Evaluation of Stress Related to Medical Care in Schools for Special Needs Education Using a Salivary Biomarker in Students With Profound and Multiple Learning Disabilities

• Fukasawa Mikae

  Graduate School of Comprehensive Human Science, University of Tsukuba

• Inoue Yurika

  Kagoshima Prefectural Kanoya Special School

• Takeda Kazunori

  Institute of Disability Sciences, University of Tsukuba

抄録

This study is the first to use salivary α-amylase activity (sAA) to evaluate stress in students with profound and multiple learning disabilities (PMLD) before and after medical care in schools for special needs education. Oral suction of sputum is one of the medical cares given in schools. And in this study, sAA, heart rate (HR), and degree of oxygen saturation (SpO₂) were measured for students before and after such suctioning. Results showed a significant rise in sAA and a rising trend in SpO₂ after the care, as well as a negative correlation between SpO₂ and sAA before the care. This indicates that while suctioning stabilizes oxygenation, it can also cause the student stress. Furthermore, sAA reflects the child’s physiological stress level during a low oxygenation state. In general, suctioning is performed only until a rise in SpO₂ and stabilization in HR. However, the findings indicate that sAA can highlight biological changes which cannot be ascertained through other measurements, and also show the significance of measuring sAA before and after medical care to ascertain the physiological and psychological condition of the student.

収録刊行物

• Journal of Special Education Research

  Journal of Special Education Research 2 (1), 11-16, 2013

  一般社団法人 日本特殊教育学会

キーワード

• profound and multiple learning disabilities (PMLD)
• medical care
• salivary biomarker
• salivary α-amylase activity (sAA)

詳細情報

• CRID: 1390282680718697344
• NII論文ID: 130004673121
• NII書誌ID: AA12615212
• DOI: 10.6033/specialeducation.2.11
• ISSN: 21884838
• ISSN: 21875014
• NDL書誌ID: 024811721
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I024811721
• Web Site: https://search.jamas.or.jp/link/ui/2014299002
• 本文言語コード: en
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可