Evaluation of the efficacy to reduce delirium by environmental adjustments intervention among stroke patients

脑卒中患者环境调节干预减少谵妄的疗效评价

• 批准号: 19K10903
• 负责人: 田中 準一
• 金额: $ 2.75万
• 依托单位: Nagasaki University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2019
• 资助国家: 日本
• 起止时间: 2019-04-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-19K10903/
• 关键词: せん妄; 環境調整; 脳卒中; 介入研究; 看護介入

脳卒中患者のせん妄の発症率は13-48％を示し、せん妄群は非せん妄群に比べて入院中および12ヶ月後の死亡率が高く、平均在院日数が9.39日延長し、長期療養施設へ転院する傾向にあることがこれまでの研究で明らかにされている。転倒などの入院中のインシデントの増加やせん妄を発症した患者の対応に追われるスタッ フの疲弊など、その影響は広範囲にわたり、患者および医療現場に大きなインパクトを与えている。そのようなインパクトを与えているにも関わらず、せん妄に対する標準化された予防的看護ケアは普及の動きがみられない現状にある。そのため、せん妄の発症要因の中でも、介入が容易かつ標準化が可能な環境調整に着目し、1)夜間にアイマスクおよび耳栓を使用する環境調整によるせん妄予防効果を評価し、2) 1)の介入に加え、カレンダーおよび時計を設置して、見当識を維持する看護介入を行う環境調整によるせん妄予防効果を評価する。同時に、3) 各介入が在院日数に及ぼす影響を評価し、4) せん妄発症のリスク因子を明らかにすることを本研究の目的とする。2022年度（令和4年度）は新型コロナウイルス感染拡大の影響により入院患者を対象とする調査を実施することができなかった。最新の状況を研究計画に反映させるため文献レビューを再度実施するとともに、調査の実施に向けて調査対象施設と調整し、調査方法の検討、調査に使用する機材の選定を行った。令和5年度は研究対象者のリクルート、ベースライン調査、介入および追跡調査を順次実施し、調査結果の分析を行っていく。

The mortality rate of patients with stroke was 13-48%. The mortality rate of patients with stroke was higher than that of patients who were admitted to hospital for 12 months, and the average number of days in hospital was 9.39 days longer than that in hospitals. long-term health care facilities were used to study the mortality rate of hospitalization. When you are admitted to the hospital, you don't know what to do. You don't know what to do when you are admitted to the hospital. the patients are suffering from delusions, the patients are suffering from malaise, the patients are in the hospital, and the patients are not in the hospital. Please tell me that you are not aware of the information you need to know, and that you are not aware of the information you need to protect the popularization. please do not know what to do. The causes of paroxysmal and delusional symptoms are as follows: in the middle of the day, it is easy to standardize the intervention, it is possible to clean up the environment, 1) the use of environmental protection equipment in the night, the use of environmental protection equipment to prevent the loss of health, 2) 1) the addition of intervention, the setting of alarm time design, and so on. When it comes to the maintenance of environmental protection and intervention in the environmental reform of the banking industry, it is necessary to prevent the impact of environmental problems. At the same time, 3) the number of days in hospital and the number of days in hospital, and 4) the number of days in hospital and the number of days in hospital, and 4) the number of days in hospital and the number of days in hospital. 4) the factors of paranoid disorder were related to the objective of this study. In the year 2022 (Ling and 2004), there was a new type of infection, a large number of patients who were admitted to hospital. The latest research plan reflects that the latest research plan reflects that the information system is used again, the equipment is applied to the market, the equipment is adjusted, the method is applied, and the equipment is used to select a bank. Ling and those who studied the elephant in the fifth year, they did some research, and the results of the study were analyzed and analyzed.