{"created":"2023-05-15T16:13:40.052675+00:00","id":44199,"links":{},"metadata":{"_buckets":{"deposit":"05cdc8c3-0c6f-44c9-99a0-783c608903f4"},"_deposit":{"created_by":25,"id":"44199","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"44199"},"status":"published"},"_oai":{"id":"oai:shinshu.repo.nii.ac.jp:00044199","sets":["2668"]},"author_link":["171811","171808","171809","171806","171810","171807"],"item_20004_alternative_title_1":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"The change of perimeters of the lower extremities in Craniotomy : Relationship between the change rate and D-dimer value"}]},"item_20004_biblio_info_27":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"18","bibliographicPageStart":"15","bibliographicVolumeNumber":"46","bibliographic_titles":[{"bibliographic_title":"信州大学医学部附属病院看護研究集録"}]}]},"item_20004_creator_3":{"attribute_name":"作成者(その他言語)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"野瀬, 貴可"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土門, 洋達"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"上沼, 恵"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"翠川, 瑛子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"横内, とみ子"}],"nameIdentifiers":[{}]}]},"item_20004_date_19":{"attribute_name":"日付","attribute_value_mlt":[{"subitem_date_issued_datetime":"2019-03-05","subitem_date_issued_type":"Created"}]},"item_20004_description_14":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"脳神経外科における関頭術と術後の臥床安静は深部静脈血栓症（deep vein thrombosis: DVT) の危険因子といわれている。A病棟では術前術後に下肢周径の測定など観察を行い、DVT対策を行っている。今回、開頭術における下肢周径の平均変化率と影響を及ぼす要因、術後Dダイマー値を反映するのかについて調査を行った口その結果、開頭術後、大腿周径・下腿周径とも年齢や性別とは関連なく術後は減少していた。術前の立位などによる静脈還流のうっ滞や弾性ストッキング着用が下肢周径に影響を及ぼしていることが考えられた。また下肢周径変化率とDダイマー値は相関しないが、術後下肢周径が増加している場合、DVTに対する観察を強化するようスタッフに啓発を行っている。","subitem_description_type":"Other"}]},"item_20004_description_20":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_20004_description_22":{"attribute_name":"その他の資源識別子","attribute_value_mlt":[{"subitem_description":"信州大学医学部附属病院看護研究集録 46(1):15-18(2018)","subitem_description_type":"Other"}]},"item_20004_full_name_16":{"attribute_name":"公開者(その他言語)","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"信州大学医学部附属病院看護部"}]}]},"item_20004_identifier_23":{"attribute_name":"資源識別子URI","attribute_value_mlt":[{"subitem_identifier_type":"HDL","subitem_identifier_uri":"http://hdl.handle.net/10091/00021271"}]},"item_20004_source_id_25":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1343-3059","subitem_source_identifier_type":"ISSN"}]},"item_20004_source_id_26":{"attribute_name":"処理レコードID(総合目録DB)","attribute_value_mlt":[{"subitem_source_identifier":"AA11387338","subitem_source_identifier_type":"NCID"}]},"item_20004_version_type_51":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"metadata only access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_14cb"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"url":{"url":"https://soar-ir.repo.nii.ac.jp/?action=repository_action_common_download&item_id=20513&item_no=1&attribute_id=65&file_no=1"}}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"下肢周径","subitem_subject_scheme":"Other"},{"subitem_subject":"深部静脈血栓症","subitem_subject_scheme":"Other"},{"subitem_subject":"脳神経外科手術","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":"開頭術における下肢周径の変化 : 下肢周径変化率はDタイマー値を反映するか","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"開頭術における下肢周径の変化 : 下肢周径変化率はDタイマー値を反映するか"}]},"item_type_id":"20004","owner":"25","path":["2668"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-09-04"},"publish_date":"2020-09-04","publish_status":"0","recid":"44199","relation_version_is_last":true,"title":["開頭術における下肢周径の変化 : 下肢周径変化率はDタイマー値を反映するか"],"weko_creator_id":"25","weko_shared_id":-1},"updated":"2023-05-15T18:17:23.023332+00:00"}