{"created":"2023-05-15T16:15:33.916074+00:00","id":46165,"links":{},"metadata":{"_buckets":{"deposit":"be7b11cf-f8df-4354-99e7-bd9173a1d058"},"_deposit":{"created_by":25,"id":"46165","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"46165"},"status":"published"},"_oai":{"id":"oai:shinshu.repo.nii.ac.jp:00046165","sets":[]},"author_link":["178075","178070","178068","178066","178074","178071","178072","178067","178076","178069","178073"],"item_20003_alternative_title_1":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"The Formation Process of Membranous Substances on the Palates of Elderly Persons Requiring Nursing Care with Tube Feeding"}]},"item_20003_biblio_info_27":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"492","bibliographicPageStart":"485","bibliographicVolumeNumber":"40","bibliographic_titles":[{"bibliographic_title":"障害者歯科"}]}]},"item_20003_creator_3":{"attribute_name":"作成者(その他言語)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"松村, 康平"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小笠原, 正"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宮原, 康太"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"庄司, 舞"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"朝比奈, 滉直"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"秋枝, 俊江"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"島田, 茂"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"嶋田, 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Scale、意思疎通の有無、発語の可否、介助歯磨きと粘膜ケアの頻度を担当看護師から聴取した。歯科医師あるいは歯科衛生士による専門的ロ腔ケア(歯面清掃と粘膜ケア)を実施してから3時間後、6時間後、12時間後、24時間後、48時間後にロ蓋の付着物を観察すると共に一部を採取し、「なし」、「粘液物」、「粘稠物」、「膜状物」の4種類に分類した。なお調査期間中は、病院職員によるロ腔ケアを中止した。通法に従い付着物のヘマトキシリンエオジン染色(HE染色)標本を作製し、上皮成分が認められたものを剥離上皮膜と診断した。さらに介助歯磨きと口蓋着物の除去を含めた粘膜ケアを行い、ケア時間を測定した。【結果と考察】付着物の種類毎における上皮成分面積率の中央値は、膜状物が84. 2 %、粘稠物が 45 %、粘液物が0 %で、すべての組み合わせで有意差が認められ、膜状物が最も上皮成分の面積率が高く、粘液物が最も低かった。粘膜ケアを行ってから3時間後は、52. 9 %に粘液物を認め、6時間後は35. 3 %が粘稠物、11.8 %に膜状物を認めた。12時間後に膜状物は23.5 %、24時間後に47. 1 %、48時間後に52.9 % の者に認めた。膜状物は粘液物の形成時間より有意に長いことが認められた。膜状物を除去することを含めたロ腔ケアの時間は粘液物よりも有意に長くかかることが認められた。ロ腔乾燥傾向のある経管栄養の要介護高齢者の粘膜ケアは、6~ 12時間の間で1回行うことが妥当であると判断できた。","subitem_description_type":"Other"},{"subitem_description":"2020","subitem_description_type":"Other"}]},"item_20003_description_21":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_20003_description_22":{"attribute_name":"その他の資源識別子","attribute_value_mlt":[{"subitem_description":"乙第35号","subitem_description_type":"Other"}]},"item_20003_dissertation_number_55":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"乙第35号"}]},"item_20003_identifier_23":{"attribute_name":"資源識別子URI","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"http://id.nii.ac.jp/1070/00002945/"}]},"item_20003_relation_28":{"attribute_name":"情報源","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"雑誌掲載論文"}]},{"subitem_relation_name":[{"subitem_relation_name_text":"http://www.kokuhoken.or.jp/jsdh-hp/html/journal/index.html"}]},{"subitem_relation_name":[{"subitem_relation_name_text":"https://www.jstage.jst.go.jp/article/jjsdh/40/4/40_485/_article/-char/ja/"}]}]},"item_20003_relation_60":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://search.jamas.or.jp/link/ui/2020055855","subitem_relation_type_select":"ICHUSHI"}}]},"item_20003_rights_50":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2020 日本障害者歯歯科学会"},{"subitem_rights":"学会より掲載承諾書受領"}]},"item_20003_source_id_25":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0913-1663","subitem_source_identifier_type":"ISSN"}]},"item_20003_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://mdu.repo.nii.ac.jp/?action=repository_action_common_download&item_id=2962&item_no=1&attribute_id=20&file_no=1"}},{"url":{"url":"https://mdu.repo.nii.ac.jp/?action=repository_action_common_download&item_id=2962&item_no=1&attribute_id=20&file_no=2"}}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Elderly persons","subitem_subject_scheme":"Other"},{"subitem_subject":"Menbranous substances","subitem_subject_scheme":"Other"},{"subitem_subject":"Tube feeding","subitem_subject_scheme":"Other"},{"subitem_subject":"Oral care","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":"doctoral 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