interrupting their infertility. Questionnaires were distributed at three points in time : Lst visit, 3 months and 6 months, to query satisfaction on their treatment. We found that husbands and wives wishes to have children were not always the same at the Lst visit. No correlations were found with : previous limitations on treatment ; impressions of medical institutions and duration of treatment. Participating in treatment strengthened their conscious support for each other. Understanding these factors may help to reduce treatment dropouts.
  • The consortium on decision-making education related to reproduction health subjects of woman and validation of the program
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2008 - 2011  
    Mothers infected with Human T cell Leukemia Virus Type I(HTLV-1) face difficultand painful decisions such as prenatal testing that may cause abortion and the selection of feeding methods, which could cause milk-transmission of the disease. In this research, an educational program for nursing professionals to learn about supporting better decisions for these patients and their families was evaluated. This educational program not only provided information, but it also taught howto focus support with consideration of the patients' values. Results indicatedthat the educational program deepened nursing professional participants understanding and indicated a wider future usage of the program.
  • A newly developed home-monitoring system of fetal movement during sleep in pregnant women with high risk pregnancy for reducing their anxiety.
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2008 - 2010  
    We developed a small capacitive acceleration sensor of fetal movement with high output power, FMAM (Fetal Movement Acceleration Measurement)recorder and an automatic analysis system of fetal movement. The recorder (290g, 77mm X 27mm X 140mm) consists of two sensors (one for fetal movement ; one for maternal movement), a biological amplifier, and an SD card drive. We can record fetal movement during continuous 40 hours. The subjects were nine normal pregnant women (29-39 yr) who gave written informed consent. They recorded fetal movement once every four weeks from 20 to 36 gestation weeks. The number of fetal movement during maternal sleep showed weekly variation with individual differences. In the automatic analysis system of fetal movement, there were a few problems in artifacts coming from the mother, especially her respiration. We could record fetal movement of two pregnant women with high risks who had experienced stillbirth. The number of their fetal movement distributed within a rage of fetal movement of the pregnant women with low risks. When they saw analysis figures of their fetal movement, they felt safe of their fetal well-being. The pregnant women were able to easily record fetal movement using the FMAM recorder at night by themselves. The FMAM recorder is promising for a long term monitoring of fetal movement. It will be necessary to collect more data on normal pregnant subjects and to improve the system of analysis to exclude maternal artifacts.
  • Developing platform of shared data of infant sleep analyzing system
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2007 - 2010  
    The aim of this study was to develop a home-monitoring system for recording and analyzing infant movement using image processing during nocturnal co-sleep, and to construct platform to network among pediatric sleep researchers. The equipment for the video monitoring system consisted of digital camera, Vari-zoom-lenses, near infrared LED, Image Recording Tool (including a computer to record infant's state), and Video Analysis Viewer for automatic analyses. We examined whether this system was robust for recording and detecting three infant states : quiet sleep, active sleep and awake. The range of interrater agreements of each infant's state was between 0.59-0.77. This newly developed video monitoring system shows good potential as a reliable robust system able to automatically detect infant-sleep wake state.
  • Ethnological Characteristics of Sensitivity to Cold among Pregnant Women -The analysis of the Brazilian pregnant woman-
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2007 - 2009  
  • Effect of self-care support model to make woman who uses fertility drug comfortable and relieved
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2006 - 2009  
    This study aimed to develop the self care support model of the woman who is undergoing ovarian stimulation for the fertility treatment, and to clarify the effect by cluster randomization. We considered the support of the woman undergoing recombinant FSH injection in the home. We developed Digital Versatile Disk and the notebook as a self care teaching material for the woman. The self management evaluation questionnaire (28 items) and skin regional, physical or mental symptom questionnaires (34 items) were developed to use for the outcome measure. However the outcome research did not perform due to research representative's health problem.
  • Development of Breastfeeding Behavior Assessment Tool to support Breastfeeding-mother for 14 days after birth.
