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術前・術後の看護計画に及ぼす術前背景因子-80歳以上肺癌手術症例から-


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Title: 術前・術後の看護計画に及ぼす術前背景因子-80歳以上肺癌手術症例から-
Other Titles: Preoperative clinical background and medical technology of lung cancer patients aged over 80 years
Authors: 田川, 泰 / 中野, 裕之 / 浦田, 秀子 / 岡田, 純也 / Saunders, Todd / 高橋, 孝朗 / 赤峰, 晋次 / 岡, 忠之 / 綾部, 公懿
Authors (alternative): Tagawa, Yutaka / Nakano, Hiroyuki / Urata, Hideko / Okada, Junya / Saunders, Todd / Takahasi, Takarou / Akamine, Sinji / Oka, Tadayuki / Ayabe, Hiroyoshi
Issue Date: Dec-2001
Citation: 長崎大学医学部保健学科紀要 = Bulletin of Nagasaki University School of Health Sciences. 2001, 14(2), p.71-74
Abstract: 近年,社会の高齢化に伴い後期高齢者肺癌の手術症例は確実に増加傾向してきている.特に,超高齢者といわれる80歳以上の肺癌症例に対する手術の施行も少なくない.そこで,80歳以上肺癌手術症例の背景因子を検討し,術前・術後の看護計画について考察した.対象者の組織型は末梢型の肺腺癌が最も多かった.しかし,早期発見のための住民検診による発見率は少なく,進行癌が36.8%を占めていた.このことから地域医療従事者の慢性疾患だけに捕らわれない診断技術の向上が望まれる.超高齢者肺癌手術症例で問題となる術前併存疾患は78.9%と高頻度であった.循環器障害が最も多く,呼吸器障害,腎障害の順であった.これらの超高齢者肺癌患者の術前背景因子の特異性を理解し,クリティカルパスの理念に基づいた術前からの緻密な看護計画と術後管理の重要性を再認識した. / Recently, surgical operations for lung cancer on patients over 80 years old is increasing. Because local medical examinations sometimes miss detection of cancers, 36.8% of cancer diagnosis in the elderly is for advanced cancer. Many of these cancers were adenocarcinomas of histological type that could have been easily detected by X-ray. The frequency of preoperative complications was 78.9%. Preoperative cardiovascular complications accounting for thr lagest percent followed by respiratory and renal complications. Docters and nurses should pay particular attention to postoperative complication and to lung cancer diagnoses as well as other chronic diseases affecting the elderly for early cancer detection.
Keywords: 高齢者肺癌 / 背景因子 / 術前併存疾患 / 術前・術後看護
URI: http://hdl.handle.net/10069/17953
ISSN: 09160841
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 14, No. 2

Citable URI : http://hdl.handle.net/10069/17953

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