{"created":"2023-06-19T08:42:11.775972+00:00","id":9832,"links":{},"metadata":{"_buckets":{"deposit":"7a4b5fc8-4a48-43e7-9dbd-f8ab7503b094"},"_deposit":{"created_by":2,"id":"9832","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"9832"},"status":"published"},"_oai":{"id":"oai:gunma-u.repo.nii.ac.jp:00009832","sets":["719:760:761:863"]},"author_link":["40287","40295","40293","40290","40292","40296","40288","40294","40291","40297","40286","40289"],"item_6_alternative_title_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Efficacy of Our Gastrointestinal Function Management Protocol in Critically Ill Patients Administered Enteral Nutrition"}]},"item_6_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-02-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"12","bibliographicPageStart":"7","bibliographicVolumeNumber":"70","bibliographic_titles":[{"bibliographic_title":"The Kitakanto medical journal = 北関東医学"}]}]},"item_6_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Uehara, Shoko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kimura, Ayano"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kogure, Keisuke"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yamazaki, Atsuko"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kobayashi, Mizue"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kanamoto, Masafumi"}],"nameIdentifiers":[{}]}]},"item_6_description_39":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_6_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"背景・目的：A病院集中治療部では「腸管機能維持プロトコール」を作成し2018年4月より導入した．プロトコール導入前後で排便状況や消化器合併症の発生率を比較し，プロトコール導入が排便コントロールに有効であったかを検討することを目的とした．方法：プロトコール導入前後で，A病院集中治療室に入室し経腸栄養剤を投与していた患者100名を対象とした．排便状況や消化器系薬剤の使用，消化器合併症の発生状況など，後方視的にデータを収集した．結果：便秘の発生は減少傾向を示し，便秘発生日数は有意に減少した（p<0.05）．下痢の発生は低下傾向を示したが，下痢発生日数に有意差は認められなかった（p＝0.519）．初回排便までの日数に有意差は認められなかった（p＝0.130）．嘔吐発生や消化器合併症による栄養剤投与の減量は低下傾向を示し，最大カロリー到達までの日数は短縮したが有意差は認められなかった（p＝0.206）．結論：腸管機能維持プロトコール導入による有害事象は認めず，便秘発生日数は有意に短縮した．また，重症患者の腸管機能維持に対するスタッフの意識が高まったと考えられる．今回の結果を踏まえ，今後はスタッフの意見を取り入れ，チーム全体でプロトコール内容の質的改善を目指していく．","subitem_description_type":"Abstract"}]},"item_6_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"北関東医学会"}]},"item_6_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1343-2826","subitem_source_identifier_type":"ISSN"}]},"item_6_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10585677","subitem_source_identifier_type":"NCID"}]},"item_6_version_type_15":{"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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"上原, 頌子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木村, 彩乃"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小暮, 圭佑"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山崎, 敦子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小林, 瑞枝"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金本, 匡史"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-03-23"}],"displaytype":"detail","filename":"70_7.pdf","filesize":[{"value":"651.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"70_7.pdf","url":"https://gunma-u.repo.nii.ac.jp/record/9832/files/70_7.pdf"},"version_id":"1f43bc96-1d4f-4a8a-bf05-dc16145eaeb2"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"腸管機能維持プロトコール","subitem_subject_scheme":"Other"},{"subitem_subject":"便秘","subitem_subject_scheme":"Other"},{"subitem_subject":"下痢","subitem_subject_scheme":"Other"},{"subitem_subject":"経腸栄養","subitem_subject_scheme":"Other"},{"subitem_subject":"gastrointestinal function management protocol","subitem_subject_scheme":"Other"},{"subitem_subject":"constipation","subitem_subject_scheme":"Other"},{"subitem_subject":"diarrhea","subitem_subject_scheme":"Other"},{"subitem_subject":"enteric 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