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2007 - 2008  
  • Study on a minimally invasive method of endotracheal aspiration for extremely low-birth-weight infants
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2006 - 2008  
  • Development and Evaluation of Domestic Violence Guideline to Support Women in Asian Country
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2005 - 2008  
  • Apathphysiological study of sleep disturbance in the postpartumperiod
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2005 - 2007  
    Mothers' sleep in the postpartum period shows short sleep time and number of awakenings at night coming from taking care of their infants. According to retrospective studies using a questionnaire, most mothers adapt themselves to the postpartum life, even though their sleep time is short. A few mothers with sleep complaints do not adapt themselves to it. There were few pathphysiological studies on mothers' sleep disturbance in depression of the postpartum period, maternity blues, and sleep disturbance coming from free-running of infants' circadian sleep-wake rhythm. In this study, we prospectively and objectively studied sleep disturbance, especially, maternity blues and maternal sleep coming from free-running of infants' circadian sleep-wake rhythm. Polysomnographic and actigraphic recordings were made from late pregnancy (33 and 36 weeks) to postpartum (2,6 and 12 weeks) on 12 mothers and their infants. The subjects gave written informed consent before participating in the study. The results were as follows : 1, We did not encounter subjects with maternity blues in this study. Synchronization between mothers' activity and infants' activity is strong on adapted mothers, while non-adapted mother in our previous study with maternity blues (1998) suggested a weak synchronization. 2, We found one mother with her infant's free-running circadian sleep-wake rhythm. The mother followed her infant's circadian sleep-wake rhythm. The mother's circadian sleep-wake rhythm in her late pregnancy was long compared with other mothers. The maternal rhythm in late pregnancy was thought to influence her infant's free-running rhythm. 3, We succeeded in recording micro-arousals during pregnant women's sleep evoked by their fetal movement. Micro-arousals open the door to studies of pregnant women's sleep disturbance. 4, We succeeded in recording fetal movement by a newly developed sensor on maternal abdomens during maternal sleep. This system can be used for a long-term home monitoring of fetal movement. This system is applied for a patent.
  • Developing Bereavement Care : Helping families who have experienced stillborn birth bond and part with their baby
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2005 - 2007  
    Aims : The aim of this study is to assess the practicality of providing a mother who has experienced stillbirth with a booklet called Living with Grief and the Angel Kit, which includes keepsakes and preparations for parting with baby. We hope to further develop bereavement care aids by assessing this trial. Background : In Japanese culture, there is a history of concealment and denial of loss baby ; mothers must deal with a great deal of anguish. Some of the professions misunderstand knowledge western culture is a big difference from Eastern Asian Culture. In addition, midwifery education for perinatal loss, including stillbirth, is insufficient. Methods : Data were collected by cross-sectional survey questionnaire in 10 maternity hospitals in Tokyo between mid-July 2006 and mid-Sep 2007.Eligible participants had been hospitalized for the term stillbirth here means the death of a fetus 12 weeks or older. One hundred women were asked to use the booklet Living with Grief. One hundred women were asked to use both the booklet and the Angel Kit. The first 6 months of the study, only the trial for the booklet, Living with Grief was carried out, and the last 6 months of the study, the trial was carried out for both the booklet and the Angel Kit. Results: We gathered 22 women of used booklet living with Grief and 21 women used both booklet and the Angle Kit. The evaluations of the booklet are the 97.6% of [very helpful and helpful]. The booklet brought for the mother and family to impression [Appreciations / Inspiration] [Help relief and acceptance] [Easy to understand loss experience] [Regret]. The Angel kit brought mothers[Help in case of need] [Appropriate thing for keep in good memory during hospital] [Appropriate to the guide for the memory after discharge] [Pretty, cute and as like alive human baby] [The place where the baby were] [Receive to heartfelt feeling from peer] [Not to feel isolation] and [The role of tool in order to easy to communicate nursing/midwifery staff]. Conclusion : Both of booklet called Living with Grief and the Angel Kit are good enough for help. The characteristic assessment outcome respectively, the booklet helped mothers to recognition and emotional domain ; the Angel kit helped them to emotional and behavioral domain for grief work.
  • Development and Evaluation of a Decision-making Supporting Prenatal Genetic Nursing Education Program and an e-learning System.
