Japanese

Title	ストーマ造設患者のストーマセルフケア確立困難の要因
Subtitle	原著
Authors	山本亜由美
Authors (kana)
Organization	SUBARU健康保険組合太田記念病院
Journal	日本ストーマ・排泄リハビリテーション学会誌
Volume	36
Number	3
Page	94-99
Year/Month	2020 / 12
Article	原著
Publisher	日本ストーマ・排泄リハビリテーション学会
Abstract	「要旨」【目的】ストーマ造設患者のストーマセルフケア確立を困難にする要因を明らかにし, セルフケア確立困難予測患者への支援のあり方の示唆を得ることである. 【方法】消化管ストーマを造設した患者を対象に, ストーマセルフケアの自立群と非自立群で2群間比較を行った. 【結果】セルフケア確立困難の要因は, 75歳以上, 日常生活自立度の低下, 理解力の低下, 視力低下, 手指巧緻性低下, 上肢の麻痺, 術後回復遅延, ストーマ合併症, 悪性腫瘍であった. 【結論】術前からセルフケア確立を予測するためには, 75歳以上, 日常生活自立度の低下, 理解力の低下, 視力低下, 手指巧緻性の低下, 上肢の麻痺をアセスメントし, 1つでも当てはまる場合は, 入院前から患者の能力に合わせたセルフケア方法を立案する. また, セルフケア能力が低下した場合は, ケア方法と目標を修正し早期に家族の協力や社会資源の活用を検討する必要がある.
Practice	臨床医学：一般
Keywords	ストーマ, ストーマケア, ストーマセルフケア確立困難, stoma, stoma care, difficulty establishing stoma self-care

English

Title	Factors that Make Stoma Self-care Difficult for Stoma Patients
Subtitle
Authors	Ayumi Yamamoto
Authors (kana)
Organization	SUBARU Health Insurance Society Ota Memorial Hospital
Journal	Journal of Japanese Society of Stoma and Continence Rehabilitation
Volume	36
Number	3
Page	94-99
Year/Month	2020 / 12
Article	Original article
Publisher	Japanese Society of Stoma and Continence Rehabilitation
Abstract	Purpose: To clarify factors that make it difficult to establish stoma self-care in patients with a stoma and to obtain suggestions on how to support patients who are expected to have difficulty in establishing stoma self-care. Method: In patients with gastrointestinal stomas, 13 candidate factors that could be associated with difficulty in establishing stoma self-care were compared between a self-care established group and a non-established group. Results: Nine factors were found to be associated with difficulty in establishing stoma self-care: age 75 years or older, decreased activities of daily living, impaired understanding, low vision, decreased finger dexterity, paralysis of the upper limbs, postoperative recovery delay, stoma complications, and malignant tumor. Conclusion: In order to predict patients' ability for stoma self-care before surgery, it is important to assess every patient using the criteria of age 75 years or older, decreased activities of daily living, impaired understanding, low vision, decreased finger dexterity, and paralysis of the upper limbs. If a patient has any of the above factors, stoma self-care methods that match the patient's ability should be designed even before admission. Moreover, when stoma self-care ability deteriorates, it is necessary to modify care methods and goals and arrange the cooperation of family members and the use of social resources from the early postoperative period.
Practice	Clinical medicine
Keywords	stoma, stoma care, difficulty establishing stoma self-care

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