2023 Fiscal Year Final Research Report
Holistic approach using the Hand Massage method for prevention of postoperative delirium in elderly patients
Project/Area Number |
19K11234
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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 58080:Gerontological nursing and community health nursing-related
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Research Institution | Shijonawate Gakuen University |
Principal Investigator |
Sato Tsuyako 四條畷学園大学, 看護学部, 教授 (30321136)
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Co-Investigator(Kenkyū-buntansha) |
山崎 裕美子 姫路獨協大学, 看護学部, 教授 (00285321)
山岸 千恵 京都看護大学, 看護学部, 准教授 (30382815)
竹 明美 京都橘大学, 看護学部, 准教授 (30344568)
平上 久美子 名桜大学, 健康科学部, 教授 (00550352)
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Project Period (FY) |
2019-04-01 – 2024-03-31
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Keywords | 高齢者術後せん妄 / 多職種チームによる多因子介入 / 看護実践としてのタッチケア / ハンドマッサージ法 / 術後せん妄予測因子 |
Outline of Final Research Achievements |
Postoperative delirium (POD) is an acute brain dysfunction that can patients of their dignity. We conducted a literature review of the effectiveness of the Hand Massage as one of the multifactorial interventions by the multidisciplinary team to prevent postoperative delirium (POD) in elderly patients. As a result, the research plan was designed to develop a useful intervention method for the prevention of POD in elderly patients in a nurse-centered multidisciplinary team. In addition, we surveyed the perceptions of POD of patients and family members who are part of the team medical care. In addition, we clarified the relationship of individual attitudes toward simulated POD to the Health Locus of Control and the personality traits. As a result, Gender differences were evident in attitudes during the POD simulation. It was suggested that HLC and personality traits play an influential role in predicting certain attitudes. And it was suggested that POD knowledge was also involved.
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Free Research Field |
看護学
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Academic Significance and Societal Importance of the Research Achievements |
近年,超高齢化や医療の高度化に伴い,手術療法を受ける高齢者は増加し, PODの発症が問題となっている。POD発症は,死亡率を高め,在院期間が長期化し,退院後の認知機能障害のリスクを高める。したがってPOD予防は,高齢患者及びその家族の生活や生命の質を維持・向上するだけでなく,医療費の増大を抑えることにもつながる。そして,POD発症要因のうち,術後の日常生活や環境の変化,不安などに対するケアは,生活モデルに基づく看護ケアであると言える。 したがって,高齢患者を生活者としてとらえ,看護師中心の多職種チームにより,PODの予防を可能とする有用な介入方法の構築には意義があると考えている。
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