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (A)
    Project Year: 2004 - 2007  
    In study, we developed and evaluated a perinatal genetic nursing education program through an e-learning system. We created this program based on our preceding research, "The Competency of Genetic Nursing Practice". It includes 7 parts, i.e. "Roles in the medical team", "Clarification of the purpose of visits and information collection", "Basics of clinical genetics", "Congenital anomalies and late child-bearing", "The practice and guidelines of prenatal tests", "Decision-making aid", and "Care of women who are having abortions and their families". To assess this program, prior and afterward problems were provided. This program is composed of "Practice part", which is used to confirm the knowledge learnt, and "Document part", which provides references to fit the needs of the attendees. This program is a "decision-making adult learning method (andragogy)". The attendees choose the contents by themselves. In order to attract the attendees' interest, we provided video for practical skill of amniocentesis, and introduced books and websites. "Bulletin board" and "tutor system" were provided to strengthen a sense of community among attendees, and to maintain their learning motivation. Fliers and websites were utilized for recruiting. As a result, 75 attendees registered to this program. For evaluation, (1) outcome evaluation (prior and post examination) and (2) process evaluation (the actual status, questionnaires, and interviews) were conducted. 95% of the attendees passed the acceptance line of 80% achievement. The target group among the attendees also showed increase rates exceeding the acceptance line. In the process evaluation, we found that each learning session was within 30 minutes, and both the "Practice part" and the "Document part" were referred. Support systems such as bulletin board on website obtained high evaluation. Most attendees were satisfied with this program. Through interviews, it was clear that the expectations to meet post-graduate educations as well as e-learning became very high.
  • Satellite system for observation of infants with inverted day-night sleeping cycles and their primary caregivers
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2004 - 2006  
    In order to observe the sleep-awake states of infants and identify the characteristics of these states, efforts were devoted to developing software that can objectively collect data and analyze it. This system focused on infant body movement, based on observation and analysis methods using videosomnography. In 2004, the system was developed and the software almost completed. The time-lapse video set/system was changed to a digital camera and computer, reducing weight and enabling acquisition of digital data. In 2005, a trial was conducted to validate the reliability of the software, where already-analyzed video data was read by the software and the earlier results were compared against the analysis results of the new software system. However, the image quality of the analogue video data was rough and subtle analysis was difficult, so analysis was stopped. Accordingly, the video was digitalized for legacy migration only. To save the image data, a hard disk was used connected to the required large capacity LAN. In 2006, in order to validate the reliability of the software, an Actiwatch was also used while collecting infant data. When data of 9 infants one month postpartum was analyzed, motion detection was activated other than for direct infant movement for an average 6.0% out of an average recording time of 9.3 hours. Reliability using the Actiwatch was demonstrated by Spearman's rank correlation coefficient. During the whole development period of this system, the author participated in domestic and overseas sleep research conferences, etc. and through presentations received feedback from sleep researchers. In trials conducted with overseas joint researcher Dr. Thomas F. Anders (Department of Psychiatry and Behavioral Sciences, UC Davis, M.I.N.D. Institute), the system was refined. Further development issues that became clear are the method of automatic analysis, and the addition of voice data and vital data (breathing).
  • The Practice and Assessment Genetics Nursing in Prenatal Diagnosis ; Applying to an Action Research Approach
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2004 - 2005  
    This research aimed to analyze and asses genetic nursing for pregnant women and their family. The research utilized an action research approach. Research was conducted at two medical facilities with the cooperation of midwives and physicians specializing in genetics. It was a part of the research project. The content of the studies was as follows : 1) Studying & Seminars, 2) Making the counseling materials : Guidebooks for the staff and consultation record forms. 3) Prenatal counseling, study of cases 4)The strength of this system is that the nurses, through carrying out physical care, can expand their skills. For this reason, by providing massage to floppy infants and by carrying out massage classes, both the objective of care and of education can be served. 5)Through the meetings and questionnaires, such suggestions as the following emerged : (1) The suggestions that were judged to be realistic were related to activities in the hospitals, and public facilities and the health consultation rooms. In addition, there social education activities were mentioned. (2) Activities related to education and involving small children, primary school level children, middle school level children, teacher and parents were mentioned. (3) Education activities aimed at education society concerning genetic examinations, and life in society. (4) Methods of obtaining new data and knowledge and the on-going training of nursing staff personnel.
