2007 Fiscal Year Final Research Report Summary
Standardalization of clinical evaluation and risk management in comprehensive medical treatment and nursing for patients with dysphagia
| Project/Area Number |
16390636
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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 |
Clinical nursing
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| Research Institution | Tokyo Medical and Dental University |
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Principal Investigator |
CHIBA Yumi Tokyo Medical and Dental University, Department of Nursing Function and Care managementDivision of Comprehensive Health Nursing Sciences, Graduate School of Allied Health Science, 助教 (10313256)
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| Co-Investigator(Kenkyū-buntansha) |
YAMAWAKI Masanaga Tokyo Medical and Dental University, Department of Professional Development, Hospital Faculty of Medicine, 准教授 (30302855)
UEMATSU Hiroshi Tokyo Medical and Dental University, Department of Gerodontology, Division of Gerontology and Gerodontology, Graduate School of Dentistry, 教授 (80100957)
MORITA Sadao Tokyo Medical and Dental University, Department of Gerodontology, Division of Gerontology and Gerodontology, Graduate School of Dentistry, 准教授 (20202426)
TOHARA Haruka Nihon University, Departanent of Dentistry, School of Dentistry School of Dentistry, 准教授 (00396954)
TADAKA Etsuko Yokohama Prefectural University, 医学部看護学科, 教授 (30333727)
SASAKI Akiko Tokyo Medical and Dental University, Graduate School of Allied Health Sciences, Graduate School (20167430)
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| Project Period (FY) |
2004 – 2007
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| Keywords | dysphagia / comprehensive therapy / standardization / clinical evaluation / safety / risk management |
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| Research Abstract |
This research aims to establish the comprehensive medical treatment and nursing, which is considered clinical evaluation and safety perfoming for dysphagic patients to prevent aspiration. It is very important to develop the standardized methods of medical approach and nursing including the program and care system for broad use. First of all, we made evaluation sheet and criteria of videofluorography (VF), that was effective to improve inter-rator reliability of VF. Moreover, the timing of VF wasdepend on the diseases of patients, and 15% of the patients with oral feeding had aspiration that was observed by VF. The texture of test food that was used when VF was considerably related to RSST (repetitive saliva deglutition test) and postural modulation and neck rotation was related to aspiration. Both were considered to essential technique for preventing aspiration. Moreover, the shape of epiglottis checked by videoendoscopy (VE) was related to aspiration. Although silent aspiration was usually overlooked by bedside evaluation, cough test was accurate screening test to looking at patients with middle or much amount of aspiration. It was a noninvasive, useful, and accurate tool as bedside evaluation. Moreover, the record papers and a clinical pathway to cooperate in order to carry out a ward care smoothly etc. were created. This pathway was used for the management of dysphagic patient after resection of oropharyngeal cancer, days from operation to training was shortening and early discharge were attained. Gulp training was invented. That was essential training method discussed by specialists and able to be used not only the patients but also comparative independent elderly people. Prevalence of dysphagia was 13.6% to 25.1% by national investigation, so the study needs for dysphagia of the nurse were great. The effect verification of a care program and the intervention in a system were not enough, and they are future subjects.
