{"created":"2023-07-27T06:58:29.174777+00:00","id":57013,"links":{},"metadata":{"_buckets":{"deposit":"9b84d321-d8e3-4cdf-915e-0352e49dd131"},"_deposit":{"created_by":18,"id":"57013","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"57013"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00057013","sets":["1132:1133:1134"]},"author_link":["29669","101036","2771","101038","32","64","77295","85273","101034","101037","99652","101035","72008","81615"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2004","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"615","bibliographicPageStart":"607","bibliographicVolumeNumber":"6","bibliographic_titles":[{"bibliographic_title":"日本褥瘡学会誌"},{"bibliographic_title":"Japanese journal of pressure ulcer","bibliographic_titleLang":"en"}]}]},"item_4_creator_33":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Koshimura, Junko "}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Konya, Chizuko"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Sanada, Hiromi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakatani, Toshio"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"Sugama, Junko"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Yajima, Hiroaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tabata, Keiko"}],"nameIdentifiers":[{}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"本研究の目的は, 褥瘡のポケット形成過程の原因, 要因を明確にすることである. 13部位の褥瘡を発見からプロスペクティブに毎日観察したあと, ポケット形成あり群となし群に分類し, 創の形態と身体状況ならびに看護ケアを比較した. その結果, ポケットの形態は, 全周と部分, 筋層と皮下組織に達するものに分類された. ポケット形成前の創の特徴は「顕著な骨突出部と壊死組織との位置の違い」「硬く乾燥し, 限局した黒色壊死組織」「黒色壊死組織周囲に持続する発赤」であった. これらを引き起こす原因は「骨突出部による強い圧迫」「骨突出部上に起こる皮膚のずれ」「感染」であった. ポケットの形態別に原因をみると, 全周, 部分ポケットの違いにはずれの方向が関係し, 筋層, 皮下組織に達するポケットの違いには感染が関係していた. 以上の結果から, ポケット形成モデルを構築した.","subitem_description_type":"Abstract"},{"subitem_description":"The purpose of this study was to clearly identify the causes and influencing factors responsible for creating undermining pressure ulcers. We observed 13 pressure ulcers on a daily basis that developed on subjects who participated in this prospective study. The subjects were separated into two groups :(1)those who developed undermining, and (2)those who did not develop undermining pressure ulcers. We then evaluated the formation changes, the subjects' physical changes and the nursing care provided. Undermining pressure ulcers were further subdivided according to their depth (reaching the fascia or the subcutaneous tissues) and their type (whether the wounds were partial margin or full margin). Distinctive characteristics of the pressure ulcers before undermining occurred were a difference in the position of necrotic tissue and bony prominence, the presence of hard, dry and black escher, and persistent erythema. The causes of undermining can be attributed to high pressure caused by bony prominence, shear occurring over the bony prominent skin, and infection. The type of undermining was determined to be related to the direction of shear, and infection was related to the wound depth. We constructed a model of formation of the undermining based on these results.","subitem_description_type":"Abstract"}]},"item_4_description_22":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"日本褥瘡学会の許可を得て登録_2021.09.22","subitem_description_type":"Other"}]},"item_4_description_5":{"attribute_name":"提供者所属","attribute_value_mlt":[{"subitem_description":"金沢大学医薬保健研究域保健学系","subitem_description_type":"Other"}]},"item_4_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00063287","subitem_identifier_reg_type":"JaLC"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本褥瘡学会 Japanese Society of pressure ulcer"}]},"item_4_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"https://www.medicalonline.jp/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.medicalonline.jp/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"http://www.jspu.org/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.jspu.org/","subitem_relation_type_select":"URI"}}]},"item_4_rights_23":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Copyright © 日本褥瘡学会 Japanese Society of pressure ulcer"}]},"item_4_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA11575804","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1345-0417","subitem_source_identifier_type":"ISSN"}]},"item_4_version_type_25":{"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":"越村, 洵子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"紺家, 千津子"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"真田, 弘美"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"中谷, 壽男"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"須釜, 淳子"}],"nameIdentifiers":[{},{},{},{}]},{"creatorNames":[{"creatorName":"矢島, 博昭"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田端, 恵子"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-09-27"}],"displaytype":"detail","filename":"ME-PR-NAKATANI-T-607.pdf","filesize":[{"value":"632.6 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"ME-PR-NAKATANI-T-607.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/57013/files/ME-PR-NAKATANI-T-607.pdf"},"version_id":"04397bcd-5b3b-4c57-913e-98ecd0defd16"}]},"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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"褥瘡におけるポケット形成にいたるまでの過程の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"褥瘡におけるポケット形成にいたるまでの過程の検討"},{"subitem_title":"The process of undermining formation in the pressure ulcers","subitem_title_language":"en"}]},"item_type_id":"4","owner":"18","path":["1134"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-09-27"},"publish_date":"2021-09-27","publish_status":"0","recid":"57013","relation_version_is_last":true,"title":["褥瘡におけるポケット形成にいたるまでの過程の検討"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T14:58:07.413543+00:00"}