http://hdl.handle.net/11665/3057 2023 Mon, 06 Apr 2026 22:12:30 GMT 2026-04-06T22:12:30Z http://hdl.handle.net/11665/3067 タイトル: 褥婦に対する下肢アロママッサージ導入の取り組み 著者: 磯, 市代 抄録: 産褥期は分娩後に妊娠前の状態に回復する時期であり，ホルモンの変化および育児開始などに伴う心理社会的変化があり，心 身共に不安定な時期である．特に産褥早期は出産による疲労，痛み，育児の開始に伴う緊張により自律神経の変調をきたしや すく心身の回復を促すケアが重要となる．当院で入院した褥婦は70％に下肢浮腫の訴えがあったが，セルフケアでは状態改善 に至らないまま退院となっていた．そこで，助産師による精油を用いた下肢マッサージ（下肢アロママッサージ）を導入した ところ，25％の褥婦に浮腫改善がみられ，80％の褥婦から産後の不調への改善に役立ったという感想を得た．またケア導入に より助産師のやりがいに繋がった．; Postpartum is a time for recovery to the pre-natal condition after childbirth during which the puerpera undergoes various hor monal changes and is an unstable period both mentally and physically due to psychosocial changes occurring with the start of childcare. In the early postpartum stage, autonomic imbalance occurs due to the fatigue and pain accompanying childbirth and tension in starting childcare. Special care is required to help restore the body and mind for recovery from the exhaustion. At our hospital, 70% of the puerpera had complaints of lower limb edema, and they were discharged before completely recovering by selfcare. After starting lower limb massage (lower limb aroma massage), the edema was improved in 25% of the puerpera, and 80% of the puerpera showed signs of improvement of postpartum disorders. The introduction of this postpartum care was reward ing for the midwife. Sat, 31 Dec 2022 15:00:00 GMT http://hdl.handle.net/11665/3067 2022-12-31T15:00:00Z http://hdl.handle.net/11665/3066 タイトル: 給食委託会社の宅配食を活用した COVID-19 感染患児の付添い食の導入 著者: 植木, 明 抄録: 当院では多くの COVID-19 患児を受け入れているが，患児が入院した際，付添い者の食事を看護師等の職員が購入して届け る必要があり，付添い者への食事提供が課題となっていた．患者以外へ提供する食事については，入院時食事療養の施設基準 で「患者食と患者以外の食事を明確に区分けすること」が求められている．今回，施設基準に合致する付添い食の導入を目指 し，院内多部署で検討し，給食委託会社の宅配食を活用した付添い食を導入したので報告する．; Many children infected with COVID-19 have been accepted to our hospital. The nurses and hospital staff have had to go out and purchase meals for the caregivers accompanying the children at hospitalization. This additional task has burdened the staff. According to hospital regulations, the hospital meals for hospital stay are designed to support the patient’s recovery and are dis tinct from the meals for non-patients. Multidisciplinary consultations were held with hospital members to consider a meal deliv ery system which would meet these hospital regulations. Herein, the transition to the delivery of meals to the accompanying care givers introducing a private food delivery service is reported. Sat, 31 Dec 2022 15:00:00 GMT http://hdl.handle.net/11665/3066 2022-12-31T15:00:00Z http://hdl.handle.net/11665/3065 タイトル: 総合的・専門的な相談支援体制の強化のための予約システムの導入について 著者: 高橋, 由起; 楠, 寿子; 沖田, 正樹; 坂東, 千鶴佳; 佐々木, 英人 抄録: 地域包括ケアシステム構想を背景に，医療機関が地域に対し担う役割が拡充する中，当院では 3 部門で形成される「患者支 援センター」が，地域との窓口としての相談・連携機能を果たしている．医療ソーシャルワーカー（ medical social worker： MSW ）は，患者の多重複合的な社会課題に対し，医療・介護等の地域ネットワークを通じ，専門職として相談支援を行ってい る．地域住民のニーズと外来相談の重要性を，平成 28 年度から令和 3 年度の日報・月報データをもとに調査した結果，年間最 大約 1,700 件の相談，延べ約 3,800 件に対応していることが分かった．また，療養相談，経済相談，各種制度相談など専門的な 相談内容が大半を占めていた．結果を踏まえ，相談支援には早期発見，専門的な介入，地域との連携が不可欠と考え，外来患 者を対象に令和 4 年度「外来相談予約制」を導入するに至った．今後は，院内での外来相談予約制の浸透と地域連携強化の取 り組みに努めていく．; The medical facilities play a major role in regional care backed up by the Comprehensive Regional Care System in the back ground. At our hospital the Patient Support Center comprised of three sections serves as the contact counter and coordinator for consultation. The medical social workers (MSW) provide comprehensive professional consultation and support through the re gional network for medical care and nursing care to meet the patient’s multiple and compound social issues. A review of the daily reports and monthly data on the needs of the regional citizens and the importance of outpatient consulta tion from 2016 to 2021 revealed a total of approximately 1700 consultation cases each year and a total of 3800 consultation cases. Most of the cases required professional consultation such as consultation on recuperation, financial issues and various other sys tems. The results of the study suggested that early detection, professional intervention and regional cooperation are most import ant. Therefore, we introduced the Appointment System for Outpatient Consultation in 2022. We will work to establish the ap pointment system for outpatient consultation at our hospital and strengthen regional cooperation. Sat, 31 Dec 2022 15:00:00 GMT http://hdl.handle.net/11665/3065 2022-12-31T15:00:00Z http://hdl.handle.net/11665/3064 タイトル: 心臓カテーテルへの骨伝導式無線インカム導入効果とその検証 著者: 足立, 翔吾; 石原, 太輔; 古川, 修; 乗松, 康平; 山口, 侑承; 木原, 一郎 抄録: 当院の心臓カテーテル検査治療は，検査室側と操作室側にそれぞれ別れて業務を行っている．執刀医とのコミュニケーショ ンはスピーカーと固定マイクを介して行われていたが，固定マイクでは十分に声が拾えず，コミュニケーションが円滑に進ま ないことがあった．そこで耳を塞がず周囲の音が聞こえる骨伝導式無線インカムを導入し，それに伴って無線式医療機器や電 子カルテへの電波障害や混線の検証 , 導入前後の臨床工学技士による血管内イメージングの解析および執刀医とのディスカッ ション時間の比較を行った．結果として生体情報モニタの電波強度に問題はなく，電子カルテへの混線の影響は認められなかっ た．また，骨伝導式無線インカム導入後の血管内イメージングの解析およびディスカッション時間は有意に短縮し，コミュニ ケーションの円滑化と治療の効率化が図れた．; Cardiac catheterization and cardiac catheter tests are separate procedures. The surgeon communicates using a fixed micro phone and speaker. However, the fixed microphone often cannot pick up the voices sufficiently and the communication is inter fered. Therefore, we examined the effects of introducing the bone-conduction wireless intercom without blocking the surrounding sounds.. We examined the electromagnetic interference caused by the bone conduction wireless intercom on other wireless medi cal equipment and electronic medical chart.. We compared the intravascular imaging performed by the clinical engineer and dis cussion time with the surgeon before and after the introduction. As a result, the device had no effect on the radio field strength of the vital sign monitor and there was no cross-wire interference with the electronic medical chart. The time for analysis of the in travascular imaging and discussion with the surgeon was shortened significantly by the introduction of the bone-conduction wire less intercom, the communication was improved and the procedure could be performed more efficiently. Sat, 31 Dec 2022 15:00:00 GMT http://hdl.handle.net/11665/3064 2022-12-31T15:00:00Z