TANABE YUUKO
| Faculty of Health Care,Department of Nursing | Assistant Professor |
Last Updated :2025/10/07
■Researcher basic information
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Career
■Research activity information
Paper
- Alarm Fatigue and Related Factors among Nurses Working in Cardiology Wards
Kitasato International Journal of Nursing Science, Mar. 2022 - Left Ventricular Ejection Fraction Predicts Severity of Posttraumatic Stress Disorder in Patients With Implantable Cardioverter‐Defibrillators
Hiroyuki Sawatari; Tomoko Ohkusa; Anita Rahamawati; Katsuhiko Ishikawa; Miyuki Tsuchihashi‐Makaya; Yuko Ohtsuka; Mori Nakai; Mami Miyazono; Nobuko Hashiguchi; Hiroaki Chishaki; Harumizu Sakurada; Yasushi Mukai; Shujiro Inoue; Kenji Sunagawa; Akiko Chishaki
Clinical Cardiology, 06 May 2016
ABSTRACT
Background
Implantable cardioverter‐defibrillators (ICD) have provided effective therapy for fatal arrhythmia. However, ICD patients are known to develop psychological problems, such as posttraumatic stress disorder (PTSD), if they have experienced potentially fatal arrhythmia and ICD shocks. Little is known about the factors influencing PTSD in ICD patients.
Hypothesis
Echocardiographic cardiac‐function parameters might relate to psychological problems, especially PTSD, in ICD patients.
Methods
A total of 128 outpatients with ICD implantation completed the Impact of Event Scale Revised (IES‐R) questionnaire as a measurement of PTSD. Demographic and clinical characteristic data were collected from medical records.
Results
The mean age of the ICD patients was 59 ± 16 years; 103 were male; and the mean left ventricular ejection fraction (LVEF) by echocardiography was 52.4% ± 18.3%. In the ICD patients, female sex and impaired LVEF were related to lower IES‐R scores or led to PTSD (P = 0.01 and P = 0.03, respectively). Impaired LVEF also worsened 2 symptoms of PTSD, intrusion (P = 0.02) and hyperarousal (P = 0.03). In patients with LVEF <35%, there was a significant negative correlation between LVEF level and IES‐R score (P = 0.045).
Conclusions
This study showed that LVEF was related to the severity of PTSD, especially in the ICD patients with LVEF of <35%. We should pay more attention to ICD patients with severely impaired left ventricular function to prevent psychological problems. - Influence of primary and secondary prevention indications on anxiety about the implantable cardioverter‐defibrillator
Anita Rahmawati; Akiko Chishaki; Tomoko Ohkusa; Hiroyuki Sawatari; Miyuki Tsuchihashi‐Makaya; Yuko Ohtsuka; Mori Nakai; Mami Miyazono; Nobuko Hashiguchi; Harumizu Sakurada; Masao Takemoto; Yasushi Mukai; Shujirou Inoue; Kenji Sunagawa; Hiroaki Chishaki
Journal of Arrhythmia, 19 Nov. 2015, [Reviewed]
Abstract
Background
Implantable cardioverter‐defibrillators (ICDs) have been established for primary and secondary prevention of fatal arrhythmias. However, little is known about the influence of ICD indications on quality of life (QOL) and psychological disturbances. This study aimed to examine whether there were differences in QOL and psychological distress in patients that have an ICD for primary or secondary prevention of fatal arrhythmias.
Methods
A multicenter survey of 179 consecutive outpatients (29.1% primary prevention) with ICD implantations completed the Short Form‐8 (SF‐8), Beck Depression Inventory (BDI), Impact of Event Scale‐Revised (IES‐R), State‐Trait Anxiety Inventory (STAI), and Worries about ICD (WAICD).
Results
Patients with an ICD for primary prevention had a higher trait anxiety score and worries about ICD score than patients with an ICD for secondary prevention (41.7±12.4 vs. 34.7±12.3, p=0.001 and 39.6±18.0 vs. 30.0±18.9, p=0.002, respectively), even after adjusting for demographic and clinical characteristics. In multivariable analysis of variance, primary prevention ICD recipients reported a poorer QOL on the vitality subscale of the SF‐8.
