Establishing specialized Oral Nursing care system for advanced amyotrophic lateral sclerosis patients with long-term tracheostomy invasive ventilation use
| Project/Area Number |
25463459
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Tokyo Metropolitan Institute of Medical Science |
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Principal Investigator |
MATSUDA Chiharu 公益財団法人東京都医学総合研究所, 運動・感覚システム研究分野, 研究員 (40320650)
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| Co-Investigator(Renkei-kenkyūsha) |
NAKAYAMA Yuki 公益財団法人東京都医学総合研究所, 運動・感覚システム研究分野, 副参事研究員 (00455396)
HARAGUCHI Michiko 公益財団法人東京都医学総合研究所, 運動・感覚システム研究分野, 主席研究員 (00517138)
OGURA Akiko 公益財団法人東京都医学総合研究所, 運動・感覚システム研究分野, 主席研究員 (60321882)
HAKUTA Chiyoko 東京医科歯科大学, 大学院医歯学総合研究科口腔疾患予防学分野, 非常勤講師 (00567589)
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| Research Collaborator |
TAIRA Masato 東京医科歯科大学, 大学院医歯学総合研究科認知神経生物学分野, 教授 (50179397)
HANAZAWA Akitoshi 九州工業大学, 准教授 (10280588)
YAMAMOTO Makoto 大分協和病院, 院長
TOKUNAGA Shuichi 徳器技研工業株式会社, 代表取締役
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| Project Period (FY) |
2013-04-01 – 2016-03-31
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| Project Status |
Completed (Fiscal Year 2015)
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| Budget Amount *help |
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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| Keywords | ALS / 神経難病 / 口腔ケア / 気道浄化 / 自動吸引 / 低定量持続吸引 / 人工呼吸療法 / 口腔筋機能 / 人工呼吸療養 / 低定量持続吸引システム / 口腔症状 / 自動吸引システム |
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| Outline of Final Research Achievements |
The purpose of this study is to identify the symptoms of oral pain for amyotrophic lateral sclerosis (ALS) patients with tracheostomy-invasive ventilation (TIV) and to examine the nursing care for alleviating pain.First, we focused and examined the relevant data between Macroglossia (an enlarged tongue) and salivation as well as clinical characteristics and oral muscle function.On the result, ALS patients after the stage with TIV use, Macroglossia is related to disease severity as well as body mass index and communication impairment, and also it shows the possibility of tongue’s fat displacement.Moreover, our study data indicate that salivation rate was increased with progression of dysfunction of voluntary jaw movement.Therefore, appropriate oral care is required in advanced ALS patients to maintain their oral hygiene and to avoid penetration of saliva into the airway. It is apparent that establishing oral nursing support with Low-fixed quantity sustained absorption is significant.
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Report
(4 results)
Research Products
(49 results)
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[Journal Article] Macroglossia in advanced amyotrophic lateral sclerosis.2016
Author(s)
Matsuda C, Shimizu T, Nakayama Y, Haraguchi M, Hakuta C, Itagaki Y, Ogura A, Murata K, Taira M, Numayama M, Kinoshita M.
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Journal Title
Muscle & Nerve
Volume: -
Issue: 3
Pages: 386-390
DOI
Related Report
Peer Reviewed / Open Access
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[Presentation] RELATIONSHIP BETWEEN ADVERSE CLINICAL SIGNS AND PROGRESSION OF COMMUNICATION IMPAIRMENT IN PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS ON TRACHEOSTOMY INVASIVE VENTILATION2015
Author(s)
Nakayama Y,Shimizu T,Matsuda C,Haraguchi M,Mochizuki Y,Hayashi K,Hirai T,Nagao M,Kawata A, Oyanagi K
Organizer
26th International Symposium on ALS/MND
Place of Presentation
orland, USA
Year and Date
2015-12-11
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