Development of a foot ulcer risk assessment for patients with diabetes
| Project/Area Number |
15K11591
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Sapporo Medical University |
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Principal Investigator |
Masuko Sumikawa 札幌医科大学, 保健医療学部, 准教授 (20432312)
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| Co-Investigator(Kenkyū-buntansha) |
斉藤 重幸 札幌医科大学, 保健医療学部, 教授 (60253994)
澄川 靖之 札幌医科大学, 医学部, 講師 (00555526)
赤坂 憲 大阪大学, 医学部附属病院, 助教 (70468081)
桑村 由美 徳島大学, 大学院医歯薬学研究部(医学域), 助教 (90284322)
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| Project Period (FY) |
2015-04-01 – 2019-03-31
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| Project Status |
Completed (Fiscal Year 2018)
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| Budget Amount *help |
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
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| Keywords | フットケア / 神経障害 / 足病変 / 糖尿病 / 神経伝導速度 / 振幅 / 足潰瘍発症リスク |
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| Outline of Final Research Achievements |
We used a handheld nerve conduction test device called DPN Check (HDN-1000) to evaluate the severity of diabetic neuropathy. DPN Check easily assesses both the nerve conduction velocity (NCV) and nerve conduction amplitude (NCA) of the purely sensory sural nerve. NCV, NCA, and severity of neuropathy, as determined using DPN Check correlates with foot ulcer risk assessment indicators. Therefore, DPN Check is useful for assessing foot ulcer risk. NCV and NCA values can be used to classify the severity of neuropathy into four levels, namely normal, mild, moderate, and severe. We adopted a new indicator for assessing foot ulcer risk. Risk-based foot care interventions could be used to prevent severe foot disease.
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| Academic Significance and Societal Importance of the Research Achievements |
糖尿病患者にDPNチェック（HDN-1000）を用いて、純感覚神経である腓腹神経の神経伝導速度と活動電位振幅を測定することは、足潰瘍発症リスクの重症度を評価する上で有用な指標となり得ることが明らかとなった。また、本指標を看護専門フットケア外来において適用することは、糖尿病患者の神経障害を早期発見し、個々の重症度に応じたフットケア介入につなげることができ、糖尿病患者の重症化足病変の予防に貢献できた。
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Report
(5 results)
Research Products
(7 results)
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[Presentation] DPN Check, a nerve conduction testing device, is useful as the Indicator for foot ulcer risk assessment2017
Author(s)
Sumikawa M, Fujiwara T, Tatewaki K, Kawahara N, Saito S, Akasaka H, Kuwamura Y, Sumikawa Y, Kubota M
Organizer
The 9th Scientific Meeting of the Asian Association for the Study of Diabetes (Nagoya Congress Center)2017.5
Related Report
Int'l Joint Research
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