FUKUI Mika Dept. of Nursing, Tottori Univ.College of Medical Care Technology, 医療技術短期大学部・看護学科, 助手 (10218894)
IYAMA Sumiko Dept. of Nursing, Tottori Univ.college of Medical Care Technology, 医療技術短期大学部・看護学科, 助教授 (40116314)
KASAGI Takeshi Dept. of Nursing, Tottori Univ.College of Medical Care Technology, 医療技術短期大学部・看護学科, 教授 (50031993)
|Budget Amount *help
¥10,500,000 (Direct Cost : ¥10,500,000)
Fiscal Year 1993 : ¥600,000 (Direct Cost : ¥600,000)
Fiscal Year 1992 : ¥900,000 (Direct Cost : ¥900,000)
Fiscal Year 1991 : ¥800,000 (Direct Cost : ¥800,000)
Fiscal Year 1990 : ¥8,200,000 (Direct Cost : ¥8,200,000)
The most intolerable suffering on the patients of recurrent digestive cancer is the adbominal pain which continues throughout the day and can not be completely removed by any anodyne.
In order to deal with the comlaint of the patient, the origin of the pain should be reveled exactly. Experience suggests that the skin temperature is reflected by various body conditions. For example, the inflammation induses the ocal part to higher temperature and the blockade of the artery does to lower one, both of which cause the pain.
Though hor and cold compresses are often used for the relaxation of the pain, their effects are not known sufficiently. The hot and cold compresses which applied on the upper and the lower limbs as the basic experiment caused high and low temperature region on the surface of the other side linbs, respectively, as well as the change of deep body teperature and capillary blood flow. These alterations were considered as the result of the intervention of the autonomic nervous
systems. Materials of the compress were steamed towel, cold and hot pack, "Momhot" and "Thermoship", among which there were differences of efficiencies. The choice and application of materials should be made according to the effect of them.
After the follow-up inquiries of complaint on 47 patients, pain, lassitude, other physical suffering and mental suffering were identified as four main complaints. Thereby, for the purposeof decreasing these complaints, the nursing program, which quantitatively estimated these comlaints, giving 0 to 3 points on each sufferings(totally 12 points) according to patients words and exressions. On the other hand, the behavioral estimation of daily actions was done by the scoring 0 to 12 points dividing 5 steps of actions from the selfsupporting movement to the unmovable in all day.
"Quality of life" (QOL) of atient was obtained by subtracting of suffering estimation from the behavoral one. To lift up QOL of patient, the relaxation of the complaints and the exension of behavioral ranges as much as possible were very important. Less