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Basic Research to Promote Hand Hygiene among Home Care Patients with High Medical Dependence

Research Project

Project/Area Number 18K10223
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58050:Fundamental of nursing-related
Research InstitutionThe Japanese Red Cross Hiroshima College of Nursing

Principal Investigator

MATSUMOTO Yoshie  日本赤十字広島看護大学, 看護学部, 講師 (00583915)

Co-Investigator(Kenkyū-buntansha) 岡田 淳子  県立広島大学, 保健福祉学部(三原キャンパス), 教授 (40353114)
Project Period (FY) 2018-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2018: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords手指衛生 / 在宅療養者
Outline of Final Research Achievements

The microbial test kit uses a liquid transport medium for microorganisms (e-Swab) to confirm the species and number of bacteria through quantitative identification of general bacterial culture. Many of home care patients with high medical dependence and low independence in daily life performed hand hygiene during bathing assistance and whole body cleaning. Microorganisms were detected on both hands and environmental surfaces of all participants. The species of bacteria detected on participants’ fingers and on environmental surfaces were generally the same. The most effective method of microbial removal that could be carried out at home was an alcohol containing antiseptic handrubs. We instructed the subjects and their caregivers to do alcohol-based handrubbing to promote hand hygiene in subjects. As a result, the total number of bacteria on the hands and fingers of the subjects decreased, and the number of bacteria on the surface of their environment also decreased.

Academic Significance and Societal Importance of the Research Achievements

本研究により、医療依存度の高い在宅療養者の手指および環境表面の汚染の実態が明らかになった。そして、医療従事者だけでなく、医療ケアを受けている在宅療養者自身の手指衛生の強化が、医療関連感染の抑制につながる可能性があるという示唆を得ることができたところに学術的な意義がある。また、在宅で実施可能な微生物除去の方法として、速乾性手指消毒薬を使用した手指衛生が最も効果的であるというエビデンスを確立させた。速乾性手指消毒薬による手指衛生は介助者の負担も少ない。今後、在宅医療における感染制御についての指針を作成するうえで、本研究が果たした社会的意義は大きいと考える。

Report

(7 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (4 results)

All 2023 2020

All Presentation (4 results) (of which Int'l Joint Research: 1 results)

  • [Presentation] 在宅療養者の手指衛生強化が手指の微生物除去に及ぼす影響2023

    • Author(s)
      松本由恵 岡田淳子 越道香織
    • Organizer
      日本看護技術学会第21回学術集会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 在宅で実施可能な患者の手指衛生の方法の確立2023

    • Author(s)
      松本由恵 岡田淳子
    • Organizer
      日本看護科学学会第43回学術集会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 医療依存度の高い在宅療養者の 手指汚染と環境汚染の実態2023

    • Author(s)
      越道香織 松本由恵 岡田淳子
    • Organizer
      日本看護技術学会第21回学術集会
    • Related Report
      2023 Annual Research Report
  • [Presentation] Status of hand hygiene among home care patients with high medical dependence2020

    • Author(s)
      Yoshie MATSUMOTO, Junko OKADA, Akiyo NAKAMURA
    • Organizer
      The 6th International Research Conference of World Academy of Nursing Science
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research

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Published: 2018-04-23   Modified: 2025-01-30  

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