ASSESSMENT METHODS OF NURSING TECHNIQUE FOR THE ADVANCE OF REHABILITATION NURSING

根据去年的研究成果，我们建立了康复护理技术的评估体系。在本研究中，我们特别强调了与物理治疗相关的一点，并进行了以下调查。参考文献收集与会议收集有关康复特别是物理治疗领域的各种文献，并与物理治疗师召开会议，讨论本研究的概念和方法等。对患者和护士评估方法的思考。在本研究中，我们不仅分析了护士资料，还分析了患者资料。1)通过运动学研究评估护士的负担通过对坐立运动的实验研究，从运动分析和新肌电图的结果来看，不同下肢位置对护士负担的差异。我们现在正在计划其他关于病人姿势的实验。2)脑电图中位数频率评估及相关研究我们对脑电图对运动学习的利用进行了调查，明确了运动学习对某一区域脑电图中位数频率的影响。3)用热像仪评估皮肤温度，用心率变异性和血压评估循环。我们研究了氯化钠类天然盐衍生物的热效应。由此可见，采用视觉模拟量表进行主观评价可以检测到这些材料的热效应，但热像仪和血压没有明显变化。4)血乳酸水平负荷评估我们通过测定血乳酸水平来评估洗浴护理护士的负荷。

We established an assessment system of rehabilitation nursing technique under the results of last year's studies. In the present study, we especially emphasized a related point with physical therapy, and investigated as followings.1. References collection and meetingsVarious references about rehabilitation in especially physical therapy area were collected, and stuff meetings for the discussion about the concept of this study and methodology and so on with physical therapists.2. Consideration of assessment methods to patients and nurses.We analyzed not only nurses data but also patients data in the present studies.1) Assessments of nurses' burden by the kinesiological studyExperimental study of siting-standing movement was achieved, From the results of the motion analysis and thew electromyography, the difference of burdens by the position of lower legs was appeared. We are now planning the other experiments about posture of patients.2) Assessments by the median frequency of EEGs and correlation studiesWe investigated about the motor learning using by the EEG, and clarified that the median frequency of EEGs in a certain area changed by the motor learning.3) Assessment of skin temperature by the thermograph and assessment of the circulation by heart rate variability and blood pressureWe investigated about the thermal effects of sodium chloride based natural salt derivatives. It was suggested that subjective assessment using by the visual analog scale could detect the thermal effect of these materials, but that the thermograph and blood pressure didn't show significant changes.4) Assessment of burden by measuring the blood lactate levelWe investigated the assessment of nurses' burden in the bathing care by measuring the blood lactate level.