{"created":"2023-07-25T09:52:40.349027+00:00","id":27,"links":{},"metadata":{"_buckets":{"deposit":"e41a7c3c-6702-45cf-82e1-e684e710613a"},"_deposit":{"created_by":11,"id":"27","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"27"},"status":"published"},"_oai":{"id":"oai:gcnr.repo.nii.ac.jp:00000027","sets":["2:11"]},"author_link":["65","11"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"65","bibliographicPageStart":"55","bibliographicVolumeNumber":"15","bibliographic_titles":[{"bibliographic_title":"岐阜県立看護大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of Gifu College of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　本研究の目的は、大腿骨近位部骨折術後患者に対し、早期から排泄動作や移動行動などの看護師が行うリハビリテーションを実践できるように、看護ケアの指標を作成し、その評価としてADL自立に向けた看護ケアの変化を明らかにすることである。\n　12事例の分析から、看護師による病棟でのリハビリ内容と開始時期の目安案を作成した後、7事例に実施した看護ケアの分析を基に、ADL自立に向けた看護ケアの指標を作成した。指標は、理学療法士との協議項目(18項目)、ケアカンファレンス検討項目(14項目)、そして検討項目に沿った看護ケアの項目(21項目)で構成し、術後4週間の看護ケアの流れを経時的に示した。\n　指標活用による成果を評価するために、対象患者退院後に事例カンファレンスを行い、看護師の発言内容を分析した。その結果、指標による効果、PTとの連携強化、ケアカンファレンス開催による効果、看護ケアの改善、今回の取り組みにおける課題に分類された。指標による効果では、<ADL自立に向けた具体的な関わり方が明確になった><看護ケアの統一が可能である>、看護ケアの改善では、<自立を妨げない看護ケアが行えた>のカテゴリが抽出された。\n　本研究で作成した看護ケアの指標は、これまで曖昧であった自立に向けた看護ケアの内容やその方法が明確となり、PTと共にADL状況を評価しながら、患者の自立を促すためのツールであることが示唆された。そして看護師ひとり一人が、対象者の自立を支えるという看護師の役割を理解し、看護ケアを実践するために役立つものであると考える。","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"研究報告","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"岐阜県立看護大学","subitem_publisher_language":"ja"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11546486","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-2520","subitem_source_identifier_type":"PISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Yamaguchi, 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マユリ","creatorNameLang":"ja-Kana"}],"familyNames":[{"familyName":"Hashimoto","familyNameLang":"en"},{"familyName":"橋本","familyNameLang":"ja"},{"familyName":"ハシモト","familyNameLang":"ja-Kana"}],"givenNames":[{"givenName":"Mayuri","givenNameLang":"en"},{"givenName":"麻由里","givenNameLang":"ja"},{"givenName":"マユリ","givenNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"11","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"40228424","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/nrid/1000040228424"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-06-04"}],"displaytype":"detail","filename":"1501_P055.pdf","filesize":[{"value":"452.3 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Fractures","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"11","path":["11"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2016-06-04"},"publish_date":"2016-06-04","publish_status":"0","recid":"27","relation_version_is_last":true,"title":["大腿骨近位部骨折術後患者の早期ADL自立に向けた看護ケアの指標作成とその評価"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-12-09T11:02:43.104463+00:00"}