  • Effect of Support Program for Women Undergoing Fertility Treatment
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2003 - 2005  
    In the end, the 7 consenting facilities were allocated into two groups, divided between 4 facilities and 3 facilities ; the Program A group (experimental group) consisted of 4 facilities and the Program B group (control group) consisted of 3 facilities. The number of recruited participants was 99 in the experimental group and 46 in the control group. At the start of the program there were 96 in the experimental group and 44 in the control group. At the end of the program there were 65 in the experimental group and 38 in the control group. Out of the 37 participants who withdrew from both groups, 15 dropped out due to pregnancy. Since the women who became pregnant could not be subjects of this study, excluding those 15 who became pregnant, a total of 125 participants, 85 in the experimental group and 40 in the control group, were subject to Intention-to-treat (ITT) analysis. The 22 other participants who dropped out were each assigned a final observed value before they withdrew. A significant difference was noted between the 2 groups in the variation in SF36. The Role of functioning due to physical problems (RP) was t=2.500(123), p=.014 (experimental group -1.71±20.71, control group -11.33±18.64). The Role of functioning due to emotional problems (RE) was t=2.762(123), p=.007 (experimental group 1.26±8.53, control group -8.38±17.51).The physical summary score (PCS) was t=2.424(123), p=0.17 (experimental group 0.07±8.90, control group -3.83±7.17). After conducting ITT analysis and per protocol analysis, covariance analysis was conducted to adjust the influence of extraneous factors (confounding factors) related to the variances seen in the SF36 subscales between the 2 groups. Each variation of SF36 subscales RP and RE, and PCS were treated as induced variables and the program as a fixed variable. Age, length of infertility, GSES score, HADS depression baseline level, each SF36 RP, RE, and PCS baseline level, degree of satisfaction baseline level, the presence or absence of a Certified Expert Nurse (CEN), cause of infertility, and the use or nonuse of ovulation induction drugs as a treatment method were added as covariates. Results for all 3 variations reveal no extraneous factors showing interaction with the program. HADS (Hospital Anxiety Depression Scale) and the variation in degree of satisfaction showed no significant difference in abnormal anxiety and depression ratio, incidence of abnormality, or variation.
  • Construction and evaluation of a nursing graduate school and a continued education system using e-learning
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (A)
    Project Year: 2002 - 2005  
    The objective of this research was to explore the possibilities of utilizing e-learning in graduate schools for nurses and the continued education and training of nurses. In order to do this, a four year plan entailing the following research was undertaken to further our understanding of present conditions and needs, and to experimentally adopt and evaluate the implementation of e-learning into the above areas. 1)We examined the current implementation of e-learning in various fields in universities both in and outside of Japan. We were able to indicate that the adoption of e-learning in Japan is behind that of other countries and that evaluative studies, particularly in the area of nursing are lacking. 2)Registered nurses throughout Japan were subject to a questionnaire study conducted in relation to e-learning needs. Over 70% of the people surveyed were interested in participating in e-learning courses and the most popular subjects were Nursing Diagnosis, Study Techniques, Medical Health Care and Nursing Management. Factors contributing to interests in participating were concerns about the lack of communication between learners and teachers of nursing, quality of programs and the possibility of gaining credits for units completed. 3)e-learning content was drawn up for nursing students and clinical registered nurses and the results evaluated. The majority of participants answered that the program assisted learning and that they would like to apply it to work later on. Replies suggesting that mutual communication of the course content is necessary were also evident among subject responses. 4)In order to examine whether e-learning is in fact inferior to face-to-face lectures, randomized controlled trials were conducted. The trial consisted of four classes on the subject content of "The application of EBN in nursing clinics." The outcome produced results supporting the fact that e-learning is in no way inferior to face-to-face lectures. If anything it indicated that the rate of program completion is higher among e-learning students and that it is effective in the continued education of shift-workers. Further analytical advancement is planned in the future. These results confirm the user-friendliness of self-learning materials and the effectiveness of the application of e-learning in continued education for registered nurses. At the same time, these results also indicate the importance of the introduction of a learning management system which promotes communication between nursing students and teachers, the allocation of full-time staff and clarifying the role of educational institutions in e-learning programs.
  • Development and Evaluation of the Guideline for Victims of Sexual Violence
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2002 - 2004  
    The guideline is designed to assist nurses and other health care providers to identify potential victims of domestic violence (hereafter referred to as "DV") in women during the perinatal period in clinical settings of perinatal care including hospitals, clinics, and midwifery offices, and to refer them to appropriate institutions/support organizations for proper interventions toward protection and recovery of women. A total of 2,392 articles were retired through electric searches of medical and nursing database by April 2004. Manual searches of the references in given articles were included. Researches selected 665 articles which were suitable for the content of this guideline. In principle, the literature on abuse against children, elderly and males, and qualitative research were excluded. For critical appraisal, 545 articles were selected. Finally, 157 articles were selected as evidence. Utilizing this guideline in clinical settings hopefully promotes detection and protection and safety of DV victim-women, and collaboration with appropriate support organizations.
