{"created":"2023-06-20T16:48:19.063411+00:00","id":20163,"links":{},"metadata":{"_buckets":{"deposit":"cdf23367-09a7-491b-b31e-9a05943bcb59"},"_deposit":{"created_by":3,"id":"20163","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"20163"},"status":"published"},"_oai":{"id":"oai:kindai.repo.nii.ac.jp:00020163","sets":["14:923:1477:4518"]},"author_link":["34341","34343","34344","34346","34342","34345"],"item_2_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-06-19","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1-2","bibliographicPageEnd":"73","bibliographicPageStart":"67","bibliographicVolumeNumber":"44","bibliographic_titles":[{"bibliographic_title":"近畿大学医学雑誌"},{"bibliographic_title":"Medical Journal of Kindai University","bibliographic_titleLang":"en"}]}]},"item_2_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"[抄録]【はじめに】当院では入院患者の誤嚥・窒息のリスクを減らすために発足した窒息・誤嚥対策ワーキンググループ（誤嚥WG）が，入院患者を対象に行う嚥下機能評価スクリーニングフローチャートを作成した．運用開始後に救急災害棟（救災棟）で窒息の事例が発生したため，食事状況に関しラウンド形式で調査を行った．【方法】対象は2017年1月11日～5月30日の間に救災棟に入院した患者．昼食時に救災棟を訪問し，食事の摂取状況を観察，食事形態などに関し病棟と検討した．【結果】誤嚥WGラウンド回数は17回，のべ患者数は696名．そのうち経口摂取をしていた患者数は431名（62％）で，そのうち誤嚥・窒息のリスクがあると判断した患者（誤嚥・窒息リスク群）は21名（4.9％）だった．誤嚥リスクと判断した理由は義歯の非装着や不適合が12名（57.1％）と最も多く，その次に口腔内汚染5名（23.8％），全身状態不良などとなっていた．病棟との協議では食事形態の変更を提案することが最も多かった．ラウンド後１年間誤嚥・窒息事例は発生していない．また副次的な効果として誤嚥WGラウンド介入後の食事摂取率が有意に改善した（介入前摂取率3.09±2.59介入後摂取率6.29±3.10，p＜0.01）．【考察】誤嚥WGラウンドによる食事の適正化で誤嚥・窒息のリスクを軽減できた．また副次効果として摂取率が改善した．","subitem_description_type":"Abstract"}]},"item_2_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_2_publisher_14":{"attribute_name":"出版者 名前","attribute_value_mlt":[{"subitem_publisher":"近畿大学医学会"}]},"item_2_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03858367","subitem_source_identifier_type":"ISSN"}]},"item_2_text_7":{"attribute_name":"著者(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Obora,Kayoko"},{"subitem_text_language":"en","subitem_text_value":"Ueda,Masami"},{"subitem_text_language":"en","subitem_text_value":"Iwanaga,Takashi"},{"subitem_text_language":"en","subitem_text_value":"Tatsumi,Yoichi"},{"subitem_text_language":"en","subitem_text_value":"Fukuda,Kanji"},{"subitem_text_language":"en","subitem_text_value":"Higashimoto,Yuji"}]},"item_2_text_8":{"attribute_name":"著者 所属","attribute_value_mlt":[{"subitem_text_value":"近畿大学医学部附属病院リハビリテーション医学教室: 窒息・誤嚥対策ワーキンググループ"},{"subitem_text_value":"近畿大学医学部附属病院リハビリテーション医学教室"},{"subitem_text_value":"窒息・誤嚥対策ワーキンググループ: 近畿大学医学部附属病院呼吸器・アレルギー内科"},{"subitem_text_value":"近畿大学医学部附属病院医療安全対策室"},{"subitem_text_value":"近畿大学医学部附属病院リハビリテーション医学教室"},{"subitem_text_value":"大阪公益財団法人田附興風会医学研究所リハビリテーションセンター"}]},"item_2_text_9":{"attribute_name":"著者所属(翻訳)","attribute_value_mlt":[{"subitem_text_value":"Department of Rehabilitation Medicine, Kindai University: Suffocation, aspiration measures working group, Kindai University"},{"subitem_text_value":"Department of Rehabilitation Medicine, Kindai University"},{"subitem_text_value":"Suffocation, aspiration measures working group, Kindai University: Department of Respiratory and Allergology, Kindai University"},{"subitem_text_value":"Department of Medical Safety Measures Room, Kindai University"},{"subitem_text_value":"Department of Rehabilitation Medicine, Kindai University"},{"subitem_text_value":"Department of Rehabilitation center, Tazuke Kofukai Medical Research Institute Kitano Hospital"}]},"item_2_version_type_12":{"attribute_name":"版","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_be7fb7dd8ff6fe43","subitem_version_type":"NA"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大洞, 佳代子"},{"creatorName":"オオボラ, カヨコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"上田, 昌美"},{"creatorName":"ウエダ, マサミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岩永, 賢司"},{"creatorName":"イワナガ, タカシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"辰巳, 陽一"},{"creatorName":"タツミ, ヨウイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福田, 寛二"},{"creatorName":"フクダ, カンジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"東本, 有司"},{"creatorName":"ヒガシモト, ユウジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-07-29"}],"displaytype":"detail","filename":"AN00063584-20190619-0067.pdf","filesize":[{"value":"2.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AN00063584-20190619-0067.pdf","url":"https://kindai.repo.nii.ac.jp/record/20163/files/AN00063584-20190619-0067.pdf"},"version_id":"45b5efa8-ae79-4295-9581-b22921c73543"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"誤嚥・窒息のリスク","subitem_subject_scheme":"Other"},{"subitem_subject":"義歯の適合","subitem_subject_scheme":"Other"},{"subitem_subject":"食事摂取率","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"〈原著〉救急災害棟入院患者における誤嚥・窒息リスク改善への試み","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"〈原著〉救急災害棟入院患者における誤嚥・窒息リスク改善への試み"},{"subitem_title":"Attempt of aspiration and suffocation risk mitigation in the ward for emergency and disaster","subitem_title_language":"en"}]},"item_type_id":"2","owner":"3","path":["4518"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-07-29"},"publish_date":"2019-07-29","publish_status":"0","recid":"20163","relation_version_is_last":true,"title":["〈原著〉救急災害棟入院患者における誤嚥・窒息リスク改善への試み"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-20T21:28:56.890055+00:00"}