@article{oai:kanazawa-u.repo.nii.ac.jp:00057014,
 author = {Konya, Chizuko and Sanada, Hiromi and Sugama, Junko and Okuwa, Mayumi and Nakatani, Toshio and Nagakata, Takukazu and 紺家, 千津子 and 真田, 弘美 and 須釜, 淳子 and 大桑, 真由美 and 中谷, 壽男 and 永川, 宅和},
 issue = {1},
 journal = {日本褥瘡学会誌, Japanese journal of pressure ulcer},
 month = {Apr},
 note = {本研究の目的は, ポケット形成のある褥瘡を形態的に分類し, 治癒過程を明らかにすることである. さらに, その治癒過程の分類と看護ケア要因および身体要因との関係を導き出すことにある. 65歳以上の高齢者69名が保有するStage III・IVの褥瘡を調査した. 褥瘡は79部位あり, そのうち45部位(57.0%)にポケット形成を認めた. 褥瘡の治癒過程を帰納的方法により分類すると, 深達度ごとにポケットと表皮化方法によって10に分類できた. 特徴的な形態の変化には, 表皮化ではなく収縮のみによる創閉鎖があった. 収縮は通常の表皮化する創より, 治癒期間が延長していた. さらに, ポケット内に壊死組織はないが創の収縮により逆にポケットが拡大するものがあった. 看護ケア要因と身体要因と関係があったのは, ポケット形成と収縮のみによる創閉鎖であった. ポケット形成は, 骨突出, 尿失禁, 拘縮, 臀部のたるみが関係していた. 収縮のみによる創閉鎖は, 骨突出, 尿失禁, ずれ, 拘縮が関係していた., The purpose of this study was to categorize pressure ulcers with various forms of undermining and to examine the healing process of each category. Another attempt to determine whether nursing care and/or physical factors influence the formation of pressure ulcers was also considered. This study was performed with the consent of 69 elderly (65 years old or older) patients with stage III or IV pressure ulcers, who had a total of 79 pressure ulcers. Of the 79 pressure ulcers, 45 (57%) were undermining. Based on the pressure ulcer healing process for stage III or IV pressure ulcers with undermining and epithelialization, 10 healing patterns were inductively categorized. A significant observation was the fact that in undermining with no necrotic tissue, the undermining spread inversely to wound contraction, a phenomenon we categorized as "Us" (Undermining-spread-partial wound margin). Epithelialized wounds closed only by contraction were categorized as Ec (Epithelialization-contraction). Our results showed the wound healing period to be longer for general epithelialization than for "Ec" type wounds. Nursing care and/or physical factors that influenced the form and healing pattern of "Undermining" were externally bony prominence, urinary incontinence, contracture, and flabby skin in the buttock area. Similarly, the influencing factors of "Ec" were an externally bony prominence, urinary incontinence, shear, and contracture., 日本褥瘡学会の許可を得て登録_2021.09.22, 金沢大学医薬保健研究域保健学系},
 pages = {60--69},
 title = {高齢者における褥瘡治癒過程からみた形態的分類と看護ケアとの関係: ポッケト形成のある褥瘡に焦点をあてて},
 volume = {4},
 year = {2002}
}