  • The Model Frame of Nursing Practice Classification and Terms for Electronic Data Exchange.
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2002 - 2003  
    The purpose of this study is the development of the practical model that we can utilize as a standard on computers, considering human resources of the nursing in Japan. In order to achieve this goal, we consider clearing up and associating the followings : (1)the requirement of the nursing, (2)the requirement of IT. Then we constructed the model frame of nursing terms. Conclusively, we showed the structural frame consisting of standard care and programmed care. We got down to followings in 2003. 1.Evaluating the model that we developed in 2002; improving the model in order to apply it to practice by the investigation with two steps into a national hospital and a national university hospital) 2.Making up the thesaurus on terms of the model 3.Developing and Evaluating whether we can apply the model frame to each nursing field. 4.Considering the relation between ICNP and the model frame 5.Arranging the model frame in order to discuss it with ICNP developers and members in IMIA-NI The model frame was adopted by the nursing terminology standardization committee of MEDIS-DC, which develops and releases for nothing the various masters for the Electric Patient Record (ERP) undertaking projects sponsored by the Ministry of Health, Labor Welfare. MEDIS-DC investigated the evaluation of the masters in nursing institutes, professional nurses, certified nurses, nursing departments of hospitals with over 400 beds. The investigation shows that we can put the masters into practice well. We are going to release a master of standard care for nothing early in 2004
  • Development of nursing care for the susceptibility of extremely low birth weight infants after the treatment of endotracheal aspiration
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 2002 - 2003  
    This study aimed to clarify the effect of "flexed prone posture with boundaries" on infants after the treatment of endotracheal aspiration through observation of behavioral condition and comparison with the effects of a routine care. The cases comprised nine extremely low birth weight infants, whose average intrauterine age had been 26.3 weeks (from 25 weeks and 1 day to 28 weeks and 1 day) and average body weight at birth had been 811.8 g (from 648 g to 1,104 g). The infants, whose parents had agreed to their participation in this study, were randomly allocated into two groups of interposition (n = 4) and control (n = 5) by an envelope method. Each case in the two groups was observed and analyzed at every 2 minutes, from before the aspiration to 30 minutes after the aspiration, based on the following three indices : functioning of the autonomic system that was estimated by the measurement of heart rate and oxygen saturation, the stress sign that was collectively estimated from the parameters of motoric system obtained by the observation of behavior, and the dormant condition that was estimated according to the Thoman classification. The validity of the behavioral parameters, the reliability of the measurement, and the comparability of the interposition had been ensured before the collection of the data. Furthermore, an application form of ethical review concerned with this study had been accepted by both the ethical review board and the clinical trial judging committee. The results revealed that there was no difference between the counts of stress sign from "flexed prone posture with boundaries" and those from routine care. However, the counts of stress sign at 1 min after the interposition were less than the reference, and the low counts, such as 1-1.5, were maintained subsequently. The estimation of transitional stress sign and behavioral condition of a larger number of cases than those included in this study should be performed, since it is affected by the severity and the maturation of the cases.
  • A psychophysiological study in infants' development influenced by mothers with maternity blues
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2001 - 2003  
    We have two plans in order to study the development of infants with the mothers having maternity blues. One plan is to examine when and how infants obtain their circadian sleep-wake rhythm, using actigraph monitoring, whose mothers adapted themselves to postpartum periods. The other is to examine infants' circadian sleep-wake rhythm, whose mothers had maternity blues. However, it was difficult to encounter the subjects with maternity blues. We have done the first plan as follows: The subjects were eleven primipara and their infants. They gave written informed consent before participating in the study. Actigraphic recordings for the infants and their mothers were made over three to five continuous days during the third, sixth, ninth and twelfth weeks after birth. A 24-h peak on a mean autocorrelogram of the infants' movements was detected at the third week. The infants' circadian rest-activity rhythm already existed in the third week. The amplitude of this 24-h peak gradually increased from the sixth to twelfth week. This may be useful as an index of the development of infants' circadian rest-activity rhythm. Regarding the mothers, the amplitude of the 24-h peak on the mean autocorrelogram at the third week was the smallest of all other weeks, and it became larger from the third to twelfth week. This meant that the mothers' circadian rhythm at the third week was influenced by their interrupted sleep at night to take care of their infants. The mother-infant synchronization is probably the first factor in the entrainment of infants' circadian sleep-wake rhythm. Now, we have been studying development of infants with the mothers having maternity blues.
