Kyushu University Academic Staff Educational and Research Activities Database
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Kimie Fujita Last modified date:2019.09.05



Graduate School
Undergraduate School


E-Mail
Homepage
http://www.shs.kyushu-u.ac.jp/outline/index.html
Phone
092-642-6738
Fax
092-642-6738
Academic Degree
Master of nursing, Ph.D
Field of Specialization
Choronic illness nursing, gerontological nursing
Research
Research Interests
  • Scale development to measure low intensity physical activity
    keyword : low intensity physical activity
    2019.05~2020.05.
  • Physical activity in patients with total hip and knee arthroplasty
    keyword : Physical activity, total hip arthroplasty, total knee arthroplasty
    2017.05~2019.05.
  • Construction of a QOL database on locomotion of Asian artificial hip joint patients
    keyword : Total hip arthroplasty Asia QOL
    2015.04~2018.03.
  • The effect of intensity display type accelerometer on physical activity of diabetic patients
    keyword : Diabetes mellitus Exercise therapy Physical activity
    2016.04~2018.03.
  • Competency in Caregivers of Elderly with Dementia
    keyword : Senior, Citizens, Dementia Caregiver, Competency
    2016.06~2018.06.
  • Changes in health related quality of life ,prevention of revision among patients going through THA and TKA
    keyword : Total Hip replacement, Revision, Total Knee replacement, Quality of life
    2012.04~2015.03.
  • Prospective study of physical activity and quality of life in patients undergoing hip arthroplasty.
    keyword : physical activity, quality of life, Arthritis
    2009.04~2012.03.
  • In-Vivo Kinematic Estimation of Total Knee Arthroplasty
    keyword : QOL, TKA, Risk analysis
    2012.04~2015.03.
  • Development of a diabetic support system
    keyword : Diabetes mellitus, accelerometer, SMBG
    2005.04~2008.03.
  • Humor therapy model of dimentia patients in nursing home
    keyword : Humor therapy, dimentia, nursing home, elderly
    2006.04~2008.03.
  • Prospective study of physical activity and quality of life in Japanese patients undergoing hip arthroplasty and knee arthroplasty
    keyword : QOL, physical activity, hip arthroplasty, knee arthroplasty
    2009.04~2012.03.
Academic Activities
Papers
1. Lin Pi, Fujita K, Chang Su, Liu Yo., Patient Life Experience and Activity of Daily Living before and after Total Knee Arthroplasty, Open Journal of Nursing, 2016(6):, 6, 6581-671, 2016.06.
2. Fujita K, Makimoto K, Mawatari M., Three-year follow-up study of health related QOL and lifestyle indicators for Japanese patients after total hip arthroplasty., J Orthop Sci., 10.1016/j.jos.2015.11.004., 21, 2, 191-198, 2016.04, BACKGROUND:In non-Western countries including Japan, activities requiring deep flexion of the hip joint, such as seiza (kneeling with calves tucked under the thighs and buttocks resting on the heels) and using squat toilets are commonly practiced. The purpose of this study was to assess longitudinal changes in traditional health-related quality of life measures and measures of physical functions associated with lifestyle for Japanese patients pre-surgery and after total hip arthroplasty.
METHODS:Consecutive primary total hip arthroplasty patients between July 2003 and November 2006 were eligible. Patients were measured preoperatively and at 6 weeks, 1 year and 3 years postoperatively. Patients completed the EuroQol 5D, the Western Ontario and McMaster Universities Osteoarthritis Index and items related to Japanese lifestyle activities such as squatting. Changes in these scale scores across the four time points were tested, and we examined predictive factors of EuroQol 5D score at 3-year follow-up using multiple linear regression.
RESULTS:Of 1103 eligible patients, 576 completed questionnaires at all four time points. By 6 weeks post-surgery, reductions in pain and improvements in physical function and stiffness became highly significant, and improvements continued to 3 years postoperative. In contrast, improvements were far more limited for items related to Japanese lifestyle functions such as seiza and use of a Japanese squat toilet, even 3 years after surgery. Predictive factors of EQ5D at 3-year post THA were WOMAC pain and physical function, seiza, age and comorbidity measured at 3-year post THA.

