The Copings to prevent Decubitus by Patients with Spinal Cord Injury with Multiple Relapse of Decubitus

脊髓损伤多次复发褥疮患者预防褥疮的应对措施

基本信息

批准号：
16592165
负责人：
SAKAMOTO Masayo
金额：
$ 1.15万
依托单位：
Osaka Prefecture University (2005)Osaka Prefectual College of Nursing (2004)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2005
项目状态：
已结题

项目摘要

1.[Purpose] This study was undertaken to reveal the coping to prevent decubitus by patients with spinal cord injury (SCI) with multiple relapses of decubitus, and utilize it for the nursing care to prevent decubitus in SCI patients2.[Methods] (1)Ten SCI patients who developed decubitus twice or more were interviewed regarding the coping with decubitus and the problems in their daily lives. (2)A questionnaire survey regarding prevention of decubitus was conducted in 500 SCI patients in the Kinki and Tokai districts.3.[Results and Discussions] (1)The patients answered three ways of coping with decubitus ; giving priority to work, resulting in aggravation of decubitus ; taking a recovery period but resulting in aggravation of decubitus ; and consulting a medical facility with uncomfortable physical symptoms. Problems in daily lives they answered could be divided into 9 categories, including problems related to changes in physical function, psychological problems (mental burdens to others) … More , inadequate social support, etc. (2)The questionnaire was recollected from 280 patients. Of these, 243 had a history of decubitus (one episode in 63 cases and multiple relapses in 180 cases). Their mean age was 54.5 years. Factors of daily living associated with relapse included irregular preventive measures, various risk factors in activities of daily living, inadequate knowledge or skill of self-care, as well as changes in physical function. (3)In summary, essential points in the nursing care of SCI patients for preventing relapse of decubitus are ; to identify the cause of relapse based on information about factors of daily living ; to improve educational programs for SCI patients to eliminate responsible factors for decubitus by themselves and acquire the knowledge and skill needed for self-care ; and to enhance personal and social supports, through supplying appropriate decompressive tools and resources the patients can select and utilize, or establishing cooperative coordination with related facilities, etc. Less

1. [目的]这项研究是为了揭示应对以防止脊髓损伤患者（SCI）的挪用诉讼，并具有多次倾向的复发，并将其用于护士的护理，以防止SCI患者中的诉讼。（2）在Kinki和Tokai地区的500名SCI患者中进行了有关预防债权的问卷调查。3。优先考虑工作，导致倾向的汇总；恢复期，但导致倾向的汇总；并咨询患有不舒服身体症状的医疗机构。他们回答的日常生活中的问题可能会分为9个类别，包括与身体机能变化，心理问题（精神伯恩斯的心理）有关的问题……更多，社会支持不足等等。其中，有243个有诉讼的历史（在63例中有1集，在180例中多个继电器）。他们的平均年龄为54.5岁。与救济相关的日常生活因素包括不规则的预防措施，日常生活活动的各种风险因素，知识不足或自我保健技能以及身体机能的变化。（3）总而言之，SCI患者护理护理中的基本要点是防止倾向中继的基本点；根据有关日常生活因素的信息确定救济原因；为了改善SCI患者的教育计划，以消除诉讼的负责任因素，并获得自我保健所需的知识和技能；并通过提供适当的减压工具和资源来提高个人和社会支持