Usage Status of Mattresses for Preventing Pressure Ulcers and Barriers/Facilitators to Adoption in the elderly facilities.

2023 Fiscal Year Final Research Report

• Project/Area Number: 21K21166
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Kyoto University
• Principal Investigator: TOYAMA Mayumi 京都大学, 医学研究科, 助教 (50441316)
• Project Period (FY): 2021-08-30 – 2024-03-31
• Keywords: 褥瘡予防 / 体圧分散マットレス / 介護保険 / 社会実装 / 多職種連携

Outline of Final Research Achievements

This study used two approaches to identify the actual use of mattresses for preventing pressure ulcers in elderly care facilities, and the barriers and facilitators related to their introduction and maintenance.
The qualitative approach involved conducting semi-structured interviews either in person or online with staff from elderly care facilities. The Consolidated Framework for Implementation Research was utilized for content analysis to identify barriers and facilitators for each conceptual element. The descriptive study examined the incidence of pressure ulcers and the usage of mattresses among individuals requiring nursing care, as registered in the Kyoto City Integrated Care Data.

Free Research Field

公衆衛生学分野

Academic Significance and Societal Importance of the Research Achievements

本研究で明らかになった褥瘡予防のための体圧分散マットレスの使用実態及びその阻害・促進要因からは、各施設レベルでの取り組みだけでなく、医療機関を含む外部機関との多職種連携の重要性や、介護保険などの社会的サポートが与える影響など、より広範な課題が提示された。これらは実装の際に考慮すべき視点を提供し、改善策を検討する際の一助となりうる。