{"id":202,"date":"2013-12-12T13:49:33","date_gmt":"2013-12-12T04:49:33","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=202"},"modified":"2015-08-06T13:49:55","modified_gmt":"2015-08-06T04:49:55","slug":"%e8%aa%8d%e7%9f%a5%e7%97%87%e3%81%ae%e5%ae%b6%e6%97%8f%e3%81%ae%e4%bb%8b%e8%ad%b7%e8%80%85%e3%81%ae%e3%83%a1%e3%83%b3%e3%82%bf%e3%83%ab%e3%83%98%e3%83%ab%e3%82%b9%e3%82%92%e4%bf%83%e9%80%b2%e3%81%99","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=202","title":{"rendered":"\u8a8d\u77e5\u75c7\u306e\u5bb6\u65cf\u306e\u4ecb\u8b77\u8005\u306e\u30e1\u30f3\u30bf\u30eb\u30d8\u30eb\u30b9\u3092\u4fc3\u9032\u3059\u308b\u30d7\u30ed\u30b0\u30e9\u30e0\uff08manual based coping strategy programme\uff09\u306e\u81e8\u5e8a\u52b9\u679c"},"content":{"rendered":"<p>\uff0d\u3000\u6587\u732e\u540d\u3000\uff0d\u2028\u3000Clinical effectiveness of a manual based coping strategy programme (START, STrAtegies for RelaTives) in promoting the mental health of carers of family members with dementia: pragmatic randomised controlled trial\u3000 Gill Livingston, et. al.\u3000 BMJ 2013;347:f6276 doi: 10.1136\/bmj.f6276 (Published 25 October 2013)<br \/>\n\u3000<br \/>\n\uff0d\u3000\u3053\u306e\u6587\u732e\u3092\u9078\u3093\u3060\u80cc\u666f\u3000\uff0d\u2028\u3000\u8a8d\u77e5\u75c7\u306e\u5bb6\u65cf\u3092\u4ecb\u8b77\u3057\u3066\u3044\u308b\u4ecb\u8b77\u8005\u304c\u7cbe\u795e\u7684\u306b\u30c0\u30e1\u30fc\u30b8\u3092\u53d7\u3051\u308b\u30b1\u30fc\u30b9\u3092\u3088\u304f\u7d4c\u9a13\u3059\u308b\u3002\u4eca\u56de\u3001\u8a8d\u77e5\u75c7\u306e\u5bb6\u65cf\u3092\u4ecb\u8b77\u3059\u308b\u4ecb\u8b77\u8005\u306e\u30e1\u30f3\u30bf\u30eb\u30d8\u30eb\u30b9\u306b\u95a2\u3059\u308b\u8ad6\u6587\u3092\u8aad\u3093\u3060\u306e\u3067\u5171\u6709\u3059\u308b\u3002<br \/>\n\u2028\uff0d\u3000\u8981\u7d04\u3000\uff0d\u2028\u3010\u76ee\u7684\u3011\u2028\u3000manual based coping strategy programme\u304c\u901a\u5e38\u306e\u6cbb\u7642\u3068\u6bd4\u8f03\u3057\u3066\u3001\u8a8d\u77e5\u75c7\u306e\u5bb6\u65cf\u3092\u4ecb\u8b77\u3057\u3066\u3044\u308b\u4ecb\u8b77\u8005\u306e\u3046\u3064\u3001\u4e0d\u5b89\u75c7\u72b6\u3092\u8efd\u6e1b\u3059\u308b\u304b\u3069\u3046\u304b\u3092\u8a55\u4fa1\u3059\u308b\u3002<br \/>\n\u3010\u30c7\u30b6\u30a4\u30f3\u3011\u2028\u3000Randomised, parallel group, superiority trial.<br \/>\n\u3010\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3011\u2028\u3000\u82f1\u56fd\uff08\u30ed\u30f3\u30c9\u30f3\u3068\u30a8\u30bb\u30c3\u30af\u30b9\uff09\u3001Three mental health community services and one neurological outpatient dementia service<br \/>\n\u3010\u53c2\u52a0\u8005\u3011\u3000260\u4eba\u306e\u8a8d\u77e5\u75c7\u306e\u5bb6\u65cf\u3092\u4ecb\u8b77\u3057\u3066\u3044\u308b\u4ecb\u8b77\u8005<br \/>\n\u3010\u4ecb\u5165\u3011\u2028\u3000manual based coping strategy