Conclusions
In our study population, which mostly consisted of New York Heart Association (NYHA) class I and II subjects, primary prevention ICD recipients were more prone to experience worries about their ICD, anxiety, and a poorer QOL compared to secondary prevention ICD recipients. In clinical practice, primary prevention ICD patients should be closely monitored. If warranted, they should be offered psychological intervention, as anxiety and low QOL were predictors of mortality. - Gender Disparities in Quality of Life and Psychological Disturbance in Patients With Implantable Cardioverter-Defibrillators
Anita Rahmawati; Akiko Chishaki; Hiroyuki Sawatari; Miyuki Tsuchihashi-Makaya; Yuko Ohtsuka; Mori Nakai; Mami Miyazono; Nobuko Hashiguchi; Harumizu Sakurada; Masao Takemoto; Yasushi Mukai; Shujiro Inoue; Kenji Sunagawa; Hiroaki Chishaki
Circulation Journal, 2013, [Reviewed]
Books and other publications
Lectures, oral presentations, etc.
- 心不全患者の自己管理能力を測定するためのツールに関する文献レビュー
19 Oct. 2024 - 循環器病棟で勤務する看護師のアラーム疲労の実態と関連要因の検討 心電学関連春季大会2023 2023/04/22 日本不整脈心電学会
22 Apr. 2023 - Psychological Issues in Heart Failure Patients Who Received Implantable Cardioverter-Defibrillator
Anita Rahmawati; Akiko Chishaki; Tomoko Ohkusa; Hiroyuki Sawatari; Miyuki Tsuchihashi-Makaya; Yuko Ohtsuka; Mori Nakai; Mami Miyazono; Nobuko Hashiguchi; Harumizu Sakurada; Masao Takemoto; Yasushi Mukai; Shujirou Inoue; Hiroaki Chishaki
Oct. 2015 - 慢性心不全看護認定看護師の活動と役割に関する全国調査(1)慢性心不全看護認定看護師に対する調査結果
Oct. 2014 - 慢性心不全看護認定看護師の活動と役割に関する全国調査(2)看護管理者に対する調査結果
Oct. 2014 - 慢性心不全看護認定看護師の活動と役割に関する全国調査(3)医師に対する調査結果
Oct. 2014 - 末期に医療行為を拒否した慢性心不全患者への看護介入に難渋した一例
Oct. 2013 - ICD患者のQOLと患者属性との関係
Mar. 2013 - Gender Differences in Quality of Life and Psychological Responses among Implantable Cardioverter-Defibrillator Patients in Japanese Population
Anita Rahmawati; Hiroyuki Sawatari; Miyuki Tsuchihashi-Makaya; Yuko Ohtsuka; Mami Miyazono; Noboku Hashiguchi; Harumizu Sakurada; Masao Takemoto; Sei Nakai; Yasushi Mukai; Syujiro Inoue; Hiroaki Chishaki; Akiko Suyama-Chishak
American Heart Association2012 - 植込み型除細動器(ICD)患者におけるQOLや心理精神的障害の多施設調査
Oct. 2012 - ASV導入における問題点の分析
Oct. 2011 - 療養環境整備の充実に向けたリンクナースの取り組み
Feb. 2011 - ICD植込み後1年以内の患者の不安-誤作動・異物感・日常生活・周囲の環境
Mar. 2010 - カテーテルアブレーション後絶対安静時間の短縮の試み
Mar. 2009 - ICD植込み後1年以内の患者の不安－作動に対する不安－
Mar. 2009 - ICD植込み後1年以内の患者の不安 2008/08/14
14 Aug. 2008 - ICD植込み後1年以内の患者の不安
Aug. 2008
Affiliated academic society
Research Themes
- Alarm Fatigue and Related Factors among Nurses Working in Intensive Care Units
Grant-in-Aid for Research Activity Start-up
Teikyo Heisei University
Aug. 2022 - Mar. 2025
■Profile Information
Degree
■Achievement List
Paper
- Effectiveness of Exercise Therapy to Expand ADL in Elderly Heart Failure Patients
Sole Author, yuko Ohtsuka(旧姓), An individualized program was developed after reviewing with the physician to ensure that the elderly patient could engage in exercise therapy without anxiety. This program enabled the patients to engage in exercise therapy with peace of mind, and their ADLs expanded., Kitasato University Center for Nursing Career Development and Research, Certified Nursing Case Report Collection for Chronic Heart Failure Nursing, Kitasato University Center for Nursing Career Development and Research, 17, 21, Mar. 2013, Not exist, Not exist, Japanese, Research papers (other academic conferences' materials and others), Domestic
Url - Gender Dispairties in Quality of Life and Psychological Disturbances of the Patients with Implantable Cardioverter Defibrillators.
