In this study, compliance among elderly Japanese home-care recipients was found to be associated with receiving pharmacist counseling, frequency of meals, and age.

Objectives:In order to examine the first night effect in suspected Obstructive Sleep Apnea Syndrome (OSAS) patients, we performed night Polysomnography (PSG), the long-term actigraphic recording and the self-reported sleep questionnaire. Methods: Nine patients with mild OSAS and four patients with severe OSAS participated in the study. Sleep evaluation was assessed by PSG, 5 days actigraphic recording including PSG night, and the St Mary' s Hospital Sleep Questionnaire. Objective and subjective sleep quality was compared between two groups. Results: There were no significant difference between groups in PSG, actigraphic recording of PSG night, and the perceived quality of sleep. However, the patients with severe OSAS showed poor sleep quality in the long-term actigraphic recording. Conclusions: Our results suggested that long-term recording using actigraphy is useful for sleep evaluation of OSAS patients, and that subjective sleep evaluation may be difficult to adequately assess sleep quality in patients with severe OSAS.

Background & Aims:The purpose of this study was to gain insights into how patients experience involuntary admission under Japan' s system of psychiatric care. To this end, patients who had been involuntarily admitted and were scheduled for discharge were interviewed about their experiences at hospital admission to clarify the feelings of such patients' experience on the day of admission. Method: Semi-structured interviews were conducted among 12 inpatients who had been involuntary admitted to the hospital and consented to participate. The interview data was analysed qualitatively and descriptively. Results: Feeling of involuntary admitted patients were summarised into five thematic categories: [Life╱work commitments are bigger priorities than admission], [Surprise and anger at being deceived by family], [Recognising one' s emotionally driven behaviour], [Resigning to and accepting intangible exogenous forces], and [Unconvinced of explanation by health care professionals on admission]. Conclusion: Even after visiting to the hospital, patients remained clearly committed to their life╱work, which were their bigger priorities than admission. The patients also felt that they had been deceived by their family. Issues regarding decision-making regarding hospitalization emerged. As they were aware of their own situation, they resigned to and accepted the inpatient treatment. As an initiative for outpatients at the time of non-voluntary hospitalisation, our results suggest that support is required for deciding treatment plans while sharing the opinions of both patients╱family members and health care professionals while respecting what is important for the patients.

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Objective:The purpose of this study was to objectively and subjectively evaluate different types of sleep for nurses working in shifts, and to clarify the relationship between each sleep and burnout state. Methods: The subjects were 20 female shift-working nurses. Actiwatch Spectrum Plus was used for objective evaluation of sleep. The St. Maryʼs Hospital Sleep Questionnaire was used for subjective evaluation. In addition, the Maslach Burnout Inventory-HSS Japanese version was used for burnout evaluation. Results: In objective evaluation, emotional exhaustion was found to have a significant positive correlation with nighttime sleep after the day shift, and a significant negative correlation with the percent sleep of post-night shift sleep. In the subjective evaluation, emotional exhaustion was found to have a significant negative correlation with the depth and soundness of sleep on holidays after the night shift. In the objective evaluation, personal accomplishments were significantly negatively correlated with the percent sleep of sleep after the night shift. Conclusion:The discrepancy between the subjective and the objective evaluations is suggested to be one characteristic of burnout.