CONCLUSION:

The rate of improvement in QOL requiring deep flexion of the hip joint was much slower than that in QOL related to Western lifestyle. Our study suggests a need for lifestyle modification for THA patients in the other countries where kneeling and squatting are commonly performed..
3. Myoji Y,Fujita K,Mawatari M,Tabuchi Y., Changes in sleep-wake rhythms, subjective sleep quality and pain among patients undergoing total hip arthroplasty, International Journal of Nursing Practice, 10.1111/ijn.12345, 21, 6, 764-770, 2015.12, We evaluated nocturnal sleep-wake rhythms and subjective sleep quality on the first postoperative night compared with the preoperative night in 34 patients who had total hip arthroplasty (mean age: 61.9 years; 82.4% female) under spinal anaesthesia. We also examined secondary factors related to sleep disturbances after surgery. Patients wore an accelerometer (actigraph) during the preoperative period and the first postoperative night to track sleep-wake rhythms. Secondary end-points were postsurgical pain and low back pain. Sleep parameters were measured objectively by actigraphy, and subjective sleep quality was measured by the Oguri-Shirakawa-Azumi Sleep Inventory, Middle-Aged and Aged Version and found to worsen significantly after surgery. Actigram data showed a reduction in actual sleep time from 353.7±121.2min preoperatively to 263.8±104.4min postoperatively. The data indicate that normalized continuous sleep time is important for patient healing and well-being and that postoperative sleep disturbance is related to low back pain more than to postsurgical pain..
4. Fujita K,Xia Z,Liu X,Mawatari M,Makimoto K., Lifestyle and health-related quality of life in Asian patients with total hip arthroplasties., Nursing and Health Sciences, 2014.09.
5. Fujita K,Makimoto K,Tanaka R,Mawatari M,Hotokebuchi T., Prospective study of physical activity and quality of life in Japanese women undergoing total hip arthroplasty., Journal of Orthopaedic Science, 18(1):45–53, 1, 45-53, 2013.01.
Presentations
1. Kimie Fujita, Changes in the Euro-Qol and depression, and post-operative patient
satisfaction 5 years after total hip arthroplasty, 18th East Asia forum nursing scolarship conference , 2015.02, Purpose
Total hip arthroplasty (THA) is a widely accepted orthopedic surgical procedure performed to
relieve pain and improve physical functions. However, research on long-term quality of life
among THA patient is limited. The purposes of this study were to 1) examine changes in the
Euro-QOL (EQ5D) and depression in patients before THA and five years after THA and 2)
assess post-operative satisfaction and anxiety evaluated by self-administered questionnaire.
Design
This study is a longitudinal, quantitative, and descriptive study.
Methods
Consecutive patients going through primary THA at Saga University Hospital, Japan,
between July 2003 and November 2006 were eligible for the study. The preoperative
questionnaires included baseline demographic variables. Surgical procedure, diagnosis and
post-surgical complications requiring treatment were obtained from the medical record. The
study was approved by the ethics committee of Saga University. The EQ5D and depression
subscale of Arthritis Impact Measurement Scale(AIMS)2 were administered at the preoperative
period and post-operative at five years. Participants were also asked to rate the
original 10 items regarding post-operative satisfaction, such as “no pain of daily life” and
working. Higher scores indicate better satisfaction. In addition, 3 items about anxiety
regarding postoperative dislocation and loosening were asked for these participants. Higher
scores indicate stronger anxiety. Responses of these items were based on a 4-point Likert
scale.
