2021 Fiscal Year Final Research Report
Development of a community care support tool for the patients with pressure injuries found upon hospitalization, based on the characteristics of their daily lives
Project/Area Number |
19K10963
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 58060:Clinical nursing-related
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Research Institution | Jikei University School of Medicine |
Principal Investigator |
Nagano Midori 東京慈恵会医科大学, 医学部, 教授 (40256376)
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Co-Investigator(Kenkyū-buntansha) |
佐藤 正美 東京慈恵会医科大学, 医学部, 教授 (60279833)
中村 美鈴 東京慈恵会医科大学, 医学部, 教授 (10320772)
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Project Period (FY) |
2019-04-01 – 2022-03-31
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Keywords | 褥瘡 / 入院時褥瘡保有 / 退院支援 / 高齢者施設 / 死亡退院 / クラスター分析 |
Outline of Final Research Achievements |
The study period was one year, from May 2018 to April 2019. The total number of beds in the four hospitals was 2,689, with 64,898 new admissions during the year. The total number of Community associated Pressure Injuries (CAPI) patients was 324, with 9 people admitted twice with PIs and 2 people admitted three times during the study period, for a total actual number of 312. Seventy-eight percent of the patients were hospitalized from home, but 41% returned home as their discharge destination, 40% moved their residence to an aged care facility or another hospital, and the remaining 20% died during their hospitalization. To describe the characteristics of CAPI patients, a cluster analysis of the 272 patients with the least missing information on factors that cause PIs was performed, and they could be divided into three distinctive clusters: Group 1: self-care group, Group 2: low ADL group, and Group 3: very high risk group.
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Free Research Field |
創傷ケア(褥瘡ケア)
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Academic Significance and Societal Importance of the Research Achievements |
近年、病院内発生褥瘡の数多くの研究が報告され、その成果として病院内での褥瘡発生は減少している。しかし、 入院前発生褥瘡の研究は少なく、入院時褥瘡保有患者はむしろ増加している。本論文では324人の入院時褥瘡保有患者情報を発生要因毎の実数や割合の算出と要因毎の有意差検定した実態調査と、クラスター分析(対象272人)からなる実証的な研究であり、多様な入院時褥瘡保有患者の特徴を統計的に明らかにしている。高齢化社会において病院外来や薬剤指導・栄養指導などの医療提供体制や退院支援や在宅ケアなどの福祉政策の決定の根拠として意義がある。
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