programme\uff1a8\u56de\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u304b\u3089\u6210\u308a\u3001\u6307\u5c0e\u3055\u308c\u305f\u5fc3\u7406\u5b66\u306e\u5c02\u9580\u5bb6\u304b\u3089\u63d0\u4f9b\u3055\u308c\u308b\u3002\u8a8d\u77e5\u75c7\u3001\u4ecb\u8b77\u8005\u306e\u30b9\u30c8\u30ec\u30b9\u3001\u611f\u60c5\u7684\u30b5\u30dd\u30fc\u30c8\u3092\u5f97\u308b\u5834\u306a\u3069\u306e\u7cbe\u795e\u6559\u80b2\u3001\u4ecb\u8b77\u8005\u306e\u884c\u52d5\u306e\u7406\u89e3\u3001\u884c\u52d5\u3092\u7ba1\u7406\u3059\u308b\u30c6\u30af\u30cb\u30c3\u30af\u3001\u652f\u63f4\u304c\u306a\u3044\u3068\u3044\u3046\u8003\u3048\u306e\u5909\u5bb9\u3001\u53d7\u5bb9\u306e\u53d7\u3051\u5165\u308c\u3001\u81ea\u3089\u306e\u610f\u898b\u306e\u4e3b\u5f35\u3001relaxation\u3001\u5c06\u6765\u306e\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\u3001\u697d\u3057\u3044\u6d3b\u52d5\u306e\u5897\u52a0\u3001\u30b9\u30ad\u30eb\u5b66\u7fd2\u306e\u7dad\u6301\u306a\u3069\u3002\u3053\u308c\u3089\u306e\u4e8b\u3092\u81ea\u5b85\u3067\u30de\u30cb\u30e5\u30a2\u30eb\u3092\u4f7f\u3044\u306a\u304c\u3089\u3001relaxation CD\u3092\u805e\u304d\u306a\u304c\u3089\u5b66\u3076\u3002<br \/>\n\u3010Main outcome measures\u3011\u2028\u30004\u30f6\u6708\u5f8c\u30688\u30f6\u6708\u5f8c\u306e\u75c7\u72b6 (hospital anxiety and depression total score)<br \/>\n\uff1cSecondary outcomes\uff1e\u2028\u30fbdepression and anxiety caseness on the hospital anxiety and depression scale;\u2028\u3000\u4ecb\u8b77\u8005\u306eQOL:health status questionnaire, mental health\u2028\u3000\u8981\u4ecb\u8b77\u8005\u306eQOL:quality of life-Alzheimer&#8217;s disease\u2028\u3000\u4ecb\u8b77\u8005\u304b\u3089\u8981\u4ecb\u8b77\u8005\u3078\u306e\u6f5c\u5728\u7684\u306a\u8650\u5f85\u884c\u70ba\uff1amodified conflict tactics scale<br \/>\n\u3010\u7d50\u679c\u3011\u2028\u3000260\u4eba\u306e\u4ecb\u8b77\u8005\u304c\u9078\u3070\u308c\u305f\uff08Figure\uff09\u3002\u30e9\u30f3\u30c0\u30e0\u306b173\u4eba\u304c\u4ecb\u5165\u7fa4\u300187\u4eba\u304c\u901a\u5e38\u306e\u6cbb\u7642\u7fa4\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u3002\u2028\u30008\u30f6\u6708\u5f8c\u306ehospital anxiety and depression total score\u306f\u4ecb\u5165\u7fa4\u304c\u901a\u5e38\u306e\u6cbb\u7642\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u3088\u308a\u4f4e\u304b\u3063\u305f\uff08adjusted difference in means \u22121.80 points (95% confidence interval \u22123.29 to \u22120.31; P=0.02) \u2028\uff09\uff08Table5\uff09\u3002\u2028\u3000\u3046\u3064\u306e\u30b1\u30fc\u30b9\u304c\u4ecb\u5165\u7fa4\u3067\u4f4e\u304b\u3063\u305f(odds ratio 0.24, 95% confidence interval 0.07 to 0.76) \uff08Table5\uff09\u3002\u2028\u3000\u4ecb\u8b77\u8005\u306eQOL\u304c\u4ecb\u5165\u7fa4\u3067\u9ad8\u304b\u3063\u305f(difference in means 4.09, 95% confidence interval 0.34 to 7.83) \uff08Table5\uff09\u3002\u2028\u3000\u4ecb\u8b77\u8005\u304b\u3089\u8981\u4ecb\u8b77\u8005\u3078\u306e\u6f5c\u5728\u7684\u306a\u8650\u5f85\u884c\u70ba\u306e\u5831\u544a\u306f\u4ecb\u5165\u7fa4\u3067\u5c11\u306a\u304b\u3063\u305f(odds