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application/pdf, 本研究では、わが国における心肺蘇生指導に関する研究の動向を概観し、心疾患患者の家族を対象とした心肺蘇生指導の現状と課題を明らかにすることを目的に文献検討を行った。, 文献検索は、医学中央雑誌Web（Ver.5）を使用し、1980年〜2020年までに公表された国内の原著論文を対象とし、キーワードを「心臓マッサージ」「心停止」「胸骨圧迫」「心肺蘇生」に「家族」を掛け合わせて検索した。結果446文献が抽出され、重複文献や心肺蘇生指導に関連のないものを除外し、107文献を対象文献とし、研究内容別に分類した。さらに研究内容別に分類したなかで、看護師が心疾患患者の家族を対象とした心肺蘇生指導について報告している10文献を最終分析対象とし、現状と課題を整理した。その結果、心疾患患者の家族を対象とした心肺蘇生指導は、講習会形式で実施されていたものが多かった。受講前の患者の家族は不安を抱えていたが、受講後は急変時の対応について理解を深めることができていた。一方で、一度の講習では習得が困難なため再受講を希望する家族もいた。, 家族は心肺蘇生指導をうけることで不安の軽減につながっていた。今後の課題として、繰り返し受講できるシステムづくりが必要だということが示唆された。, We conducted a literature review to outline trends in research on cardiopulmonary resuscitation (CPR) guidance, and to clarify the current status and challenges of such guidance for families of patients with heart disease in Japan., We searched for original Japanese research studies that had been published between 1980 and 2020，and are available in the Ichushi Web (Ver. 5) database, using the following keywords: “cardiac massage”, “cardiac arrest”, “sternal compressions”, “cardiopulmonary resuscitation” and “family”. As a result, 446 studies were extracted and after excluding duplicate papers and those not related to CPR guidance, we classified 107 studies based on the topics. Furthermore, we finally adopted 10 studies that discuss CPR guidance for families of patients with heart disease provided to clarify the current status and challenges of such guidance. We found that the CPR guidance for families had been provided in a workshop style in many cases. The families had been anxious before participation, but the workshops deepened their understanding of measures to manage sudden changes., Families' anxiety was reduced by receiving CPR guidance. As a future challenge, the necessity of establishing a system that enables families to regularly participate in CPR workshops was suggested.

Epidemiological investigations have shown that consumption of soybeans or soy foods reduces the risk of the development of cardiovascular disease, cancer and osteoporosis. The aim of this study was to determine the associations between different soy foods and inflammatory markers, including high-sensitivity C-reactive protein (hs-CRP), interleukin (IL)-6, and IL-18, in Japanese workers. The cross-sectional study included 1,426 Japanese workers (1,053 men and 373 women) aged 20 to 64 years. Intake of 12 soy foods was estimated by a validated food frequency questionnaire. Associations of total soy foods, fermented soy food, non-fermented soy food, soy isoflavone with hs-CRP, IL-6, and IL-18 levels were examined by general linear model regression analysis. We found that total fermented soy food intake was inversely associated with multivariable-adjusted geometric concentration of IL-6 in men (Q1 : 1.03 pg/mL, Q5 : 0.94 pg/mL ; P for trend = 0.031). Furthermore, it was shown that IL-6 concentrations were inversely associated with miso intake (β= -0.068 ; p = 0.034) and soy sauce intake in men (β= -0.074 ; p = 0.018). This study suggests that intake of total fermented soy food, miso and soy sauce be associated with IL-6 concentrations in Japanese men.

Purpose : The aim of this study was to clarify the changes in medication-taking behavior and related factors over time in patients with initial mild cerebral infarction up to 12 months after onset. Methods : Thirtyone patients with initial mild cerebral infarction were surveyed a total of four times : on admission to hospital, 3 months after onset, 6 months after onset, and 12 months after onset. Patients were surveyed regarding medication compliance, awareness of taking medication, perceived behavioral control, lifestyle risk factors, and subjective norms. Results :Medication compliance improved over time from the time of admission, but no changes were seen in awareness of taking medication. A cluster analysis based on changes in medication compliance over time revealed a “Persistently high compliance group” and a “Persistently low compliance group” for medication compliance. The health locus of control in the “Persistently high compliance group” was perceived as the result of chance and fate. Conclusions : Assessing the current state of medication compliance and the health locus of control during hospitalization permitted an understanding of patient characteristics, and indicated a need for recurrence prevention education and medication guidance tailored to each patient’s cognitive and behavioral characteristics.