Joint Author, Anita Rahmawati|Akiko Chishaki|Miyuki Tsuchihashi-Makaya|Yuko Otsuka|Mori Nakai|Mami Miyazono|Nobuko Hashiguchi|Harumizu Sakurada|Masao Takemoto|Yasushi Mukai|Shujiro Inoue|Kenji Sumagawa|Hiroaki Chishaki, A study of outpatients with implantable cardioverter defibrillators (ICDs) to determine whether gender differences in quality of life and psychology existed showed that women had a lower quality of life related to the role of physical functioning, depression, and post-traumatic stress disorder. , Circulation journal, The Japanese Circulation Society, Vol.77, No.5, 1158, 1165, May 2013, Exist, Not exist, English, Research papers (academic journals), International, Not International Collabolation
Url - Influence of primary and secondary prevention indications on anxiety about the implantable cardioverter-defibrillator.
Joint Author, Rahmawati, A., Chishaki, A., Ohkusa, T., Sawatari, H., Tsuchihashi-Makaya, M., Ohtsuka, Y., Nakai, M., Miyazono, M., Hashiguchi, N., Sakurada, H., Takemoto, M., Mukai, Y., Inoue, S., Sunagawa, K., & Chishaki, H., A multicenter survey of 179 consecutive outpatients with ICD implantations completed the SF-8, BDI, IES-R, STAI, and WAICD.Patients with an ICD for primary prevention had a higher trait anxiety score and worries about ICD score than patients with an ICD for secondary prevention, even after adjusting for demographic and clinical characteristics., Journal of arrhythmia, 32, 2, 102, 107, Sep. 2015, Exist, English, Research papers (academic journals), International, Not International Collabolation
Url - Left Ventricular Ejection Fraction Predicts Severity of Posttraumatic Stress Disorder in Patients With Implantable Cardioverter-Defibrillators
Joint Author, Hiroyuki Sawatari|Nobuko Hashiguchi,|Tomoko Ohkusa|Anita Rahamawati|Katsuhiko Ishikawa|Miyuki Tsuchihashi-Makaya|Yuko Ohtsuka|Mori Nakai|Mami Miyazono|Hiroaki Chishaki|Harumizu Sakurada|Yasushi Mukai|Shujiro Inoue|Kenji Sunagawa|Akiko Chishaki, LVEF impairment in women with ICDs was associated with lower IES-R scores or PTSD; patients with LVEF impairment had worse PTSD and hyperarousal, two symptoms. More attention should be paid to ICD patients with severe left ventricular function to prevent psychological problems., Clinical Cardiology, Editors of the HEART Group Journals, Vol.39, ?No5, 263, 268, May 2016, Exist
Url - Alarm Fatigue and Related Factors among Nurses Working in Cardiology Wards ( Master's Thesis )
Sole Author, Yuko Tanabe, A literature review was conducted to examine the conceptual framework. Next, a survey of alarm fatigue was conducted among nurses working in a cardiology unit, which yielded lower results than previous studies. Two related factors were associated: mental workload and the number of times the threshold for alarm activation was adjusted., Mar. 2021
Url
Lectures, oral presentations, etc.
- Patient anxiety within 1 year of ICD implantation
Yuko Otsuka (maiden name), Yuka Nakatani, Mayumi Ito, Miki Arasoe, The 34th Annual Meeting of the Japanese Society of Nursing Research (Kobe, Hyogo, Japan), 14 Aug. 2008
Url, While treatment with an implantable cardioverter defibrillator (ICD) provides a sense of security, it is also said to be associated with anxiety and fear. The five categories were anxiety due to malfunction, fear due to the experience of operation, anxiety due to disease and age, and anxiety due to the time since ICD implantation. - Alarm Fatigue of Nurses Working in Cardiology Wards and Related Factors.
22 Apr. 2023, 22 Apr. 2023 - 22 Apr. 2023, Not exist, Japanese, Japan, Domestic conferences, Not International Collabolation, Verbal presentations (general), The Japanese Heart Rhythm Society., Tokyo
Url, We investigated the actual condition of alarm fatigue and related factors among nurses in a cardiovascular ward. Alarm fatigue was assessed by the Nurses' Fatigue in Relation to Clinical Alarms and related factors were also investigated. The significant associations between related factors were mental workload and the number of times alarm values were adjusted. - A review of tools for measuring self-management skills in patients with heart failure
Yuko Tanabe, The 18th Annual scientific Meeting of the Academy of Nursing Education Research, 19 Oct. 2024, 19 Oct. 2024 - 19 Oct. 2024, Not exist, Japanese, Japan, Domestic conferences, Not International Collabolation, Poster sessions, Academy of Nursing Education Research, Shinjyuku
Url,
We reviewed 74 studies to determine what measurement tools were used for self-management of heart failure. 13 studies were developmental studies, and some were also used in intervention studies. 18 studies used multiple tools to evaluate self-management. Only one study used a scale evaluated by others.
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