  • Produce and Evaluation of Educational Model for Genetic Nursing Competency
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (A)
    Project Year: 2000 - 2003  
    The purpose of this study was to identify practical competencies required for modern genetic nursing, implement and evaluate educational programs for genetic nursing according to an educational curriculum based on the competencies for provision of satisfactory care in medical practice related to genetics. The following research outcomes were obtained: (1)Hearing and literature review identified practical competencies consisting of 89 items in VII area required for genetic nursing. Approximately 500 health care professionals involved in genetic medicine were differentiated into either a group of "general nurses (all nurses)" or "genetic nurses" in each item by using the Delphi method to build consensus. (2)From the practical competencies required for general nurses, a curriculum for genetic nursing was developed. We planned and implemented a pilot study on genetic nursing seminar, and studied the evaluation methods and achievement of the participants. (3)Based on the evaluation of the pilot study, a genetic nursing seminar was held. Educational programs allowed the participants to learn the educational contents of genetic nursing through cases. Group works and role plays were conduced. As a result, the knowledge of the participants was significantly improved and their satisfaction was high. The role plays were mutually evaluated but self-rating was higher. There was no change in the practical competencies of nurses by the participants self-rating. The focus interview of the participants revealed the change of "nurses' perception on genetics" and challenging issues including the difficulty of the case study in clinical practice. (4)For the future, we need to study measures for patients' perception on the effects of the educational programs for genetic nursing. Also, systematic collaboration is necessary in terms of organizing these educational programs for genetic nursing as continuing education.
  • A psychophysiological study on a postpartum depressive state
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 1997 - 1999  
    2. In the postpartum periods from nine to twelve weeks, when infants obtain their circadian rhythm, there were two types of sleep patterns, interrupted sleep and non-interrupted sleep. Interrupted sleep was similar to the ;patterns of early postpartum, while non-interrupted sleep was close to patterns of non-pregnant women. Stage 4 in non-interrupted sleep increased compared with that of non-pregnant women. Increased Stage 4 of non-interrupted sleep seemed to be a recovery sleep arising from sleep deprivation. Firstly, we studied changes in the nocturnal sleep patterns of primiparas who adapted well to the postpartum periods. Characteristics of their sleep patterns were as follows. 1. In the early postpartum periods from one to six weeks, mean total sleep time of the mothers was 322 minutes, and mean sleep efficiency was 77%. Wake time after sleep onset increased significantly during the postpartum period compared with late pregnancy given responsibility for feeding. Stage 3+4 and stage REM did not change across the four sessions (pregnancy, first, third, and sixth postpartum weeks), but stage 2 decreased significantly from pregnancy to postpartum. The primiparas slept effectively, though their sleep time decreased. There was a strong synchronization between mothers wakefulness and their infants' movements. Secondly, we had attempted that polysomnographic recordings of a patient with a postpartum depressive state, maternity blues, were made. But it was difficult that we received the patients' consents, when they suffered strongly from maternity blues. Thus, we changed our methods from polysomnogram to actigram. The two cases, both polysomnographic and actigraphic recordings, were made. Characteristics of their sleep were as follows. 1. The two patients evaluated their sleep to be poor, though their sleep patterns did not change compared with those of adapted mothers. 2.They did not get up quickly, when their infants' movements occurred. These findings did not support a hypotheses of Karacan (1996) that sleep deprivation during postpartum might be a factor producing maternity blues. We must collect many cases, and nee to discuss reasons of maternity blues. This study showed that actigraphy would become a useful method to investigate patients with maternity blues.
  • Promotion of Women's Empowerment -Reform and Organize of Nursing Care System in a Birth Area-
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 1997 - 1999  
    The Purpose of this study was to clarify how originate empowerment between mothers and midwive/nurses in process from pregnancy to childbearing period, and to define the factors related to reform their care system. Research field was one care unit in an urban hospital, which provide cares for mothers and their children. 1. Evaluation research related to the process of transformation: Four kinds of evaluation researches were performed. We focused on the project of changing the care system that was the childbirth class from large group to small one and fixed-person-in-charge to expect mutual communication. The subjects were mothers and nursing staff (midwives and nurses). The results were as followed: (1) Mothers who were provided care made peer group and encouraged themselves based on their reciprocity. (2) Mutual relationship was created and become more closely between mothers and nursing staff (3) Nursing staff realized their objectives and progressed through their interaction with mothers on the process of mutual goal-setting and decision-making, consequently they were empowered. In addition, reciprocal transformation were recognized among mothers, nursing staff, and manager of the care unit. 2. Official announcements of research outcomes and support for working network: We encouraged nursing staff accomplished their publications, and assessed and made a chance feedback. Our farther commission is to construct networking with exterior nursing organizations and staff.
