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Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/10560

Title: 一特定機能病院における褥瘡有病率の現状
Other Titles: The present conditions of the pressure ulcers in one technologically advanced hospital
Authors: 瀬戸口, 要子
一戸, 眞子
門田, 千晶
阪井, 眞利子
SAKAI, Mariko
Keywords: 特定機能病院
Issue Date: 31-Mar-2008
Publisher: 上武大学看護学部
Citation: 上武大学看護学部紀要. 2008, vol.3, p.17-26
Jobu Daigaku Kango Gakubu kiyo (Bulletin of Faculty of Nursing, Jobu University). 2008, vol.3, p.17-26
Abstract: 特定機能病院であるA病院の平成18年度の縟瘡有病率の現状についてデータの提供を受け,分析した.結果,以下のことが明らかになった.A病院における18年度の年間縟瘡有病数は138人(0.9%)であり,全国的にみて少ない有病数である.また縟瘡の原因疾患第1位は防ぐことが困難とされる悪性腫瘍であったこと,発生部署の第1位はハイリスク状態にある患者が多く在院しているICUであったこと,術中・術後に発生した縟瘡は短期間で治療していた.この背景として皮膚・排泄ケア認定看護師の活用,縟瘡対策委員会と栄養サポートチームの連携等,効果的な縟瘡予防対策が取られ,成果をあげていることが示唆された.これらの特性を縟瘡発生リスクと難治度の2つの要素から考察し,A病院では予防できる縟瘡については予防できていること,また縟瘡が発生した場合のケアが適切に行われていることが推測された.特定機能病院には縟瘡ハイリスク患者が多いが,縟瘡予防対策と縟瘡が発生した場合のケアが適切に行われていることが示唆され,今後,患者のQOL向上とケアの質向上を目指していけるよう,さらにケアの質を高めていく事が課題になる.
Fiscal Year 2006 pressure ulcer rate data from Hospital A, which is designated a Special Functioning Hospital, was received and analyzed. As a result, the following points were made clear: There were an annual total of 138 patients (0.9%) with pressure ulcers at Hospital A during Fiscal Year 2006. Few prevalence rates this low are to be found anywhere in the country. The most common etiological factor in pressure ulcers was malignant tumors, which do not readily allow prevention. The most common location was in ICUs, where there are many patients at high risk of pressure ulcers. Pressure ulcers that occurred during perioperative and postoperative periods were cured quickly. The general context involved the use of nurses for hygienic care and excretion assistance as well as a Pressure Ulcer Countermeasures Committee and nutrition support teams working in collaboration. It was suggested that these and other such effective measures for pressure ulcer prevention were yielding results. Considering the yarious characteristics concerned in terms of the two factors of pressure ulcer risk and difficulty of treatment, it was conjectured that Hospital A is successfully preventing those pressure ulcers that are preventable and providing appropriate care for those pressure ulcers that do occur. Special Functioning Hospitals have large numbers of patients at high risk for pressure ulcers, and these findings suggest that large numbers of patients at high risk for pressure ulcers, and these findings suggest that pressure ulcer prevention measures and treatment for pressure ulcers that occur are being provided appropriately. Further improvement of the quality of care will become an issure in the future from the perspective of improving patient quality of life and raising the quality of care.
URI: http://hdl.handle.net/10087/10560
ISSN: 1880-747X
NII paper ID: http://ci.nii.ac.jp/naid/110007151091
Ichushi ID: http://search.jamas.or.jp/link/ui/2008153548
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