{"created":"2023-11-07T04:27:47.218995+00:00","id":2001767,"links":{},"metadata":{"_buckets":{"deposit":"efa0e184-6cae-4c09-bc44-9d025c384311"},"_deposit":{"created_by":16,"id":"2001767","owners":[16],"pid":{"revision_id":0,"type":"depid","value":"2001767"},"status":"published"},"_oai":{"id":"oai:soar-ir.repo.nii.ac.jp:02001767","sets":["882:884:885:1699330766314"]},"author_link":[],"item_10_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"9","bibliographicPageStart":"5","bibliographicVolumeNumber":"50","bibliographic_titles":[{"bibliographic_title":"信州大学医学部附属病院看護研究集録"}]}]},"item_10_description_20":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"当院高度救命救急センター（以下、センター）では、2018年からセンター入院患者を対象にPADISガイドラインに基づいた疼痛管理を開始している。一方、初療室（EmergencyRoom ．以下ER)では蘇生と循環動態の安定化が第一優先となることが多く、疼痛管理の方法は統一されておらず、落痛管理が不十分であると予測された。本研究では、2020年6月よりERiこて疼痛管理を導入し、疼痛管理における現状を評価し、課題を抽出することを目的とした。ERで診療した患者の疼痛に関するデータ（疼痛の有無・程度・評価時間、鎮痛薬投与の有無、投与時間、種類など）をER看護記録より抽出・収集し、研究者間で検討した。その結果、ER患者来院時に速やかに疼痛評価を93%の患者に実施しているが、再評価は30%であった。私たち医療者は、患者から訴えを待つのではなく、積極的に疼痛の状況を把握、介入し続けていく必要がある。また、鎮痛薬はアセトアミノフェンを第一選択薬としていたが、十分な鎮痛が図れていない現状が明らかになった。疼痛評価と合わせ、早期から作用機序の異なる薬理学的介入（多角的鎮痛法）が必要であると示唆された。","subitem_description_type":"Abstract"}]},"item_10_description_30":{"attribute_name":"資源タイプ（コンテンツの種類）","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_10_description_5":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"信州大学医学部附属病院看護研究集録 50(1) : 5-9, (2023)","subitem_description_type":"Other"}]},"item_10_link_3":{"attribute_name":"信州大学研究者総覧へのリンク","attribute_value_mlt":[{"subitem_link_text":"今村, 浩","subitem_link_url":"https://soar-rd.shinshu-u.ac.jp/profile/ja.yeAhHhkh.html"}]},"item_10_publisher_4":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"信州大学医学部附属病院看護部"}]},"item_10_source_id_35":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1343-3059","subitem_source_identifier_type":"PISSN"}]},"item_10_source_id_40":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11387338","subitem_source_identifier_type":"NCID"}]},"item_1627890569677":{"attribute_name":"出版タイプ","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":"中谷, 崇人","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"高久, 菜々","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"関, 昌代","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"山崎, 友香子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"大矢, 梨多","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"小岩井, 千夏","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"高取, 瑞気","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"竹重, 加奈子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"丸山, 貴大","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"今村, 浩","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available"}],"filename":"NursingResearch50-2.pdf","format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"NursingResearch50-2.pdf","url":"https://soar-ir.repo.nii.ac.jp/record/2001767/files/NursingResearch50-2.pdf"},"version_id":"80945e9f-dce8-487e-a567-114dee73abab"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"疼痛評価","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"疼痛管理","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"初療室","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"初療室における疼痛管理の現状分析と今後の課題","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"初療室における疼痛管理の現状分析と今後の課題","subitem_title_language":"ja"},{"subitem_title":"Analysis of the current state and future challenges of pain management in the emergency room","subitem_title_language":"en"}]},"item_type_id":"10","owner":"16","path":["1699330766314"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-11-07"},"publish_date":"2023-11-07","publish_status":"0","recid":"2001767","relation_version_is_last":true,"title":["初療室における疼痛管理の現状分析と今後の課題"],"weko_creator_id":"16","weko_shared_id":-1},"updated":"2023-11-07T05:21:34.494610+00:00"}