  • A STUDY OF THE NURSING CASE SYSTEM IN THE INTRAPARTUM PERIOD - A SURVEY BASED ON THE QUALITY ASSURANCE MODEL -
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 1997 - 1999  
    The purpose of this study was to evaluate intrapartum care and identify the factors needed to evaluate the nursing care system. The conceptual framework was based on the model of quality assurance, which was a 3 by 3 matrix, the abscissas of which consisted of "structure", "process" and "outcome", and the ordinate consisted of "environment", "consumer(parturient woman)" and "care giver(midwife)". The subjects consisted of 57 head nurses, 655 midwives and 796 parturient women in 58 different hospitals. These results were as follows : 1. In the ward constitution, the maternity ward accounted for about 30% of the entire birth related area. Caesarean section 's rate was an average of 19.5%. 2. In the case of the consumer, each of received cares included in the process variable, which were "daily care" and "supportive care", correlated with "satisfaction with services at delivery" and "evaluation of the birth experience", included in the outcome variable. In the case of the care giver, each of the given cares included in the process variable, which were "daily care", "supportive care" and "monitoring care", correlated with "satisfaction with intrapartum care", included in the outcome variable. 3. In the case of the consumer, there was a direct relationship between the care system ("consistency of received care" or "consistency of received information", included in the structure variable) and the outcome variable. In the case of the care giver, there was a direct relationship between the care system ("continued care from pregnancy to intrapartum period" or "continued care by the same midwife at delivery") and the outcome variable. 4. There was a stronger correlation between "monitoring care" and "satisfaction with intrapartum care" than in the other process variables. However, the strongest correlation was found between "the midwifery profession", included in the structure variable, and "monitoring care", included in the process variables.
  • Difficulties in childbearing related to change in sleep patterns amon mothers and children
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: 1997 - 1999  
    We investigated to the difficulties in childbearing relate to change in sleep patterns among mothers and children. The research consists of five parts, as following; 1) In order to find out changes in sleep patterns from ninth and twelfth weeks in postpartum period, we analyzed Polysomnograph from 10 primiparae. Polysomnographic recordings (EEG, ENG, EOG) of the mothers were made using a Medilog 9200 recorder at home during one night. When infants have obtained their circadian sleep-wake rhythm, mother's sleep fluctuated between interrupted sleep similar to the early postpartum sleep and non-interrupted sleep similar to recovery sleep after sleep deprivation. In addition, there was high synchronization between their wakefulness and their infants' movements 2) In order to investigate mothers' sleep-wake patterns between 5 and 12 weeks in the postpartum period, we analyzed continuous sleep logs. Data from 18 mothers and their infants were analyzed for each postpartum week. There were significant differences in total sleep time and wake time at night. Wake time at night gradually decreased from the fifth to the twelfth week. A transition from interrupted sleep to non-interrupted sleep was observed from the ninth to twelfth week of postpartum. 3) Actigraphic recordings for the mothers and their infants during 24 hours were made using Actiwach (Mini-Mitter Co.) for the third, sixth, ninth, and twelfth weeks. The subjects were seven primiparae and their infants. Mothers' wakefulness during night sleep in the postpartum from Week 3 to 12 relates to the process of their infants' circadian sleep-wake rhythm 4) We evaluated the effect of the "foot bath" for pregnant women experiencing low back pain. A degree of reduction of the strength of pain in the experimental group was greater than that in control group. The "foot bath" that was taken before going to bed was noted to reduce the strength of pain and increased the relaxation. 5) We interviewed 21 mothers from three to twelfth weeks in postpartum periods about difficulties of childbearing. They felt "tight felling" "big discrepancy between realistic and ideal childbearing" "uncertainty the best way in childbearing" and "loss of control" during first four weeks.
  • Innovation of Teaching-Learning Method in Baccalaureate Nursing Education.
