わが国のフットケアの現状と課題 : 社団法人日本糖尿病学会認定教育施設の実態調査より Present Conditions and Issues of Foot Care in Japan : A Survey of Foot Care at the Educational Institutes Certified by the Japan Diabetes Society

この論文にアクセスする

この論文をさがす

著者

抄録

わが国のフットケアの現状と課題を明らかにするために,社団法人日本糖尿病学会認定教育施設を対象に,フットケア活動の実態を郵送法により質問紙調査した(399部配布・278部回収:回収率69.7%).84%の施設が「フットケアを実施している」と答え,主にフットケアを行っている職種は,「看護師」「内科医」「皮膚科医」の順に多かった.また,《検査》《処置》《ケア》のいくつかの項目に職種とフットケア内容の深い関係がみられた.フットケアの工夫点として,『システムの工夫』『問診内容の工夫』『自己管理につなげる工夫』『自己管理への働きかけの工夫』『信頼関係作りへの工夫』『手技の工夫』等がみられ,フットケアの困難点として「人手不足」「時間不足」「施設整備の不足」「医療スタッフの知識不足」という意見が多くみられた.フットケアに対する今後の抱負として〈技術の向上・獲得〉〈スタッフの育成〉〈システムづくり〉等がみられた.これらの結果から,わが国のフットケアの現状と課題が明らかになり,看護師によるフットケアの確立に向けて多くの示唆を得た.

The purpose of this research was to examine the present conditions and issues concerning foot care in Japan. A questionnaire survey was conducted among the medical staff involved in diabetes education and foot care at educational institutions certified by the Japan Diabetes Society. Questionnaires were sent by mail to a total of 399 institutions, and 278 completed questionnaires were received (69.7%). In 84% of the institutions that indicated that foot care was being provided, the foot care was performed by "nurses," "physicians", and "dermatologists," in descending order. Strong correlations between type of medical profession and type of foot care were seen in regard to some questionnaire items, including "inspection", "treatment", and "care". As a plan point of foot care, 'the plan of the system,' 'the plan of medical history taking,' 'a plan to connect to self-care,' 'efforts toward self-care,' 'a plan to increase efforts to gain patient's trust,' and 'the plan of skills and techniques' and so on were found. Such repliess as "lack of assistance," "lack of time," "lack of facilities," and "lack of knowledge by medical staff" were stated as difficulties of foot care. "Improvement or acquisition of skills," "staff education," "system-making," and so on were mentioned as future plans for foot care. The results revealed the present conditions and issues foot care in Japan, and many suggestions regarding foot care by nurses were received.

収録刊行物

  • 糖尿病 = Journal of the Japan Diabetes Society  

    糖尿病 = Journal of the Japan Diabetes Society 51(4), 347-356, 2008-04-30 

    THE JAPAN DIABETES SOCIETY

参考文献:  8件

参考文献を見るにはログインが必要です。ユーザIDをお持ちでない方は新規登録してください。

被引用文献:  1件

被引用文献を見るにはログインが必要です。ユーザIDをお持ちでない方は新規登録してください。

各種コード

  • NII論文ID(NAID)
    10021275144
  • NII書誌ID(NCID)
    AN00166576
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    0021437X
  • NDL 記事登録ID
    9512968
  • NDL 雑誌分類
    ZS21(科学技術--医学--内科学)
  • NDL 請求記号
    Z19-401
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
ページトップへ