感度の異なる排尿検知装置の試作と高齢者介護施設における臨床評価  [in Japanese] Development of the devices having different sensitivity in urinary detection and clinical trial in the nursing home  [in Japanese]

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Abstract

感度の異なる2種類の排尿検知装置を作製して、設定感度差と実際の排尿検出感度の関係を明らかにし、実用化に向けた検討を行った。尿とりパッド内の導電性繊維束の配置を変えることによって高感度と低感度の2 種類の排尿検知装置を作製した。それらを高齢者介護施設に入所する尿失禁者各5 名に装着し、4~ 11日間日勤帯に計測を行った。排尿検知後直ちにおむつ交換を行い、検知時間と尿量を記録した。性能試験による排尿検知装置の最小検知尿量は、高感度装置では10g、低感度装置は30g であった。一方、臨床試験による評価では高感度装置が10g と同量であったが、低感度装置は73g であった。排尿量100g 以下における検知傾向をみると、高感度装置で80 回中17 回(21.3%)であったが、低感度装置では44 回中2 回(4.5%)のみの検知であった。結果から、両装置間には感度差が認められ、尿とりパッド上の排尿位置が関連していることが窺えた。二つの装置の感度差を利用して、また目的により両装置を現場で使い分ける可能性が示された。

We have developed two apparatus having different sensitivities to detect urination. They were applied to the elderly living in nursing homes to study the performance in the practical condition. To realize different sensitivities of the apparatuses, the number and the position of electro-conductive fibers inserted within the diaper were arranged. Each of them was applied to the elderly showing urinary incontinence for 4 to 11 days in the daytime. Right after the detection of urination, the time and the weight of urine were measured.In the experimental condition, detectability of the low and high sensitive apparatus were 10g and 30g respectively. In the practical conditions measured at the nursing home, they were 10g and 73g respectively. When the detection tendency in the amount of urination of 100g or less was examined, it was 17 times( 21.3%) among 80 times with high sensitivity apparatus, but with low sensitivity equipment, they were only two detections( 4.5%) among 44 times. From the results, it was found that there is substantial sensitivity difference between experimental and practical conditions. This could be accounted for the scattering of position of urination in the practical condition. It, however, appeared that, as the situation demands, these two apparatuses are still useful for using in nursing home or for research purposes.

Journal

  • 岡山県立大学保健福祉学部紀要

    岡山県立大学保健福祉学部紀要 20, 53-62, 2013

    岡山県立大学保健福祉学部

Codes

  • NII Article ID (NAID)
    120005397780
  • NII NACSIS-CAT ID (NCID)
    AN10488896
  • Text Lang
    JPN
  • Article Type
    departmental bulletin paper
  • Journal Type
    大学紀要
  • ISSN
    1341-2531
  • NDL Article ID
    025639056
  • NDL Call No.
    Z6-B588
  • Data Source
    NDL  IR 
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