The design of the guideline towards individual discharge planning support program creation of the patient who undergoes invasive medical treatment

在个人出院程序的创建谁经历了医疗的病人（外科手术）作为影响因素，诸如胸外科手术和腹部手术的管的佩戴、口服摄入开始时间、出院时伤口护理的必要性以及管饲是出院后生活困难的因素，有时，它是一个重要的项目，在离开医院的指示，从1参考检查，因为它是明确的。2)从对门诊病人术后听力的调查开始，对11例食管癌术后病人进行听力调查。因此，在出院后体力下降、管饲困难、吞咽困难、腹泻等情况下，生活适应受到阻碍。3)从糖尿病作为并发症的手术病人的经验调查中，也发现了不易“复发”和“过渡”的事情。在离开医院后的生活中，不耐烦，不能增加体重的感觉，以便它可以考虑从平衡与糖尿病，它不能从限制活动与裂缝的痛苦在许多情况下进行，了解必要的运动治疗。手术病人个性化出院支持项目的创建始于病人的住院，其饮食方式和并发症（尤其是糖尿病）的存在对病人出院后的生活产生了很大的影响。在此基础上，创建了早期的个人支持计划，并明确了与术前一致的患者教育决定了计划的效果。

In the individual hospital discharge program creation of the patient who underwent -medical treatment (surgical operation), as an influence factor, wearing of tubes, such as thoracic surgery and abdominal surgery, oral ingestion start time, the necessity for wound care at the time of leaving hospital, and tube-feeding, is the factor which lives a life after leaving hospital difficult, and it was sometimes an important item in leaving hospital instruction from 1 reference examination as it is clear. 2) From the listening comprehension investigation to the outpatient after an operation, listening comprehension investigation to 11 esophagus cancer postoperative patients was conducted. Consequently, adaptation in the life after the fall of physical strength, the troublesomeness of tube nutrition, the bottom difficulty of swallowing, diarrhea condition, etc. leaving hospital was obstructed. 3) From experience investigation of the operation patient who has the diabetes as complications, the thing with uneasy "to" recurrence and transition was also. In the life after leaving hospital, the impatience which cannot increase weight is felt so that it may consider from balance with diabetes, and it cannot be carrying out from restriction of activity with the pain of a crack in many cases, getting to know the necessity for an exercise cure. An operation patient's individual leaving hospital support program creation started with a patient's hospitalization, and the existence of the way type in connection with a meal and complications (especially diabetes) had had big influence on the life after leaving hospital. Based on these, the individual support program in early time was created, and the patient education which was consistent from before an operation became clear determining the effect of a program.