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神田, 清子 ; 飯田, 苗恵 ; 石田, 和子
概要:
application/pdf<br />Departmental Bulletin Paper<br />がん化学療法が造血器腫瘍患者の食事摂取におよぼす影響を明らかにし,食事援助のあり方を検討する目的で,入院中の造血器腫瘍患者45名を対
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象に化学療法前・中(薬剤投与3-4日目)・後(薬剤投与終了後10日目)に面接法と観察法を用い縦断的に調査を行った。主な調査内容は,化学療法の副作用である消化器症状,食事摂取量および食事嗜好である。また,化学療法前から後10日目まで喫食量調査に協力が得られた4名については化学療法に伴うエネルギー摂取量と蛋白摂取量を分析した。調査日に提供された病院の全食事量に対する患者の摂取割合の平均は,化学療法前が82.9%,化学療法中が77.1%,化学療法後が67.6%であり,化学療法前と後では有意差が認められた。化学療法中と後の摂取量に影響をあたえていた消化器症状は,嘔吐,下痢症状および味覚変化であった。化学療法中と後に食べやすい食品は,さっぱりした物や飲み物,麺類であり,食べにくい食品は揚げ物や魚介類であった。化学療法中と後に嘔気,口内炎などの消化器症状が強く出現した事例では,その期間の蛋白摂取量は基準に満ちておらず,摂取エネルギー量は基礎代謝量にさえ達しなかった。以上より化学療法による摂取エネルギー量の低下を予防するには,嘔気,下痢,味覚変化を早期にアセスメントし,緩和のための看護介入を適切に行う。病院食として化学療法食,口内炎食を導入するなどのシステム化をすすすめることも大切であると思われる。
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| 2.
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神田, 清子 ; 栃原, 裕大 ; 中, 忠勝 ; 飯田, 苗恵 ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />The present study was undertaken to determine risk factors associated with bathroom falls among the elderly. The subjects were 103 elderly people ranging in age from 65 to 92 who
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could undress and bathe without assistance, living in Gunma Prefecture, Japan. The facilities and structure of the bathroom were measured to investigate the effect of bathroom falls. Subjects were asked about falls in the bathroom. The results following were obtained. 1. The rate of falls at the bathroom was 9.7% among the elderly, 16.2% among men, 4.5% among women. There was a significant gender difference in the rate of falls. 2. Causes of falling among the elderly were extrinsic (environmental) factors such as stumbling over duckboards and slipping on tile. 3. There was no association between falls and the facilities or structure of the bathroom. 4. To prevent of slipping in the bathroom among the elderly, mats, duckboards and handrails were useful. Some cases had inadequate measures to prevent slipping. These results suggest that (1) we should provide exact information concerning measures to prevent falling in the bathroom, and (2) it is necessary to set up handrails in the bathroom to prevent falling.
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中村, 美代子 ; 神田, 清子
概要:
application/pdf<br />Departmental Bulletin Paper<br />We produced a nursing standard manual to accept patients with HIV/AIDS at the general ward. Four patients who were nursed according to this manual are reported. The manual is
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summarized as follows. 1. Concerning the prevention of infection, different measures are taken between the period of an symptomatic carrier and that after the onset of HIV infection. 2. To tell the patient that he/she has HIV/AIDS, the patient is hospitalized for about 1 week. Nurses primarily perform mental care while confirming patient's reactions after pronouncement. 3. Daily life guidance after discharge is performed so that the patient control the disease and prevent infection by himself/herself, and the patient and family may not entertain unnecessary apprehensions. 4. Nurses closely listen to patient's complaints. Secret is strictly kept, and nursing intervention without prejudice or discrimination is advanced. Using this nursing standard manual, HIV antibody-positive/AIDS patients could be accepted at the general ward.
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飯田, 苗恵 ; 神田, 清子
概要:
application/pdf<br />Departmental Bulletin Paper<br />At our college., visiting nursing has been added to the practical, training given to students in the last four years. In this paper, the characteristics of the subjects visited, the type
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of care required, the items learned though practice were investigated and the valve of practice for the recent two years was evaluated. 1. The subjects visited were relatively young compared with the national demographics, heavily disabled and regiring a large quantity of care, such as management of Catneter. Subjects are generaly well cared for by an aged spouse. 2. Regarding the type of care needed, drug control was need by a few, but there were no cases reguiring feeding, inspection assistance or assistance with other medical examinations. 3. The items learned through practice are varied. Although there are many descriptions of home-care persons, family and home presented in class, it is considered that this practice is a good opportunity to recognize the subjects as human beings. 4. In evaluating the valve of practice, item ""Acquired the ability of building teamwork with the home doctor, public health nurse and helper in case of need"" recievedau extremely low score. It is suggested that it is required to select suitable homes for more effective learning, to improve the teaching methods to achieve sufficient knowledge and skills and understanding procedures particular to visiting nursing practice and to communicate with other related occupations about practice and coordination of practice schedules.
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小林, 苗恵 ; 神田, 清子
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application/pdf<br />Departmental Bulletin Paper<br />In the field of physical therapy, it is acknowledged that alternate bathing is effective in improving peripheral blood circulation. To obtain the effects of alternate bathing, 30
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helthy female college students were examined to observe the degree of heat loss, physiological and mental change, and subjective feelings after a hot bath and after althernate bathing of the legs.The degree of skin temperature decreasing due to a hot bath was more moderate than that of alternate bathing. It was determined that the effect of a hot bath was better than that of alternate bathing for common nursing care.
