{"created":"2024-06-07T08:34:49.033394+00:00","id":2000348,"links":{},"metadata":{"_buckets":{"deposit":"0ef6e3d4-73c6-4569-a5c6-9297ff3049d9"},"_deposit":{"created_by":29,"id":"2000348","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"2000348"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:02000348","sets":["57:86"]},"author_link":["144126"],"item_5_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2024-03-08","subitem_date_issued_type":"Collected"}]},"item_5_date_granted_54":{"attribute_name":"学位授与年月日 ","attribute_value_mlt":[{"subitem_dategranted":"2024-03-15"}]},"item_5_degree_grantor_53":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"鹿児島大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"17701","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_5_degree_name_42":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士(医学)","subitem_degreename_language":"ja"},{"subitem_degreename":"Doctor of Philosophy in Medical Science","subitem_degreename_language":"en"}]},"item_5_description_17":{"attribute_name":"ファイル（説明）","attribute_value_mlt":[{"subitem_description":"博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"Few reports have quantitatively investigated the effect of dementia on medical outcomes and nurse workload. Therefore, we aimed to investigate whether cognitive decline can be identified from a nurse assessment and determined its effect on medical outcomes and nurse workload. This retrospective cohort study used electronic medical record data to investigate whether patients judged by nurses to have cognitive decline were as affected as those with a dementia diagnosis. Further, a model formula was created and validated to predict the probability of needing physical restraint, the nursing care workload, and the record volume. The subjects were 43,330 patients aged ≥40 years who were hospitalized at the study hospital during the four-year study period. Data were analyzed using the chi-square test, Welch’s t-test, logistic regression analysis and linear regression analysis. The implementation of physical restraint and a discharge support conference was significantly higher in patients deemed by nurses to have cognitive decline. Nurse-deemed patients with cognitive decline were affected by the outcome and workload as much as those with dementia. The false discovery rate for the Probability model formula of physical restraint and discharge support conference were 0.198 and 0.266. The correlation coefficient of the model formula for predicting nursing care and recording volume was 0.5–0.6. Combining nurse assessment and patient attribute information in a model was useful for predicting nurse workload. These findings may serve as a foundational component for the Clinical Decision Support System, aiding in the evaluation of intervention methods from the early stages of hospital admission and improving care delivery.","subitem_description_language":"en","subitem_description_type":"Other"},{"subitem_description":"Iwaanakuchi T, Yoshida T, Fukuda Y, Uto Y\nImpact of cognitive decline on medical outcomes and nursing workload: A retrospective cohort study\nPLoS ONE 18(11): e0293755. (2023) \nhttps://doi.org/10.1371/journal.pone.0293755","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_5_dissertation_number_55":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲総研第726号"}]},"item_5_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"PLOS","subitem_publisher_language":"en"},{"subitem_publisher":"鹿児島大学","subitem_publisher_language":"ja"}]},"item_5_text_44":{"attribute_name":"備考","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"【指導教員:橋口照人】"}]},"item_5_text_47":{"attribute_name":"date.appl","attribute_value_mlt":[{"subitem_text_value":"【学位申請日】2024-01-10"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"岩穴口, 孝","creatorNameLang":"ja"},{"creatorName":"Iwaanakuchi, Takashi","creatorNameLang":"en"}],"familyNames":[{"familyName":"岩穴口","familyNameLang":"ja"},{"familyName":"Iwaanakuchi","familyNameLang":"en"}],"givenNames":[{"givenName":"孝","givenNameLang":"ja"},{"givenName":"Takashi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"144126","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2025-09-11"}],"displaytype":"detail","fileDate":[{"fileDateType":"Collected","fileDateValue":"2024-03-08"}],"filename":"Diss_IWAANAKUCHI_Takashi_ISK726_2023.pdf","filesize":[{"value":"851.1 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"Diss_IWAANAKUCHI_Takashi_ISK726_2023.pdf","objectType":"fulltext","url":"https://ir.kagoshima-u.ac.jp/record/2000348/files/Diss_IWAANAKUCHI_Takashi_ISK726_2023.pdf"},"version_id":"e90e655c-4af9-444b-8453-e7ba3934f8cf"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2025-09-11"}],"displaytype":"detail","fileDate":[{"fileDateType":"Collected","fileDateValue":"2024-03-08"}],"filename":"Abstract_IWAANAKUCHI_Takashi_4517800010_2023.pdf","filesize":[{"value":"72.6 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"Abstract_IWAANAKUCHI_Takashi_4517800010_2023.pdf","objectType":"abstract","url":"https://ir.kagoshima-u.ac.jp/record/2000348/files/Abstract_IWAANAKUCHI_Takashi_4517800010_2023.pdf"},"version_id":"dd6fd59f-4bd0-4e28-b654-fd360f731773"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2024-06-07"}],"displaytype":"detail","fileDate":[{"fileDateType":"Collected","fileDateValue":"2024-03-08"}],"filename":"Result_IWAANAKUCHI_Takashi_isk_726.pdf","filesize":[{"value":"201 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"Result_IWAANAKUCHI_Takashi_isk_726","objectType":"other","url":"https://ir.kagoshima-u.ac.jp/record/2000348/files/Result_IWAANAKUCHI_Takashi_isk_726.pdf"},"version_id":"5d9688bd-4f60-4da8-811f-2b4ee07785d0"},{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2024-06-07"}],"displaytype":"detail","fileDate":[{"fileDateType":"Collected","fileDateValue":"2024-03-08"}],"filename":"Comments_IWAANAKUCHI_Takashi_isk_726.pdf","filesize":[{"value":"94.5 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"Comments_IWAANAKUCHI_Takashi_isk_726","objectType":"other","url":"https://ir.kagoshima-u.ac.jp/record/2000348/files/Comments_IWAANAKUCHI_Takashi_isk_726.pdf"},"version_id":"e60840bb-8302-4583-8c9c-c2319280292d"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Impact of cognitive decline on medical outcomes and nursing workload: a retrospective cohort study","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Impact of cognitive decline on medical outcomes and nursing workload: a retrospective cohort study","subitem_title_language":"en"},{"subitem_title":"認知機能低下が診療アウトカムと看護業務に与える影響評価分析","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"29","path":["86"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-06-07"},"publish_date":"2024-06-07","publish_status":"0","recid":"2000348","relation_version_is_last":true,"title":["Impact of cognitive decline on medical outcomes and nursing workload: a retrospective cohort study"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2025-09-11T02:41:26.506809+00:00"}