Infection nursiug for home care of tube-feeding children with severe psychosomatic disorders

感染护理在严重心身疾病管饲儿童家庭护理中的应用

• 批准号: 13672463
• 负责人: TSUJINO Kumiko
• 金额: $ 2.11万
• 依托单位: Yamaguchi University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2001
• 资助国家: 日本
• 起止时间: 2001 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13672463/
• 关键词: children with severe psychosomatic disorders; tube-feeding; feeding tube; the interval before exchanging the tubes; infection nursing; home care nursing; 経鼻胃管留置期間; 最近叢; 感染症; 細菌叢

1. We conducted a questionnaire survey of 30 in-home tube-feeding children with severe psychosomatic disorders is order to elucidate nursing problems related to the home care2. Twenty two of them were totally tube -fed, 8 were done partially with occasional oral feeding. 30% of them were extremely slim and 70% bad recent histories of respiratory infections. Therefore nutritional support and infection control was confirmed to be of primary concern in the nursing3. 40% of the 30 children bad problems in oral hygiene4. The mothers suffered a great deal, spending 8-10 hours a day for overall care of the feeding5. 40% of the mothers had anxiety and experienced troubles exchanging the tube, which points to the importance of proper guidance and nursing support6. The most frequent interval before exchanging the tube was 7 days with 20 days the longest7. Bacteriological analysis of five removed tubes revealed that (1) MRSA was positive in one case, who had been intubated for artificial respirator d wring previous admission. (2) A small number of Escherichila coli and Pseudomonas Auriginosa were also found separately in two other tubes8. The interval before exchanging the tubes were 7 days in four cases which were negative for MRSA9. Although we had not analyzed all the lobes, there seemed to be no apparent risk of bacteriological infection with widely used 7-day exchange interval for the tube feeding

1.本研究采用问卷调查法，对30例重度心身障碍家庭管饲患儿进行调查，以探讨其家庭护理的相关问题。其中22例完全管饲，8例部分管饲，偶尔经口喂养.其中30%的人非常苗条，70%的人最近有呼吸道感染史。因此，营养支持和感染控制被确认为护理中的首要问题3。30名儿童中40%的儿童存在口腔卫生不良问题。母亲们承受了很大的痛苦，每天花8-10个小时来全面照顾喂养5。40%的母亲感到焦虑，并经历了更换管的麻烦，这表明适当的指导和护理支持的重要性6。换管前最频繁的间隔时间为7天，最长为20天7。5例拔管标本细菌学检查结果显示：（1）1例MRSA阳性，患者入院时曾行人工呼吸机插管。(2)在另外两个试管中，亦分别发现少量土栖大肠杆菌及铜绿假单胞菌8。在4例MRSA 9阴性病例中，更换试管前的间隔时间为7天。虽然我们没有分析所有的肺叶，但广泛使用的管饲7天更换间隔似乎没有明显的细菌感染风险

项目成果

辻野 久美子: "バルトネラ感染症(猫にっかき病)における小児遷延性発熱の臨床的意義"山口医学. 52(6). 330-330 (2003)

Kumiko Tsujino：“巴尔通体感染（猫抓病）儿童持续发烧的临床意义”Yamaguchi Medical，52（6）330-330（2003）。

辻野 久美子: "遺伝看護(遺伝形式,リスクアセスメント)"医歯薬出版. 192(147-155,169-175) (2002)

辻野久美子：“遗传护理（遗传形式，风险评估）”石药出版192（147-155,169-175）（2002）。

黒木良和: "Oculo-ectodermal syndrome.先天異常症侯群辞典.日本臨牀 領域別症侯群シリーズ34"日本臨牀社. 877(344-345) (2001)

Yoshikazu Kuroki：“眼外胚层综合征。先天性异常词典。Nippon Rinsho。区域综合征系列 34”Nippon Rinshosha 877（344-345）（2001）

Kumiko Tsujino: "Genetic Nursing"Ishiyaku Publishers. 15 (2002)

辻野久美子：《基因护理》石药出版社。

Hidechika Iino: "Genetic education in baccalaureate and associate degree nursing programs in Japan"Nursing and Health Sciences. 4(4). 173-180 (2002)

Hidechika Iino：“日本本科和副学士学位护理项目中的遗传教育”护理与健康科学。