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神田, 清子 ; 大中, 忠勝 ; 栃原, 裕太 ; 田, 紀久子 ; 伊藤, まゆみ ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />The frequency of body movement in the young people during sleep ea
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sured. in order to investigate the effect of thermal environmets on sleep in summer and autumn. Simultaneously, room temperature and humidity were also measured. On the morning after measureing body movements, the time to go to bed and to get up, the degree of sound sleep and bedclothes were assessed by a questionnaire. The following results were obtained. 1. The bedroom temperature in summer during sleep ranged from 20 to 30℃ (mean 27.06℃). On the other hand, it was between 14 and 26℃ (mean 18.82℃) in autumn, which was significantly lower than that in summer. 2. Body movement in summer during sleep was significantly greater than those in autumn. 3. A significant relation between bedroom temperature and temperature in bed in both summer and autumn seasons (summer: r = 0.846 p<0.001, autumn: r = 0.107 p<0.05). 4. A significant relation between body movement and bedroom temperature was found both seasons. Under the higher bedroom temperature, there was a tendency toward a higher rate of body movement. These results indicate that suitable adjustment of room temperature by using an air-conditioner is important for achieving a stable sleep pattern.
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太田, 紀久子 ; 神田, 清子 ; 大野, 絢子 ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />A research and analysis were made on worhtwhileness of aged people at home, and the follwing results were obtained. 1. The average Philadelphia Geriatric Center Morale Scale (PGC)
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point of total aged people was 16.5, and no difference between men and women was obserbed. 2. The PGC points were not significantly variable by age, sex, moving of residence, form of family. However, the PGC points were significantly higher in those who were satisfied with their family relationship, who had hobbies, and who considered themselves as well-being. 3. No significant difference was observed on the PGC points regardless of having their spouse or not, though the PGC points tended to be lower in those who separated from their spouses in less than five years.
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伊藤, まゆみ ; 神田, 清子 ; 新井, 治子
概要:
application/pdf<br />Departmental Bulletin Paper<br />We investigated the serum transaminase levels in patients with chronic hepatitis, degree of their cncern about transaminase levels, and their responses to changes in these parameters as
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well as the effects of such responses to their anxiety state. The following results were obtained. 1. There are no established measures for evaluating the effectiveness of self-care programs for chronic hepatitis patients, and the physician's comments and the transaminase levels have been recommended as indexes for this condition by many researchers. 2. In the anxiety test in patients with chronic hepatitis, A-State and A-Trait scores were 41.6 and 41.7, respectively, showing no significant difference from the values in the gereral population or patients with other chronic disease for either state anxiety or trait anxiety. 3. In patients with elevanted GPT, the A-State score tended to be higher than that in patients with normal GPT, amd those showing strong concern about their transaminase levels had a significantly higher A-State score than those who do not worry about these biochemical indexes. 4. If the patients have strong concern about the transaminase levels and their anxiety state is worsened in response to the rise or fall in these values, such patients have to be supported so that they can continue their self-care activities in stable mental conditions by comprehensively evaluating their self-care activities using other medical indexes and subjective symptoms as well.
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伊藤, まゆみ ; 太田, 紀久子 ; 大野, 絢子 ; 神田, 清子
概要:
application/pdf<br />Departmental Bulletin Paper<br />Environmental factors such as temperature and relative humidity in
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the bedroom and in the space between the bed and the coverlet were analyzed in relation to ease of falling asleep in summer and autumn. The following results were obtained. 1. Many subjects reported that they fell asleep more easily in autumn than in summer. They felt that they slept more deeply in autumn than in summer. However, the incidence of sleep interruption at night did not differ between summer and autumn. 2. The subjects adjusted their bedclothes and nightclothes appropriatery in both summer and autumn. 3. The temperature and relative humidity within the bedroom were significantly higher in summer (27.06℃ and 70.36%) than in autumn (18.82℃ and 67,46%). 4. The temperature within the bedroom correlated significantly with the temperature in the space between the bed and the coverlet in both summer and autumn. The correlation was particularly high in summer. 5. The bedroom temperature was significantly higher for subjects who did not fall asleep easily in summer than for subjects who fell asleep easily in summer. The relative humidity in the bedroom tended to be higher for subjects who did not fall asleep easily in summer than for subjects who fell asleep easily in summer. 6. These results indicate that not only adjustment of bedclothes but also adijustment of room temperature (using an air-conditioner, etc.) is important for falling asleep easily and achieving a stable sleep pattern.
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太田, 紀久子 ; 神田, 清子 ; 大野, 絢子 ; 伊藤, まゆみ ; 土屋, 純
概要:
application/pdf<br />Departmental Bulletin Paper<br />A research was made on depression and the relative factors in the healthy elderly persons living in the area using the Japanese-version SDS tests. As a result, the following were
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suggested. 1. The frequency of the depression appearance was 3.6% and the avarage of the depression score was 30.7. There was no significant difference between men and women. 2. The attributes of the elderly persons which influenced the depression score were family relationship, the self-rating of health conditions, the radius of action and hobbies. They should taken into consideration to offer support and positive service for elderly persons at home. 3. Among the twenty items of the SDS tests, the factors in which psychological conditions influence physical symptoms, showed significant difference depending on the possession of hobbies and the degree of satisfaction in the family relationship. This result suggested that the physical conditions of the elderly persons were greatly related to the psychological depression. Not only for the elderly persons with diseases, it would be important to perform comprehensive care in this point of view for the healthy elderly persons.
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