高齢患者の長期的アウトカムと費用対効果をふまえた早期排尿自立支援システムの構築

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Author: 正源寺, 美穂ほか

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Publication date: 2020-05-27

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Note (General)：: 金沢大学医薬保健研究域保健学系目的：急性期から回復期への継続的排尿自立支援の有効性を検証した。対象者：急性期に尿道カテーテル留置管理となり、回復期リハ病棟に転院した脳卒中患者（介入群70名、対照群60名）。結果：介入群は、回復期リハ病棟入院中の尿路感染症が有意に低く（0% vs. 6.7%, p＝0...

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Material Type: 文書・図像類
Title: 高齢患者の長期的アウトカムと費用対効果をふまえた早期排尿自立支援システムの構築
Author/Editor: 正源寺, 美穂
Shogenji, Miho
Author Heading: 正源寺, 美穂
Shogenji, Miho
Publication Date: 2020-05-27
Publication Date (W3CDTF): 2020-05-27
Alternative Title: Construction of an early urination independence support system based on long-term outcomes and cost-effectiveness of elderly patients
Periodical title: 令和1(2019)年度科学研究費補助金基盤研究(C) 研究成果報告書 = 2019 Fiscal Year Final Research Report
No. or year of volume/issue: 2016-04-01 - 2020-03-31
Volume: 2016-04-01 - 2020-03-31
Pages: 9p.-
Text Language Code: jpn
Subject Heading: 排尿自立
急性期
回復期リハビリテーション病棟
脳卒中患者
尿路感染症
Gerontological nursing
Target Audience: 一般
Note (General): 金沢大学医薬保健研究域保健学系
目的：急性期から回復期への継続的排尿自立支援の有効性を検証した。対象者：急性期に尿道カテーテル留置管理となり、回復期リハ病棟に転院した脳卒中患者（介入群70名、対照群60名）。結果：介入群は、回復期リハ病棟入院中の尿路感染症が有意に低く（0% vs. 6.7%, p＝0.028）、排尿方法が発症前と退院時で維持・向上した割合が高い傾向を示した（85.7% vs. 72.9%, p＝0.070）。脳梗塞患者は、在院日数が有意に短かった（56.5±25.4 vs. 77.6±34.4, p=0.049）。結論：継続的排尿自立支援は、長期的な尿路感染症の予防および排尿自立に有効であった。
Objective: This quasi-experimental study evaluated the effectiveness of a continuous continence program on continence self-management. Method: Participants were stroke patients with indwelling catheters in an acute hospital (intervention group: n=70, control group: n=60). Intervention group (IG) received continuous continence program between acute phase and rehabilitation phase. The control group (CG) received same continence care only in acute phase. Result: The incidence of UTIs in the IG was significantly lower than that in the CG (0% vs. 6.7%, p＝0.028). Proportion of patient who can void urine as same method as that before stroke was higher in the IG, comparing with the CG (85.7% vs. 72.9%, p＝0.070). UTI resulted in the much higher incidence of re-indwelling catheter and longer stay in the rehabilitation ward. Conclusion: This study demonstrated that continuous comprehensive continence care for the removal of indwelling catheters lowered the incidence of UTIs.
研究課題/領域番号:16K12192, 研究期間(年度):2016-04-01 - 2020-03-31
出典：「高齢患者の長期的アウトカムと費用対効果をふまえた早期排尿自立支援システムの構築」研究成果報告書　課題番号16K12192（KAKEN：科学研究費助成事業データベース（国立情報学研究所））（https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-16K12192/16K12192seika/)を加工して作成
DOI: 10.24517/00054169
Source: https://kanazawa-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=47846&item_no=1&attribute_id=26&file_no=1
https://kanazawa-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=47846&item_no=1&attribute_id=26&file_no=1
Access Restrictions: 限定公開
Rights (production): CC BY-NC-ND
Related Material: https://kaken.nii.ac.jp/search/?qm=80345636
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-16K12192/
https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-16K12192/16K12192seika/
Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）
https://irdb.nii.ac.jp
Original Data Provider (Database): 金沢大学 : 金沢大学学術情報リポジトリKURA