Alternative Title地域生活を送る脊髄損傷者の日常生活に関連する褥瘡発生リスク要因の検討
Note (General)Study design: Case-control study. Objectives: To identify daily living-related risk factors for pressure ulcer (PU) occurrence in community-living patients with spinal cord injury (SCI). To determine whether seat pressure influences PU occurrence, and how often patients with SCI perform pressure relief activities while living in the community. Setting: Kanagawa Rehabilitation Hospital, Kanagawa, Japan. Methods: Thirty-one patients admitted to this hospital for PU treatment were included in the case (PU) group. Thirty ,outpatients who did not have PUs at the time of the study, and had lived without PUs for at least a year, were included in the control (No PU) group. Patients were interviewed about lifestyle-related PU risk factors and a pressure mapping system was used to measure interface pressure (IP) on their wheelchair seat. The No PU group patients recorded their daily activities and pressure relief maneuvers for 1 week. Results: Eight lifestyle factors and one risk assessment scale significantly differed between groups. Three factors showed significant odds ratios by logistic regression. IP did not significantly differ between groups. The self-counted number of pressure relief maneuvers (median (25th.75th percentile)) performed per hour in the No PU group was 2.5 (0.7-4.3), and including transfer and urination was 3.5 (2.0-5.3). Conclusion: We identified potential PU risk factors related to lifestyle. The scores of one risk assessment scale were also associated with PU risk. Our results did not suggest an IP damage threshold. Patients in the No PU group performed pressure relief maneuvers, including related activities, approximately once every 17 minutes.
首都大学東京, 2015-09-30, 博士（理学療法学）, 乙第122号
Collection (particular)国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
Date Accepted (W3CDTF)2016-06-03T01:05:16+09:00
Data Provider (Database)国立国会図書館 : 国立国会図書館デジタルコレクション