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廣町, 佐智子 ; 新井, 治子 ; 阿久沢, 由紀 ; 伊藤, まゆみ ; 二渡, 玉江 ; 伊藤, 善一
概要:
application/pdf<br />Departmental Bulletin Paper<br />The purpose of this study was to imporve the timing of preoperative navel treament. The subjects were 119 studens at divided into three groupus according to time elapsed, i.e., 4,8 and
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16 hours, after navel treatment. Bacteriolgical methods were used. Bacterl counts and species bifore and after navel treatment were conpared in these three groups. Bacterial counts were decreased by navel treatment, when the number of colonies was large before navel treatment, the decrease was particularly marked. The increase in bacteria was slight within 4-8 hours after navel treatment, suggesting that this is the optimal time to perform navel treatmen. The species detected were Staphylococcus epidermidis, S. aureus, Eschreichia coli, Pseudomonas aeruginosa, and Enterococcus. The species of the bacteria which decreased could not be specified.
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新井, 治子 ; 二渡, 玉江 ; 広町, 佐智子 ; 伊藤, まゆみ ; 伊藤, 善一
概要:
application/pdf<br />Departmental Bulletin Paper<br />Decreases in daily activities and sociality are increasingly being appreciated as causes of falls in the aged. Causes of falls have been investigated in terms of physical and
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physically functional aspects, but there have been only a few investigations of the causes of falls accompanying daily activities in the aged. To design protections from falls for the aged in their homes, more concrete cause of falls in the living environment were determined by questionnaire. This survey included 289 subjects who could converse and walk without suport, who consisted of 176 subjects (aged 65-90 years) in nursing homes for the aged and 113 subjects (65-89 years) at welfare centers for the aged. The survey was carried out by an interview conducted in questionnaire form. The factors influencing falls, in which there was a difference in living circumstances, were the frequency at which the person went to the toilet during the night, and footwear. Environmental factors were the living room, bedroom and halls. The frequency of falls on flat surfaces was high out of doors. The frequency was also high in persons with low back pain, arthralgia or hypertension, which affected their daily lives. Accroding to whether it was day or night, the frequency was high in the daytime when persons are active, and was also revealed to be high in the daytime in persons who often went to the toilet during the night. The influence of awakening in the middle of sleep traumatic falls in the daytime in a subject which should be investigated in the future.
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二渡, 玉江 ; 神郡, 博 ; 新井, 治子 ; 瀬戸, 正子 ; 福田, 春枝 ; 田村, 文子 ; 神田, 清子 ; 寺田, 真広
概要:
application/pdf<br />Departmental Bulletin Paper<br />We have made a survey of differences in pain observation between Japanese nurses and American nurses according to published literature. We also looked at influence of nurses' career
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on their ability of pain observation. As the result of this survey, we have made the following conclusions. 1. There were certain differences between Japanese nurses and American nurses on the identification of pain location, the assessment of pain and the understanding of pain. 2. The responsibility for pain control is laid on doctors and nurses in Japan, while it is laid on patients as well as doctors and nurses in America. 3. As for the relevance of Nurses' experience to their ability of pain observation, the nurses with more than ten years of experience have more appropriate pain observation ability than the nurses with less than ten years of experience.
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新井, 治子 ; 二渡, 玉江 ; 伊藤, 善一
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application/pdf<br />Departmental Bulletin Paper<br />In an attempt to obtain basic data for evaluating food intaike and quality of life in patients after gastrectomy, the actual state of nutritional intake was investigated in these
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patients for 6 mouths after discharge from the hospital. The subjects were 56 gastrectomized patients who consented to fill in 3-day meal record sheets. During the 6-month course after discharge, the amount of food intake was greatest in the first 3 mouths, but no increase was observed in either calorie or nutrient intake with the course of time after discharge. Food intake was not always consistent with quality of life. When food intake was assessed according to the patient's surgical procedure, the percent intake of fat and Fe was lower in patients after total gastrectomy than in other. Calorie intake did not meet the amount required for basal metabolism in about 20% of patients who underwent total gastrectomy for advanced cancer.