Results
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During the study period, 1004 preoperative patients agreed to participate. Of these, 236
participants did not return their questionnaires or were too many missing data after THA, and
100 participants were excluded from analysis because of operation of the other hip within five
years after THA. Sixty-hundred and sixty-eight participants completed both pre- and post-
THA surveys. The valid-response rate was 66.5%. The improvement in the mean scores for
the EQ5D and depression scales between the pre-operative and post-operative periods were
highly significant (p<0.001). The most of the postoperative satisfaction items showed high
mean scores. However, the “enjoy exercise” item had a low mean satisfaction score. In
addition, mean score of the anxiety of postoperative loosening was higher than that of
dislocation loosening.
Conclusions
Quality of life in participants who underwent surgery sustained improvement five years after
THA, and the postoperative satisfaction remained high. However, participants reported much
less satisfaction for exercise, and they were more concerned about loosening than dislocation.
In order to assess long-term QOL in THA participants, health professionals need to pay
attention to changes in patients’ concern over time..
2. Kimie Fujita, Yuriko Myouji, Improvement of the physical activity and quality of life after primary total
knee arthroplasty:Two-year postoperative evaluation and comparison
with healthy persons, 18th East Asia forum nursing scolarship conference , 2015.02, Purpose
The purpose of this study was to determine objective changes in the physical activity and
quality of life (QOL) of patients before, and 6 and 24 months after undergoing total knee
arthroplasty (TKA). Furthermore, we compared the physical activity and QOL of the patients
24 months after TKA with that of healthy persons.
Design
This was a longitudinal study.
Methods
Twenty-seven participants were selected among patients who were indicated to undergo
primary TKA and patients who had undergone primary TKA 6 or 24 months prior. Physical
activities within 1 week were measured using a small pedometer with an accelerometer
(Lifecorder EX, Kenz, Japan) to determine the number of steps walked and the intensity of
physical activity (<3 and ≥3 metabolic equivalents [METs] h/week). The QOL was assessed
by conducting a self-reported questionnaire survey using the Short-Form 8-item (SF-8)
questionnaire and Oxford knee score (OKS).
Ethical considerations: The participants were informed that (1) study participation was
voluntary, (2) study participation would not affect their treatment, and (3) only aggregated
data would be presented. Written informed consent was obtained from all the participants.
The study was approved by the ethics committee of Saga University of Medicine.
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Results
This study included 3 men and 24 women, aged 73.6 ± 6.3 years (mean ± SD). The mean
number of steps walked and the intensity of physical activity ≥ 3 METs differed significantly
between before, and 6 and 24 months after TKA (p < 0.001). The number of steps walked
before TKA was 3461 steps/day; 6 months after TKA, 4914 steps/day; and 24 months after
TKA, 5133 steps/day. The intensity of physical activity ≥ 3 METs was 2.5, 5.9, and 6.9
h/week, respectively. Among the healthy persons (age- and sex-matched with the TKA
patients), the number of steps walked was 5948 steps/day, and the intensity of physical
activity ≥ 3 METs was 8.1 h/week. No significant difference was observed between the TKA
patients who had undergone TKA 24 months prior and the healthy persons. The preoperative
SF-8 scores (Physical Component Summary [PCS] score, 38.2 points; Mental Component
Summary [MCS] score, 49.3 points) greatly improved 24 months after TKA (PCS score, 45.3
points; MCS score, 52.6 points).
The total OKS improved 6 and 24 months after TKA compared with that before TKA.
However, of the patients, 44.4% had moderate to extreme difficulty in kneeling down and
getting up afterwards or they could not do it, and 29.6% answered the same for walking down
the stairs.
Conclusions
The physical activity and QOL of the patients improved 6 and 24 months after TKA, and the
patients had a relatively good recovery compared with healthy persons. However, at 24
months after TKA, patients still had difficulty in kneeling down and getting up afterwards and
walking down the stairs.
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Membership in Academic Society
  • Journal of Japan Academy of Gerontological Nursing
  • Journal of Japanese Society for Chronic Illnes and Conditions Nursing
  • Journal of Japanese Society of Nursing Research
  • Japan Academy of Nursing Science
  • The Journal of Japan Academy of Diabetes Education and Nursing