2018 Fiscal Year Final Research Report

Disuse syndrome prevention program verification of stroke post-stroke patients with the aim of immediate home life from acute care hospitals

Research Project

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Project/Area Number	15H05079
Research Category	Grant-in-Aid for Scientific Research (B)
Allocation Type	Single-year Grants
Section	一般
Research Field	Clinical nursing
Research Institution	The University of Tokushima
Principal Investigator	TAMURA Ayako 徳島大学, 大学院医歯薬学研究部(医学域), 教授 (10227275)
Co-Investigator(Kenkyū-buntansha)	南川貴子徳島大学, 大学院医歯薬学研究部(医学域), 准教授 (20314883) 桑本暢子 (大久保暢子) 聖路加国際大学, 大学院看護学研究科, 准教授 (20327977) 日坂ゆかり徳島大学, 大学院医歯薬学研究部(医学系), 助教 (30730593) 市原多香子徳島大学, 大学院医歯薬学研究部(医学系), 准教授 (10274268) 近藤裕子広島国際大学, 看護学部, 教授 (30205562)
Research Collaborator	SAITO Izumi NOZAKI Natsue YOKOI Yasuko
Project Period (FY)	2015-04-01 – 2019-03-31
Keywords	脳卒中 / 廃用症候群予防 / 手浴 / 快の感覚刺激 / プログラム
Outline of Final Research Achievements	For a patient with motor paralysis after stroke attack, as a help to prevent disuse syndrome, the clean support hand bath provided by a nurse was incorporated into a pleasant ADL recovery memory recall method and the effect was clarified. The six cases were divided into two groups: a hand-bath only group and a hand-and-hand holding group, and a hand-bath was performed for 10 days, and the degree of recovery of the joint movement range of the finger was judged as the effect. The range of movement of the distal phalanx joint on the hand side of the hand by hand bathing increased in all three in the exercise group and in the flooded group by one, but to a lesser extent. It was found that the hand movement range of the fingers was enhanced by incorporating the grip movement during hand bathing. Blood pressure and pulse did not change significantly in both groups, and safety was ensured.
Free Research Field	臨床看護学
Academic Significance and Societal Importance of the Research Achievements	脳卒中急性期患者の手浴は、清潔の保持という目的の上に、さらに快の感覚を呼び起こすことで、手指の運動機能の改善効果が高くなった。看護師による発症直後から手浴の清潔ケアを、関節可動域拡大という視点で実施することの重要性が明らかになった。また手浴による手指の運動機能訓練は、両手の手指を同時に運動したことで、回復促進が高まった。循環動態の変動は殆どなく、安全な行為であることが保証されていた。脳卒中後の廃用症候群予防プログラムに、看護師が積極的に、清潔支援の中に手浴や足浴というケアを取り入れることで、安全でしかも快の感覚で回復効果の高いプログラムであることを明らかにした。