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二渡, 玉江 ; 新井, 治子 ; 今井, 由美 ; 鹿沼, 千鶴子 ; 須永, 千春 ; 伊藤, 善一
概要:
application/pdf<br />Departmental Bulletin Paper<br />An existing state of sleep and rest disturbances caused by medical and nursing interventions, considered a primary cause of psychiatric disturbance in ICU patients, was examined at Gunma
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University Hospital. The examination was carried out on 5. postoperative patients who had received cardiovascular surgery. The survey started immediately after admission to the unit, and ended at the time of discharge from the environment (up to 3 days). In 3 of 5 cases, sleep and rest were interrupted by hourly therapy and procedures. Physical and psychiatric burdens increased in proportion to the duration of time in the ICU. Most of the patients expressed their fear and anxiety saying they had been on the verge of mad because each day in the ICU had been too long for them to stay calm. Sleep and rest disturbances caused by medical and nursing interventions were frequently observed during the time between 5 A.M. and 9 P.M. Sixty percent of all causes of disturbances were caused by respiratory care such as suctioning, frequent position change and gargling, cardiovascular monitoring, and conversations with visitors or ICU staff.
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二渡, 玉江 ; 新井, 治子 ; 伊藤, 善一
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application/pdf<br />Departmental Bulletin Paper<br />As an approach to understanding patients' reactions against changes in body image, a survey of correlation between body image and personality undertaken using the
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Body-cathexis scale and Gilford-Martin inventory modified by Yatabe was conducted for a total of 460 high school students. Female students were less satisfied with their body parts and functions than male students, especially with regards legs and body proportions. Male students tended to be dissatisfied with heigth and body proportions. The students in co-educational high school were less dissatisfied with the external appearance of their bodies those in boys only or girls only high schools. Ratings concerning sense of inferiority and incooperativeness scored by male and female subiects were proportionately correlated with dissatisfaction with body parts and function. In female subgects, ratings of activity, superintendence and sociality were highly correlated with satisfaction with body parts and functions, however, only the rating of activity was correlated with such satisfaction in male subgects.
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二渡, 玉江 ; 新井, 治子 ; 伊藤, 善一
概要:
application/pdf<br />Departmental Bulletin Paper<br />In order to obtain basic understanding of nursing intervention for people with body image changes, the interrelationship between body cathexis and personality was evaluated using a
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body image scale and mental test in middle-aged people and in patients with alopecia as a result of cancer chemotherapy. The following results were obtained: 1. Females were less satisfied about their own body than were males. Scores of physical function were higher than those of body appearance in both genders. 2. Personality assessment revealed that females were more disposed towards showing depression and feelings of inferiority than were males. Lack of agreeableness and feelings of superiority were predominant in males. 3. Personality represented by mentl stability, mental activity, and leadership correlated firmly with body image. 4. Patients with alopecia showed significantly low scores of body image when compared with normal male and female adults.
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新井, 治子 ; 二渡, 玉江 ; 伊藤, 善一
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application/pdf<br />Departmental Bulletin Paper<br />Follow-up study of eating habits in patients who had undergone subtotal (44 patients) or total gastrectomy (19 patients) showed that the characteristics of diet and the manner of meal
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tended to change in this order with time after surgery. The patients were able to follow the general family diet about three months after gastrectomy. Within an additional one or two months, patients usually acquired the habit of taking three meals a day. A constant amount of food in almost every regular meal was established in most of the patients by six months after surgery.
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新井, 治子 ; 二渡, 玉江 ; 伊藤, 善一
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application/pdf<br />Departmental Bulletin Paper<br />Effect of preoperative stoma site marking on the process of patient's successful adjustment to their colostomy was assessed by a comparative questionnaire answerd by 35 patients
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with and without marking before surgery. Fink's theoretical model of crisis and motivation revealed that patients with preoperative stoma making tended to adapt earlier to their postoperative new situation than those without marking. However, stoma site marking did not influence the postoperative period needed for final adjustment to individual stoma, indicating that there was discrepancy between apparent psychological adaptation and complete adjustment to the stoma. In fact, receptive attitudes when patients received informations about colostomy and thereafter noticed their stoma for the first time indicated late final psychological adjustment to the stoma.
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新井, 治子 ; 二渡, 玉江
概要:
application/pdf<br />Departmental Bulletin Paper
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