ratio 0.47, 95% confidence interval 0.18 to 1.23) \uff08Table5\uff09\u3002<br \/>\n\u3010\u7d50\u8ad6\u3011 \u2028\u3000manual based coping strategy programme\u304c\u8a8d\u77e5\u75c7\u306e\u5bb6\u65cf\u3092\u4ecb\u8b77\u3057\u3066\u3044\u308b\u4ecb\u8b77\u8005\u306e\u4e0d\u5b89\u3084\u3046\u3064\u306b\u5bfe\u3057\u3066\u52b9\u679c\u304c\u3042\u308a\u3001\u4ecb\u8b77\u8005\u306eQOL\u3092\u6539\u5584\u3055\u305b\u3066\u3044\u308b\u3002<\/p>\n<p>\uff0d\u3000\u8003\u5bdf\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3000\uff0d<br \/>\n\u3000\u8a8d\u77e5\u75c7\u306e\u5bb6\u65cf\u3092\u4ecb\u8b77\u3057\u3066\u3044\u308b\u4ecb\u8b77\u8005\u3078\u306e\u652f\u63f4\u30d7\u30ed\u30b0\u30e9\u30e0\u304c\u6709\u52b9\u3067\u3042\u308b\u4e8b\u304c\u6539\u3081\u3066\u793a\u3055\u308c\u305f\u3002\u5bff\u90fd\u753a\u3067\u306f\u3001\u753a\u5f79\u5834\u306e\u4fdd\u5065\u5e2b\u304c\u4e2d\u5fc3\u3068\u306a\u3063\u3066\u5b9a\u671f\u7684\u306b\u5bb6\u65cf\u4f1a\u3092\u958b\u50ac\u3057\u3066\u3044\u308b\u304c\u3001\u4eca\u56de\u306e\u8ad6\u6587\u306e\u3088\u3046\u306a\u4f53\u7cfb\u3060\u3063\u305f\u30d7\u30ed\u30b0\u30e9\u30e0\u3067\u306e\u652f\u63f4\u3067\u306f\u306a\u3044\u3002\u4eca\u5f8c\u3001\u3053\u306e\u3088\u3046\u306a\u652f\u63f4\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u4f5c\u6210\u3059\u308b\u304b\u306f\u8b70\u8ad6\u306e\u4f59\u5730\u304c\u3042\u308b\u304c\u3001\u7686\u3055\u3093\u306e\u5730\u57df\u306e\u72b6\u6cc1\u306f\u3044\u304b\u304c\u3067\u3057\u3087\u3046\u304b\uff1f\u00a0<\/p>\n<p>\u958b\u50ac\u65e5\uff1a\u5e73\u621025\u5e7412\u670811\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\uff0d\u3000\u6587\u732e\u540d\u3000\uff0d\u2028\u3000Clinical effectiveness of a manual based coping strategy programme (START, STrAtegies for RelaTives)  &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=202\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u8a8d\u77e5\u75c7\u306e\u5bb6\u65cf\u306e\u4ecb\u8b77\u8005\u306e\u30e1\u30f3\u30bf\u30eb\u30d8\u30eb\u30b9\u3092\u4fc3\u9032\u3059\u308b\u30d7\u30ed\u30b0\u30e9\u30e0\uff08manual based coping strategy programme\uff09\u306e\u81e8\u5e8a\u52b9\u679c<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-202","post","type-post","status-publish","format-standard","hentry","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/202","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=202"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/202\/revisions"}],"predecessor-version":[{"id":204,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/202\/revisions\/204"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=202"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=202"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}