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Abdominal complaints of the patients with recurrent digestive cancer and the reduction program for their complaints - with reference to the relation between abdominal pain and the skin temperature of the abdominal wall.

复发性消化道癌症患者的腹部主诉及其减轻方案——参考腹痛与腹壁皮肤温度的关系。

基本信息

批准号：
02404081
负责人：
ANDACHI Hideo
金额：
$ 6.72万
依托单位：
Tottori University
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (A)
财政年份：
1990
资助国家：
日本
起止时间：
1990 至 1993
项目状态：
已结题

项目摘要

The most intolerable suffering on the patients of recurrent digestive cancer is the adbominal pain which continues throughout the day and can not be completely removed by any anodyne.In order to deal with the comlaint of the patient, the origin of the pain should be reveled exactly. Experience suggests that the skin temperature is reflected by various body conditions. For example, the inflammation induses the ocal part to higher temperature and the blockade of the artery does to lower one, both of which cause the pain.Though hor and cold compresses are often used for the relaxation of the pain, their effects are not known sufficiently. The hot and cold compresses which applied on the upper and the lower limbs as the basic experiment caused high and low temperature region on the surface of the other side linbs, respectively, as well as the change of deep body teperature and capillary blood flow. These alterations were considered as the result of the intervention of the autonomic nervous … More systems. Materials of the compress were steamed towel, cold and hot pack, "Momhot" and "Thermoship", among which there were differences of efficiencies. The choice and application of materials should be made according to the effect of them.After the follow-up inquiries of complaint on 47 patients, pain, lassitude, other physical suffering and mental suffering were identified as four main complaints. Thereby, for the purposeof decreasing these complaints, the nursing program, which quantitatively estimated these comlaints, giving 0 to 3 points on each sufferings(totally 12 points) according to patients words and exressions. On the other hand, the behavioral estimation of daily actions was done by the scoring 0 to 12 points dividing 5 steps of actions from the selfsupporting movement to the unmovable in all day."Quality of life" (QOL) of atient was obtained by subtracting of suffering estimation from the behavoral one. To lift up QOL of patient, the relaxation of the complaints and the exension of behavioral ranges as much as possible were very important. Less

消化道复发癌患者最不能忍受的痛苦是腹部疼痛，这种疼痛持续一整天，任何止痛药都不能完全消除，为了处理患者的痛苦，必须准确揭示疼痛的来源。经验表明，皮肤温度反映了各种身体状况。例如，炎症使局部温度升高，而动脉阻塞使局部温度降低，这两种情况都会引起疼痛。虽然经常使用热敷和冷敷来缓解疼痛，但其效果还不充分。以上、下肢热敷为基础实验，分别在对侧肢体表面形成高温区和低温区，并引起深部体温和毛细血管血流量的变化。这些变化被认为是自主神经干预的结果。 ...更多信息系统.热敷的材料有蒸毛巾、冷热敷、“妈妈热”和“热之舟”，它们的效果有差异。通过对47例患者主诉的随访调查，确定疼痛、乏力、其他躯体痛苦和精神痛苦为4大主诉。因此，为了减少此类投诉，制定了护理程序，对此类投诉进行定量评估，根据患者的言语和表达，每一种痛苦给予0 ~ 3分（共12分）。另一方面，日常行动的行为评估是通过在一天中从自立运动到不动的5个动作步骤中划分0到12分来完成的。患者的“生活质量”（QOL）由患者的主观评价减去患者的痛苦评价得到。为了提高患者的生活质量，尽可能地缓解主诉和扩大行为范围是非常重要的。少