{"created":"2023-06-20T15:50:05.988431+00:00","id":2672,"links":{},"metadata":{"_buckets":{"deposit":"01dd2cd4-7801-4949-8e9e-16086a2a99f3"},"_deposit":{"created_by":18,"id":"2672","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"2672"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00002672","sets":["99:64:65"]},"author_link":["5654","5643","5653","5651","5645","80","5642","5650","5646","5649","5647","5644","5648","5652"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"20","bibliographicPageStart":"16","bibliographicVolumeNumber":"16","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"透析患者は毎年増加し，人口の高齢化とともに維持透析患者の高齢化も進んでいる．腹膜透析（以下CAPD）は，循環動態の変化が少ないことや，在宅で出来ることで高齢者に向いているとされているが，全国CAPD 導入率は3％台と低く，特に60歳以上高齢者での選択率は低い．そこで，当院でCAPD を導入した75歳以上の高齢者の予後，現在継続中患者の現状から高齢者CAPD の適応について検討した．1999年以前導入した高齢者（以下前期）は12例，2000年1月から2009年に導入した高齢者は（以下後期）20例で，平均導入年齢は，前期77.8歳，後期78.2歳と差はなかった．2年生存率は前期42％から後期80％と改善し，CAPD 継続のために長期入院を要したのは，前期75％から後期20％へ減少している．前期・後期をあわせて約半数に認知力の低下がみられた．現在通院中の75歳以上高齢者は，日常生活や通院，自己管理において何らかの援助や介助を受けていた．一時的入院の理由は半数が腹膜炎で，CAPD 患者の平均発生数と比べ高かった．CAPD の継続を困難にしている背景には，合併症や加齢に伴う身体機能低下があった．CAPDを長期継続するためには，繰り返して指導を行うことと，身体機能，認知能力を的確に把握し，変化に対して柔軟に対応できるサポート体制を整えることが重要である．","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_10002_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878 ","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"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":"遠藤, 智江"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉田, 潤子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"濱, 初子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊東, 久美子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小川, 茂美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"細束, 知代"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"長只, 久恵"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"福本, 恵美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"清岡, 仁美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石動, 佳代子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"市川, 裕美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"兵庫, 洋子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"阪田, 章聖"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-09-21"}],"displaytype":"simple","filename":"trchmj1601_16-20.pdf","filesize":[{"value":"361.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf001632","url":"https://redcross.repo.nii.ac.jp/record/2672/files/trchmj1601_16-20.pdf"},"version_id":"64b6c98c-57a2-4834-bbea-401b350c0914"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"CAPD","subitem_subject_scheme":"Other"},{"subitem_subject":"高齢者","subitem_subject_scheme":"Other"},{"subitem_subject":"在宅支援","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":"75歳以上高齢者に対するCAPDの現状と今後の課題","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"75歳以上高齢者に対するCAPDの現状と今後の課題"}]},"item_type_id":"10002","owner":"18","path":["65"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-09-21"},"publish_date":"2012-09-21","publish_status":"0","recid":"2672","relation_version_is_last":true,"title":["75歳以上高齢者に対するCAPDの現状と今後の課題"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T21:49:15.465744+00:00"}