Effectiveness of DDH preventive care to high risk group in West Mongolia

2018 Fiscal Year Final Research Report

• Project/Area Number: 16K12151
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Lifelong developmental nursing
• Research Institution: Sapporo City University
• Principal Investigator: Matsuura Kazuyo 札幌市立大学, 看護学部, 教授 (10161928)
• Co-Investigator(Kenkyū-buntansha): 上村 浩太 札幌市立大学, 看護学部, 准教授 (00381278) ; 三上 智子 札幌市立大学, 看護学部, 准教授 (70452993)
• Research Collaborator: Anzai Toshinori ; Yakubo Takanobu ; Makita Yasuko
• Project Period (FY): 2016-04-01 – 2019-03-31
• Keywords: 発育性股関節形成不全 / 予防ケア / 育児指導 / 西モンゴル / 国際支援

Outline of Final Research Achievements

【Purpose】The incidence rate of DDH in Mongolia is 1.3%. In particular, in West Mongolia is known as a high risk area. The purpose of this study is to transfer Japanese DDH preventive care in West Mongolia and evaluate the effect.【Method】 In 2016, DDH preventive care training was planned. It was carried out in August 2017 and 2018. After August 2017, the trainees repeated training to nurses.【Results】The number of birth hip echo examinations in 2017 was 4492. Type 1 (healthy) was 72%, Type 2 (high risk) was 27%, and Type 3&4 (DDH) was 1%. One month later, 2395 were re- examined: Type 1 was 82.6%, Type 2 was 14.8% and Type 3&4 was 2.6% .The number of them in 2018 was 4405. Type 1 was 76.5%, Type 2 was 23.2%, and Type 3&4 was 0.3%. One month later, 1827 were re- examined: Type 1 was 77.4%, Type 2 was 20.1%, and Type 3&4 was 2.5%.【Discussion】There was no significant difference yet between 2017 and 2018. It is necessary to continue care and evaluation.

Free Research Field

生涯発達看護学

Academic Significance and Societal Importance of the Research Achievements

かつて日本も、発育性股関節形成不全（DDH)の発症率は高かった。DDH予防ケアの普及によって、今日の日本におけるDDH発症率は0.1％と報告されている。日本のDDH予防ケアをモンゴル国、特にハイリスク地域である西モンゴルへ技術移転し、問題解決を支援する社会的意義は高い。