博士学位論文内容の要旨

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博士学位論文内容の要旨

氏名森田

^{モリタ}

智之

^{トモユキ}

所属人間健康科学研究科人間健康科学専攻学位の種類博士（理学療法学）

学位記番号健博第

102

号学位授与の日付平

27

年

9

月

30

日

課程・論文の別学位規則第４条第２項該当

学位論文題名

Lifestylerisk factors for pressure ulcers in

community-basedpatientswith spinal cord injuriesin Japan

（地域生活を送る脊髄損傷者の日常生活に関連する褥瘡発生リスク要因の検討）

論文審査委員主査教授山田拓実委員教授網本和委員准教授池田由美

【論文の内容の要旨】

Study design: Case-control study.

Objectives: To identifydaily living-related risk factors forpressure ulcer (PU) occurrencein community-living patients with spinal cord injury(SCI). To determine whether seat pressure influencesPU occurrence, and how oftenpatients withSCI performpressurerelief activities while livingin the community.

Setting: Kanagawa Rehabilitation Hospital, Kanagawa, Japan.

Methods: Thirty-onepatientsadmitted to the Kanagawa Rehabilitation Hospital for PU treatment were included in the case (PU) group. Thirtyoutpatients who did not have PUsat the time of the study, and had lived without PUs for at least a year, were included in the control (No PU) group. Patients wereinterviewed about

lifestyle-relatedPUriskfactorsand a pressure mapping system was used

tomeasureinterface pressure (IP) on their wheelchair seat. The No PU group patients recorded their daily activitiesand pressurereliefmaneuversfor 1week.

Results: Eight lifestyle factors and one risk assessment scalesignificantlydiffered between groups. Three factors showed significant odds ratiosby logistic regression. IP did not significantlydifferbetween groups.The self-countednumber of pressurerelief maneuvers (median (25th–75thpercentile)) performed per hour in the No PU group was 2.5(0.7-4.3), and including transfer and urinationwas 3.5(2.0-5.3).

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