2023 Fiscal Year Final Research Report

Development of an Assessment Tool for Self-Care Agency of Cleanliness through Visualization of Contaminant Removal

Research Project

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Project/Area Number	19K10817
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58050:Fundamental of nursing-related
Research Institution	Mukogawa Women's University
Principal Investigator	KATAYAMA Megumi 武庫川女子大学, 看護学部, 教授 (60295772)
Co-Investigator(Kenkyū-buntansha)	山口晴美甲南女子大学, 看護リハビリテーション学部, 講師 (00750506) 片山修神戸市看護大学, 看護学部, 教授 (20295778) 久米弥寿子武庫川女子大学, 看護学部, 教授 (30273634) 上田記子武庫川女子大学, 看護学部, 助教 (40757217) 阿曽洋子武庫川女子大学, 看護学部, 教授 (80127175) 川原恵武庫川女子大学, 看護学部, 助教 (90835472)
Project Period (FY)	2019-04-01 – 2024-03-31
Keywords	洗髪 / 汚染除去 / セルフケアアセスメント / 可視化
Outline of Final Research Achievements	The objective of this study was to develop an assessment tool for self-care agency of cleanliness by visualizing the effect of contaminant removal through cleanliness activities performed by patients themselves. In this study, we focused on hair washing. Participants without any difficulties in performing hair washing were first asked to wash their hair as they usually do, and the finger pressure they applied during this process was used as the baseline. Next, they were asked to wash their hair with 50% of the baseline pressure and with almost no pressure. Contaminant levels were measured before, immediately after, and three hours after each time of hair washing. The results suggested that washing hair with less than 50% of the usual pressure was not effective in cleaning. Additionally, the pressure applied during regular hair washing is equivalent to the force required to lift a 150g object with two fingers. Moving forward, this data will be utilized to develop an assessment tool.
Free Research Field	基礎看護学
Academic Significance and Societal Importance of the Research Achievements	看護技術は、経験に基づいて判断実施されていることがいまだに多い。本研究のアイディアは、目に見えない洗髪時の汚染除去にどのくらいの筋力や指圧力があれば最適な洗浄効果を発揮することができるかを客観的な数値で明らかにし、それを用いたアセスメントの指標を作成することであった。このことが明らかになれば、臨床現場で洗髪を洗髪行為の可否ではなく汚染の除去までを洗髪行動のアウトカムとして見据えた援助の必要性を科学的見地に基づき判断ができると考える。さらに検証されることにより、患者のセルフケア能力を的確に評価し、援助の必要性を判断、本来の汚染除去という洗髪の意義を達成することができるようになる。