2003 Fiscal Year Final Research Report Summary
Infection nursiug for home care of tube-feeding children with severe psychosomatic disorders
| Project/Area Number |
13672463
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
基礎・地域看護学
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| Research Institution | Yamaguchi University |
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Principal Investigator |
TSUJINO Kumiko Yamaguchi University, School of Medicine, Associate Professor, 医学部, 助教授 (60269157)
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| Co-Investigator(Kenkyū-buntansha) |
TAKAMINE Husae University of the Ryukyus, Faculty of Medicine, Associate Professor, 医学部, 助教授 (80045062)
IINO Hidechika Yamaguchi University, School of Medicine, Research Associate, 医学部, 助手 (20284276)
MURAKAMI Kyoko Yamaguchi University, School of Medicine, Assistant Professor, 医学部, 講師 (10294662)
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| Project Period (FY) |
2001 – 2003
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| Keywords | children with severe psychosomatic disorders / tube-feeding / feeding tube / the interval before exchanging the tubes / infection nursing / home care nursing |
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| Research Abstract |
1. We conducted a questionnaire survey of 30 in-home tube-feeding children with severe psychosomatic disorders is order to elucidate nursing problems related to the home care
2. Twenty two of them were totally tube -fed, 8 were done partially with occasional oral feeding. 30% of them were extremely slim and 70% bad recent histories of respiratory infections. Therefore nutritional support and infection control was confirmed to be of primary concern in the nursing
3. 40% of the 30 children bad problems in oral hygiene
4. The mothers suffered a great deal, spending 8-10 hours a day for overall care of the feeding
5. 40% of the mothers had anxiety and experienced troubles exchanging the tube, which points to the importance of proper guidance and nursing support
6. The most frequent interval before exchanging the tube was 7 days with 20 days the longest
7. Bacteriological analysis of five removed tubes revealed that (1) MRSA was positive in one case, who had been intubated for artificial respirator d wring previous admission. (2) A small number of Escherichila coli and Pseudomonas Auriginosa were also found separately in two other tubes
8. The interval before exchanging the tubes were 7 days in four cases which were negative for MRSA
9. Although we had not analyzed all the lobes, there seemed to be no apparent risk of bacteriological infection with widely used 7-day exchange interval for the tube feeding
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