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 1995 - 1996  
    The purpose of this study is to develop innovate teaching-learning method in which students learn integratively through situltional cases. Subjects were the second year students in baccalaureate program in nursing education. The design was a quasi-experimental study. The control group was 60 students who received classes by traditional lectures in 1994. Fifty nine students in the experimental group recieved classes on the same subject in a small group with Problem Based Learning (PBL) in 1995. Knowledge was measured by multiple choice exams before the class, on completion of the class, and three months after the classes. Satisfaction was measured by two questionaire, and by interview. Formative and summative evaluation were also used for analysis. Both knowlege level and satiosfaction were significantly higher in experimental group. The learning style of the students in experimental group had been changed by PBL in skills of stating the problems, searching literature, presenting the cases, learning motivation, and others. Even though most students showed positive attitudes towards PBL,a few students stated that PBL was stressful because they have to spend more time prepareing for the classes. This was due to tight schedule in curriculum.
  • Characteristics of Sleep Patterns and Psychological Aspects during Pregnancy and Postpartum Period.
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for General Scientific Research (A)
    Project Year: 1985 - 1988  
    The purpose of this study was to find out the patterns of sleep cycle of women during prenatal and postpartum period by using ME and survey the characteristics of subjective estimation on their sleep. Nocturnal sleep recordings (EEG,EOG,EMG,and ECG) during 3 consective nights were made in seven women 11 to 37 weeks of pregnancy, four women 1 to 7 weeks of postpartum period, and four nonpregnant women. The pregnant group resulted in lower sleep efficiency compared to nonpregnant group. The sleep efficiency in the third trimester was lower than that in the first and second trimester. There was a negative relationship between pregnant women's gestation and percent Stage 4. Compared to the third trimester, sleep efficiency was lower and percent Stage 4 was increased in early postpartum period. Subjective estimation form was developed including 3 major categories, namely, "Factors Relating to Sleep","Factors Relating on Awaking Feeling","Satisfaction resulting from Sleep". In order to identify the changes on sleep pattern during pregnancy and early postpartum period,289 pregnant womenand 86 mothers were studied. It was found that in the first trimester the desire for sleep was stronger than the second and third trimester. Towards the third trimester, feeling of difficult to fall asleep, insufficient length of sleep, awaking during sleep were increased, and as a result, dissatisfaction with sleep increased. In the early postpartum period, the reasons awakened were shifted from woman's self-related factors to factors related to neonate. The sleep during the postprtum period was worse than the third trimester and above all, mothers were dissatisfied about their sleep. Among the primigravidae, rejective feeling to the awaking during sleep was strong in the first trimester, but gradually decreased toward second, third trimester, and postpartum period. While the ratio of rejective feeling of the multigravidae was just the same with that of the third trimester of the primigravidae.
  • Relationship between the Acceptance of Menopause and Mental and Physical Complaints in Menopausal Women
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for General Scientific Research (B)
    Project Year: 1985 - 1987  
    This investigation was made for the relationship between the mental and physical complaints in the respective stages of pre-, peri- and post-menopausal periods and the acceptance of menopause and the influencing factors. The random sampling of the women aged 35 - 60 living in Tokyo was made with 420 effective answers. Many of them accepted the menopause positively. The response of the subjects were positive as there were some people who understand that the menopausal period is a natural process and do not have unpleasant self-conscious symptoms and felt that it is easier to live without problems. However, many in the pre-menopausal group replied that the menopausal period accompanies mental and physical disorders. On the other hand, many in the post-menopausal group replied that such symptoms did not accompany. The subject group had the symptoms which accompanied some troubles in their daily lives. The mental and physical complaints were determined by asking whether the 48-item symptoms existed or not. More than 90% of the subjects had some kind of symptoms. For all the subjects, there were many instances of the systemic symptoms (easily get tired), orthopedic symptoms (stiffness at the neck and shoulder, lower back pain), mental symptoms (forgetful). The group which was expecting the menopause soon had more statistically significant instances of neuroendocrine symptoms (irregular menstruation, hot fit, sensitive perception). Many of the subjects who had more than seven kind of symptoms had troubles in their daily lives and felt that the symptoms were painful and tried to get along with the symptoms. As the factors influencing the acceptance of menopause, the number of complaints, the number of current life stress in daily life, self-esteem, index if sex-role orientation and attitude towards menopause were extracted. For the future, the research suggested that there is a need for the consultation by the experts for those who felt some troubles in their daily lives as well as the need of education for healthy women before menopause.

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