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[Journal Article] Videofluorographyの評価に関する信頼性の検証-検者内および検者間における検討-2005
Author(s)
戸原玄, 千葉由美, 中根綾子, 後藤志乃, 大内ゆかり, 寺中智, 大庭優香, 森田定雄, 山脇正永, 中島純子, 植松 宏
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Journal Title
日本摂食・嚥下リハビリテーション学会雑誌 9(2)
Pages: 15-23
Description
「研究成果報告書概要(和文)」より
Peer Reviewed
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[Journal Article] Inter- and intra-rater reliability in videofluoroscopic swallowing study2005
Author(s)
Haruka Tohara, Yumi Chiba, Ayako Nakane, Shino Goto, Yukari Ouchi, Satoshi Teranaka, Yuka Ohba, Sadao Morita, Masanaga Yamawaki, Junko Nakajima, Hiroshi Uematsu
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Journal Title
The Japanese Journal of Dysphagia Rehabilitation 9(2)
Pages: 15-23
Description
「研究成果報告書概要(欧文)」より
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[Presentation] Clinical Pathway for the Patient with Dysphagia after Resection of Oral Cancer2007
Author(s)
Shino Goto, Haruka Tohara, Koichi Nakakuki, Hideaki Hirai, Ichiro Yokomizo, Sachiyo Mitsunaga, Syoko Konno, Mika Kuroiwa, Kayo Funabashi, Miwako Kouno, Michiko Kuwahara, Akiko Kojyo, Hiroshi Uematsu
Organizer
10th Anniversary of the Workshop on Oral Health Care of the Inpatient
Place of Presentation
Okayama
Year and Date
20070000
Description
「研究成果報告書概要(欧文)」より
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[Presentation] Clinical Pathway for the Patient with Dysphagia after Resection of Oral Cancer2007
Author(s)
Syoko Konno, Haruka Tohara, Koichi Nakakuki, Hideaki Hirai, Shino Goto, Ichiro Yokomizo, Sachiyo Mitsunaga, Michiko Kuwahara, Akiko Kojyo, Mika Kuroiwa, Kayo Funabashi, Miwako Kouno, Hiroshi Uematsu
Organizer
The 13th Annual Meeting of the Japanese Society of Dysphagia Rehabilitation
Place of Presentation
Saitama
Year and Date
20070000
Description
「研究成果報告書概要(欧文)」より
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[Presentation] 口腔腫瘍術後患者に対する嚥下障害クリニカルパスの作成2007
Author(s)
後藤志乃, 戸原玄, 中久木康一, 平井秀明, 横溝一郎, 光永幸代, 紺野肖子, 黒岩美香, 舟橋佳世, 河野美和子, 桑原道子, 小城明子, 植松宏
Organizer
第10回病院歯科介護研究会総会・学術講演会
Place of Presentation
岡山
Year and Date
2007-10-07
Description
「研究成果報告書概要(和文)」より
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[Presentation] 嚥下前・後レントゲン撮影法の簡便化2007
Author(s)
三串伸哉, 福島昭子, 戸原玄, 野原幹司, 若杉葉子, 植松宏
Organizer
第13回日本摂食・嚥下リハビリテーション学会学術大会
Place of Presentation
大宮,埼玉
Year and Date
2007-09-15
Description
「研究成果報告書概要(和文)」より
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[Presentation] 口腔外科術後患者に対するクリニカルパスの作成2007
Author(s)
紺野肖子, 戸原玄, 中久木康一, 平井秀明, 後藤志乃, 横溝一郎, 光永幸代, 桑原道子, 小城明子, 黒岩美香, 舟橋佳世, 河野美和子, 植松宏
Organizer
第13回日本摂食・嚥下リハビリテーション学会学術大会
Place of Presentation
大宮,埼玉
Year and Date
2007-09-14
Description
「研究成果報告書概要(和文)」より
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[Presentation] 高齢者の日常生活における嚥下回数2007
Author(s)
小谷泰子, 野原幹司, 田中信和, 戸原玄, 植松宏, 阪井丘芳
Organizer
第18回日本老年歯科医学会総会・学術大会
Place of Presentation
札幌,北海道
Year and Date
2007-06-21
Description
「研究成果報告書概要(和文)」より
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[Presentation] Dysphagia in neurological diseases2005
Author(s)
Masanaga Yamawaki, Yuka Ooba, Sadao Morita, Yumi Chiba, Haruka Tohara, Hiroshi Uematsu
Organizer
The 10th Annual Meeting of the Japanese Society of Dysphagia Rehabilitation
Year and Date
20050000
Description
「研究成果報告書概要(欧文)」より
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