2022 Fiscal Year Final Research Report

Development of a foot care protocol by visiting nurses for the elderly in home care

Research Project

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Project/Area Number	20K10983
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58080:Gerontological nursing and community health nursing-related
Research Institution	Sendai Akamon College
Principal Investigator	Hirao Yumiko 仙台赤門短期大学, 看護学科, 教授 (60457752)
Co-Investigator(Kenkyū-buntansha)	小笠原祐子和洋女子大学, 看護学部, 准教授 (80404929) 東本恭幸千葉県立保健医療大学, 健康科学部, 教授 (10782451) 立石和子産業医科大学, 産業保健学部, 教授 (80325472)
Project Period (FY)	2020-04-01 – 2023-03-31
Keywords	フットケア / プロトコール / 在宅療養高齢者 / 訪問看護 / 足病変予防
Outline of Final Research Achievements	We investigated foot lesions ((1) dryness, (2) edema, (3) calluses/corns, (4) nail abnormalities, (5) wounds, and (6) suspicion of athlete's foot) that are common in elderly people). A questionnaire was conducted to verify the reliability of the "foot care protocol for patients (draft)". In the paper evaluation by visiting nurses (n=39), more than 70% of the respondents answered that there is a possibility of practical application, and it was generally well received. In a study (n=10) using this protocol (draft) for home care for 2 weeks, it was commonly used for dryness, edema, and nail abnormalities. More than 70% of respondents answered that their nursing care plans are more specific, but there are also opinions that require more specificity, and the direction of improvement has become clear.
Free Research Field	地域・在宅看護学
Academic Significance and Societal Importance of the Research Achievements	訪問看護師の多くがフットケアの必要性は理解しているがケア方法の判断に困難を抱えている現状に対して、安全・確実なフットケアの指針となるプロトコールを提供に向けて有意義な研究となった。高齢者へのフットケアの効果として、歩行機能の維持・向上のみならず、全身の健康レベルの向上への寄与が期待され、効果が検証されつつある。本プロトコールが更に精練され、訪問看護師に活用されることにより、在宅の場でのフットケアが促進され、在宅療養高齢者の介護予防が推進される。