Quality skin care assurance in hospitals with long-term care beds: development of near-future support for skin disorder prevention and management
| Project/Area Number |
17H04462
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Gerontological nursing
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| Research Institution | Ishikawa Prefectural Nursing University (2019-2021)
Kanazawa Medical University (2017-2018) |
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Principal Investigator |
Konya Chizuko 石川県立看護大学, 看護学部, 教授 (20303282)
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| Co-Investigator(Kenkyū-buntansha) |
真田 弘美 東京大学, 大学院医学系研究科(医学部), 教授 (50143920)
須釜 淳子 金沢大学, 新学術創成研究機構, 教授 (00203307)
松井 優子 公立小松大学, 保健医療学部, 教授 (00613712)
木下 幸子 金沢医科大学, 看護学部, 准教授 (50709368)
浅野 きみ 金沢医科大学, 看護学部, 講師 (10735351)
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| Project Period (FY) |
2017-04-01 – 2021-03-31
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| Project Status |
Completed (Fiscal Year 2021)
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| Budget Amount *help |
¥16,510,000 (Direct Cost: ¥12,700,000、Indirect Cost: ¥3,810,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2019: ¥6,630,000 (Direct Cost: ¥5,100,000、Indirect Cost: ¥1,530,000)
Fiscal Year 2018: ¥7,540,000 (Direct Cost: ¥5,800,000、Indirect Cost: ¥1,740,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
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| Keywords | 褥瘡 / スキンーテア / 失禁関連皮膚炎 / 療養病床 / 遠隔看護支援 / スキンケア / 療養病床病院 / 老年看護学 / 創傷看護学 / 看護理工学 / スキン-テア / 失禁関連皮膚障害 |
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| Outline of Final Research Achievements |
The Information and Communication Technologies (ICT) based support measures were introduced to provide education on using wound observation support equipment and care counseling, prevent pressure ulcers, skin tears, and incontinence-associated dermatitis, and manage wounds of patients in long-term care wards.
The incidence of pressure ulcers remained unchanged at 3.4% before and after the introduced support measures, but the percentage of full thickness pressure ulcers decreased from 100% to 0%. The incidence of skin tears decreased from 8.6% to 6.9%. The incidence of incontinence-associated dermatitis remained unchanged at 0%. It also led to nurses feeling more comfortable with skin care. Based on the results, the effectiveness of the introduced ICT-based support measures was obtained.
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| Academic Significance and Societal Importance of the Research Achievements |
これまでICTを用いたケア支援は、相談にのみ焦点が置かれていたが、観察支援機器の使用を含めた教育、そしてその情報をアセスメントするまでの支援を実施した。これにより、高齢者に多発する褥瘡、スキン-テア、失禁関連皮膚炎という3大皮膚障害のうち、特に褥瘡の重症化予防につながった。よって、支援策の導入は、医療費軽減効果も期待できる。さらに、専門知識が不足している療養病床病院の看護師が、不安を抱きながら提供していたスキンケアが安心感へと変化し、ストレス軽減にもつながりうる。
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Report
(5 results)
Research Products
(16 results)
