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Development of preventive care that uses artificial carbon dioxide-enriched foot baths for necrosis in the lower extremities of patients on dialysis for diabetic nephropathy

Research Project

Project/Area Number 16592185
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionOsaka City University

Principal Investigator

KAWABATA Kyoko  Osaka City University, Medical Schoolfa, Associate Professor, 医学部, 助教授 (50290367)

Co-Investigator(Kenkyū-buntansha) TANAKA Yuka  Osaka City University, Medical School, Lecturer, 医学部, 講師 (80236645)
Project Period (FY) 2004 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 2006: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2005: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2004: ¥2,200,000 (Direct Cost: ¥2,200,000)
KeywordsDiabetic Nephropathy / Hemodialysis Patient / Diabetic Foot Ulcer / Artificial High Concentration CO2 / Carbonated Bath Powder / Foot Baths / Skin Blood Flow / Self Care / 透析 / 継続
Research Abstract

1. OBJECTIVES:
(1) To confirm whether bathing feet in artificial high carbon dioxide (CO2) concentration spring water created with the help of a CO2-releasing bath additive developed by us (bath additive foot bathing) promoted blood circulation in the skin of the lower extremities, and helped in preventing necrosis in the lower extremities of patients on dialysis for diabetic nephropathy, and (2) to develop it as a simple healthcare treatment for such patients.
2. METHODS:
(1) Twenty two healthy subjects and 11 patients of diabetic nephropathy undergoing dialysis were all given 3 different types of foot baths, i.e., bath additive foot bathing, foot bathing in an artificial CO2 thermal spring device that produces water with high CO2 concentration (foot bath device), and a foot bathing with warm water alone. Measurements were made with a laser Doppler skin blood flow meter, etc and compared to verify the extremity blood circulation enhancing effect.
(2) 9 patients on dialysis for diabetic ne … More phropathy were requested to practice the bath additive foot bathing for one month. Weekly observations were made on changes in the condition of the lower extremities, and the patients were questioned about the details of their foot bathing to determine whether it was a therapeutic procedure that could be continued for a long time.
3. RESULTS AND DISCUSSION:
(1) The Friedman test and the Wilcoxon signed rank test showed that bath additive foot bathing and foot bath device foot bathing gave results that were significantly different (p<0.05) from foot bathing with warm water alone, with regard to the increase in percent change in cutaneous blood flow on the dorsal side of both feet, suggesting that the former two methods of foot bathing produced a greater increase in cutaneous blood flow, compared to the warm water foot bathing. There was no significant difference between bath additive foot bathing and the foot bath device, and it was concluded that both these types of bathing had similar effects.
(2) All 9 patients who undertook bath additive foot bathing at their homes could continue the treatment for one month. In their subjective evaluation, they reported experiencing warmth, moistness of the skin, and improved mobility of joints and muscles, in the feet. Less

Report

(4 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • 2004 Annual Research Report
  • Research Products

    (6 results)

All 2006

All Journal Article (6 results)

  • [Journal Article] 市販の炭酸入浴剤を用いた足浴の効果(青年期の場合)-人工炭酸泉装置と市販の炭酸入浴剤の比較-2006

    • Author(s)
      川端 京子, 吉村弥須子, 廣田麻子, 新田紀枝
    • Journal Title

      大阪市立大学看護学雑誌 2巻

      Pages: 11-20

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 糖尿病性腎症透析患者における炭酸泉浴剤足浴の継続性、セルフケアに関する検証2006

    • Author(s)
      川端京子
    • Journal Title

      日本腎不全看護学会誌 8巻・2号

      Pages: 65-70

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Effects of Foot Bathing with Bath Articles on Young Men : Comparison between Artificial High Concentration CO2 Bathing and Foot Bathing with Bath Articles2006

    • Author(s)
      Kyoko Kawabata, Yasuko Yoshimura, Asako Hirota, Norie Nitta
    • Journal Title

      Osaka City University Journal of Nursing Vol.2

      Pages: 11-20

    • NAID

      110006244306

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Verify whether carbon dioxide foot bathing which we have developed is effective for dialysis patients of diabetic nephropathy as self-care2006

    • Author(s)
      Kyoko Kawabata
    • Journal Title

      The Journal of Japan Academy of Nephrology Nursing Vol.8(2)

      Pages: 65-70

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 糖尿病性腎症透析患者における炭酸泉浴剤足浴の継続性、セルフケアに関する検証2006

    • Author(s)
      川端京子
    • Journal Title

      日本腎不全看護学会誌 8巻2号

      Pages: 65-70

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 市販の炭酸入浴剤を用いた足浴の効果(青年期の場合)-人工炭酸泉装置と市販の炭酸入浴剤の比較-2006

    • Author(s)
      川端京子, 吉村弥須子, 廣田麻子, 新田紀枝
    • Journal Title

      大阪市立大学看護学雑誌 2巻(未定)

    • Related Report
      2005 Annual Research Report

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Published: 2004-04-01   Modified: 2016-04-21  

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