Kyushu University Academic Staff Educational and Research Activities Database
List of Presentations
Kimie Fujita Last modified date:2021.09.09

Professor / Clinical nursing / Department of Health Sciences / Faculty of Medical Sciences


Presentations
1. Rumi Tanaka, Yuriko Matsunaga-Myoji ,Kanako Yakushiji , Satomi Tanaka ,Kimie Fujita, A Systematic Review of Light-Intensity Physical Activity Measurement Scales, N3_Conference, 2020.01.
2. Satomi Tanaka ,Kanako Yakushiji ,Rumi Tanaka ,Maki Kanaoka ,Kimie Fujita, Cross-Sectional Study of Objective Daily Physical Activity and Quality of Life in Liver Transplant Candidates, N3_Conference, 2020.01.
3. Yuriko Matsunaga-Myoji, Shuya Ide, Yasuko Tabuchi, Masaaki Mawatari, Kimie Fujita, Physical activity and health-related quality of life after total knee arthroplasty in patients with versus without lifestyle-related diseases, N3_Conference, 2020.01.
4. Kanako Yakushiji, Satomi Tanaka, Rumi Tanaka, Kimie Fujita, Pre-surgery Expectations and Their Fulfillment of Expectations among Japanese Patients who are undergoing Total Hip Arthroplasty (THA), N3_Conference, 2020.01.
5. Hisako Nakao, Satomi Aomoto, Miyuki Ushio, Kumiko Sakai, Yumiko Kinoshita, Maki Kanaoka, Satoko Maeno, Yu Yamaguchi, Kimie Fujita, A literature review on ethics education for nurses working in hospitals in Japan – Aiming at educational reform through collaboration between hospitals and educational institutions-, The 6th International Nursing Research Conference of World Academy of Nursing Science, 2020.02.
6. Nakashima F, Kimie Fujita, Kukihara H, Before versus after total hip arthroplasty: Changes in daily activity content, daily step count, and health-related quality of life, 10th International Nursing Conference, 2015.10.
7. Yumiko Takedomi, Kimie Fujita, Yasuko Tabuchi, The Characteristics of Post-Traumatic Growth of Bereaved Spouses in Palliative Care Units., 18th East Asia forum nursing scholaship conference , 2015.02, Purpose
Purpose: Bereavement, particularly of a spouse, is a stressful life event that has a large impact on the mind and body. This study explored the characteristics of the post-traumatic, psychological growth of widows and widowers in palliative care units who had lost spouses.
Design
This was a quantitative, cross-sectional study.
Methods
Methods: A questionnaire study was conducted among survivors in two palliative care units in Japan from April 2007 to March 2013. Participants were 550 people who were surveyed between 6 months and 6 years after bereavement. The survey incorporated a measure of demographic characteristics, the Post-traumatic Growth Inventory-Japanese (Taku, 2007), the Coping Scale (Ozeki, 1993), and the Duke Social Support Index-Japanese (Iwase et al, 2008).
Results
Results: From 550 participants, 244 (44.4%) were returned; 26 questionnaires were discounted because of problems. 108 spouses were made into the candidate among 218 persons. The average age of participants (SD) was 67.0 (9.9) years; 31 were widowers and 77 widows. The average age of the deceased spouses was the same. The mean palliative care unit length of stay was 1.5 months, for an average of two years six months during a bereavement period. High scores on the scale represented the amount of mental shock at the time of losing a spouse. However, family care has also been enhanced from the general units is a palliative care units, the spouse who was mental ready for inviting death was 62%. In addition, 85.2% of spouses accepted their spouse’s death, but some participants had still not accepted the death after six years. The post-traumatic growth (PTG) total scores for the sample were moderate, but higher than for parents of paediatric osteosarcoma patients (Yonemoto et al., 2012) and car accident survivors (Nishi et al., 2010). In addition, PTG scores were higher for widows than for widowers, and there was a significant difference between these scores (p=0.008). There were no significant differences in PTG on the following factors: separation-by-death period of less than one year and one year or more; palliative care unit hospitalization duration of one month or more, and less than one month; survivor’s age less than 65 years old, and aged 65 and over; spouses who were mentally ready for their spouse’s death, and spouses who were not; and spouses who did not accept death and spouses who did. PTG showed a positive correlation with emotion-focused coping, problem-focused coping, emotional support, and recognition evaluative support.
Conclusions
Conclusion: Spouses who lost partners through death in the palliative care unit had the highest average ages. For these spouses, existence of the deceased was large. The shock at the time of separation by death was also great. In addition, PTG was higher than in parents of paediatric osteosarcoma patients or car accident survivors. For bereaved individuals who have lost a spouse, nursing thing that can stress coping bereaved family and social support is important has been suggested..
8. 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..
9. 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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