東北大学大学院医学系研究科・医学部

STAFF

Professor

• Unoki, Takeshi Professor.RN, Ph.D. 卯野木 健 教授
  

CONTACT

OUTLINE

The Laboratory of Acute and Critical Care Nursing focuses on the recovery and social reintegration of critically ill patients who have received intensive care. Our main research areas are post-intensive care syndrome (PICS), which encompasses long-term physical, mental, and cognitive impairments after critical illness, and social reintegration, including return to work. We also investigate clinical factors that influence these outcomes, such as delirium, physical restraint, sedation, and early rehabilitation. Our aim is not merely to describe long-term outcomes, but to identify modifiable factors and develop practical approaches that improve nursing care from the intensive care unit (ICU) through to life after discharge.
We conduct multicenter observational studies, longitudinal cohort studies, and systematic reviews. We value collaboration across institutions and countries with nurses, physicians, rehabilitation professionals, patients, and researchers.
Through research and education, we seek to strengthen evidence-based critical care nursing and to help patients overcome critical illness, return smoothly to society, and regain a life that is truly their own. We welcome students and collaborators interested in PICS, long-term outcomes, delirium, patient experience, and nursing across the continuum from prevention of deterioration to recovery and social reintegration.


成人急性期看護学研究室では、集中治療を受けた重症患者の回復と社会復帰に焦点を当てた研究を行っています。主な研究領域は、重症疾患後に生じる長期的な身体機能障害、認知機能障害、メンタルヘルスの問題を含む「集中治療後症候群（PICS）」と、復職をはじめとする社会復帰です。また、せん妄、身体拘束、鎮静、早期リハビリテーションなど、これらに影響を与える臨床的要因についても探究しています。当研究室が目指すのは、長期的なアウトカムを記述することにとどまらず、介入可能な要因を特定し、集中治療室（ICU）から退院後の社会生活に至るまでの看護・ケアを改善する実践的なアプローチを開発することです。
当研究室では、多施設共同観察研究、縦断的コホート研究、システマティックレビューなどを実施しています。また、施設や国を超えて、看護師、医師、リハビリテーション専門職、患者ご本人、他機関の研究者との協働を大切にしています。
研究と教育を通じて、根拠に基づくクリティカルケア看護を発展させ、患者が重症疾患を乗り越えて円滑に社会復帰し、自分らしい生活を取り戻せるよう支援することを目指しています。PICS、長期アウトカム、せん妄、患者体験、そして重症化予防から回復期・社会復帰に至る一連のプロセスにおける看護に関心のある学生や共同研究者を歓迎します。

ARTICLE

Sasaki A, et al. Previous-day physical restraint duration as a bedside signal for following-day delirium: a retrospective patient-day analysis in a mixed ICU. J Intensive Care. 14(1):83, 2026
URL： https://link.springer.com/article/10.1186/s40560-026-00910-6

Unoki T, et al. Long-term mental health change patterns in ICU survivors: a four-year comparative follow-up from the SMAP-HoPe study. J Intensive Care. 13(1):41, 2025
URL： https://link.springer.com/article/10.1186/s40560-025-00812-z

Yamakita S, et al. Comparative efficacy of various oral hygiene care methods in preventing ventilator-associated pneumonia in critically ill patients: A systematic review and network meta-analysis. PLoS One. 19(12):e0313057, 2024
URL： https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0313057

Unoki T, et al. Japanese Clinical Practice Guidelines for Rehabilitation in Critically Ill Patients 2023 (J-ReCIP 2023). J Intensive Care. 11(1):47, 2023
URL： https://link.springer.com/article/10.1186/s40560-023-00697-w

Unoki T, et al. Prevalence of and risk factors for post-intensive care syndrome: Multicenter study of patients living at home after treatment in 12 Japanese intensive care units, SMAP-HoPe study. PLoS One. 16(5):e0252167, 2021
URL： https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0252167