{"created":"2023-05-15T13:17:10.371469+00:00","id":2257,"links":{},"metadata":{"_buckets":{"deposit":"f976b9d9-3fbb-4335-80f4-43c1db4776b3"},"_deposit":{"created_by":43,"id":"2257","owners":[43],"pid":{"revision_id":0,"type":"depid","value":"2257"},"status":"published"},"_oai":{"id":"oai:ncu.repo.nii.ac.jp:00002257","sets":["13:11:671"]},"author_link":["1563","2032","2300","1001"],"item_10_biblio_info_10":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"39","bibliographicPageStart":"33","bibliographicVolumeNumber":"17","bibliographic_titles":[{"bibliographic_title":"名古屋市立大学看護学部紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Bulletin of Nagoya City University School of Nursing","bibliographic_titleLang":"en"}]}]},"item_10_description_7":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【目的】医療機関の外来部門における結核感染対策を困難にしている実態と課題を明らかにする。\n【方法】感染管理認定看護師あるいは感染症看護専門看護師が所属する全国の医療機関1,369施設を抽出し調査票を送付した。質問紙に『外来部門における感染対策で特にご苦労されている事例はありますか』の質問を設け、『有る』と答えた場合には、時期、感染症名(疑い病名)、その状況、対策、結果を記載(自由記載)してもらった。感染症名に結核(疑いを含む)と回答した事例を集め内容分析を行った。調査期間は平成27年11月1日～ 平成28年2月29日迄とした。\n【結果】アンケートは569施設から回収された。その内、感染対策で特に苦労している事例が有ると回答したのは246施設(43.2%)で、感染症名に結核と回答したのは67施設(27.2%)であった。感染対策上、結核・結核疑いの感染制御が困難な実態について、自由記載された内容を分析した結果、『隔離場所の確保』、『結核発見の遅れ』、『曝露対策が不十分』、『患者対応』、『管理上の問題』の5つのカテゴリーが抽出された。\n【結論】外来部門の結核感染対策を困難にしている実態と課題は、結核患者の隔離場所がないこと、発見が遅れること、曝露対策が適切に実践されていないことなどであった。結核患者の早期発見や現場におけるトリアージ、曝露対策の実施については、感染管理活動により改善できる余地があると思われた。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10_description_8":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_description":"Objective: The aim of this study was to clarify current conditions and issues that complicate tuberculosis (TB) infection control measures in outpatient departments at medical facilities.\nMethod: Questionnaires were mailed to 1,369 medical facilities across Japan that were found to employ either Certified Nurses in Infection Control or　Certified Nurse Specialists in Infection Control Nursing. The questionnaire included a question asking whether there were \"any particularly challenging cases related to infection control measures in their outpatient　department\". For those who responded \"yes\", they were asked to describe the time period, name of infection (suspected infection), status of condition, control measures and outcome　(open-ended section). Questionnaires that mentioned TB as the infection (including suspected infections) were collected and the data were analyzed. The survey was conducted between November 1, 2015 and February 29, 2016.\nResults: Of the 569 medical facilities that returned the questionnaires, 246 facilities (43.2%) reported that they had experienced particularly challenging cases with infection control measures and 67 of them (27.2%) noted TB as the infection that they found especially trouble. Based on the analysis of the responses from the open-ended section, the following five categories emerged which reflected the current challenging conditions related to infection control measures of TB patients and suspects: \"securing is olation areas\"; \"delay in identifying TB\"; \"insufficient exposure measures\"; \"dealings with patients\" and \"problems with management\".\nConclusion: The current state and issues of TB infection control at outpatient departments difficult were lack of isolation areas of TB patients, delay in identifying TB, and lack of appropriate implementation of exposure control measures. There seems to be room for improvement by introducing infection control activities that address early detection of TB patients, performance of triage on-site and implementation of exposure measures.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10_relation_15":{"attribute_name":"関連情報","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"40021597638","subitem_relation_type_select":"NAID"}}]},"item_10_source_id_12":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13464132","subitem_source_identifier_type":"PISSN"}]},"item_10_source_id_14":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11541529","subitem_source_identifier_type":"NCID"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":""}],"affiliationNames":[{"affiliationName":""}]}],"creatorNames":[{"creatorName":"Aoyama, Emi","creatorNameLang":"en"},{"creatorName":"青山, 恵美","creatorNameLang":"ja"}],"familyNames":[{},{}],"givenNames":[{},{}],"nameIdentifiers":[{},{}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":""}],"affiliationNames":[{"affiliationName":""}]}],"creatorNames":[{"creatorName":"Yoshikawa, Hiromi","creatorNameLang":"en"},{"creatorName":"吉川, 寛美","creatorNameLang":"ja"}],"familyNames":[{},{}],"givenNames":[{},{}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"高久, 道子","creatorNameLang":"ja"},{"creatorName":"Takaku, Michiko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":""}],"affiliationNames":[{"affiliationName":""}]}],"creatorNames":[{"creatorName":"矢野, 久子","creatorNameLang":"ja"}],"familyNames":[{}],"givenNames":[{}],"nameIdentifiers":[{},{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-11-21"}],"displaytype":"detail","filename":"B12-20180301-33.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"B12-20180301-33","url":"https://ncu.repo.nii.ac.jp/record/2257/files/B12-20180301-33.pdf"},"version_id":"62ab6af4-348d-4787-984a-c6efdfab715a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"結核","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"外来","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"結核感染対策","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"隔離室","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"発見の遅れ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"tuberculosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"outpatient","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"tuberculosis infection control","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"isolation room","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"delayed discovery","subitem_subject_language":"en","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":"全国の医療機関の外来部門における結核困難事例 : アンケート調査の自由回答に挙げられた67例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"全国の医療機関の外来部門における結核困難事例 : アンケート調査の自由回答に挙げられた67例","subitem_title_language":"ja"},{"subitem_title":"Challenging Tuberculosis Cases Encountered at Outpatient Departments in Medical Facilities across Japan : 67 Cases Reported as Open－ended Responses in a Questionnaire Survey","subitem_title_language":"en"},{"subitem_title":"ゼンコク ノ イリョウ キカン ノ ガイライ ブモン ニ オケル ケッカク コンナン ジレイ アンケート チョウサ ノ ジユウ カイトウ ニ アゲラレタ 67レイ","subitem_title_language":"ja-Kana"}]},"item_type_id":"10","owner":"43","path":["671"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2018-10-26"},"publish_date":"2018-10-26","publish_status":"0","recid":"2257","relation_version_is_last":true,"title":["全国の医療機関の外来部門における結核困難事例 : アンケート調査の自由回答に挙げられた67例"],"weko_creator_id":"43","weko_shared_id":-1},"updated":"2023-07-24T06:39:56.628618+00:00"}