{"created":"2023-06-20T13:23:42.377283+00:00","id":24,"links":{},"metadata":{"_buckets":{"deposit":"65657dfb-dd1a-4522-8515-16ad22f25eec"},"_deposit":{"created_by":5,"id":"24","owners":[5],"pid":{"revision_id":0,"type":"depid","value":"24"},"status":"published"},"_oai":{"id":"oai:fnc.repo.nii.ac.jp:00000024","sets":["1:8"]},"author_link":["161","157","4","158","160","153","154","155","156","159"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-02","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"58","bibliographicPageStart":"52","bibliographicVolumeNumber":"3","bibliographic_titles":[{"bibliographic_title":"看護と口腔医療"},{"bibliographic_title":"Journal of Nursing and Oral Health Care","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"抗がん剤曝露に関する研究の多くは、医療者の曝露(職業性曝露)に関する報告であり、小児がん領域における患児家族への抗がん剤曝露へ関心を向けられることは少ない。抗がん剤は、投与された患者の尿だけでなく、汗、唾液などからも排泄され、ケアに携わる看護師や家族への、体液や排泄物を介した曝露が懸念されている。揮発性抗がん剤であるシクロホスファミド(CPM)を大量投与された小児がん患児の家族の尿を調査した研究において、著者は患児と濃厚に接触する機会の多い未就学児の家族ほど多くのCPMが検出されると報告した。しかし、患児の日常生活援助を行う家族の、抗がん剤曝露量を減ずることを検証した報告はされていない。そこで本研究は、日常生活ケアの「排泄介助」に着目し、抗がん剤治療中における患児の尿量測定を廃止することによって、患児の排泄介助を行う家族への抗がん剤曝露量を減ずることができるかどうか検証することを目的とした。結果、大量CPM投与を受けた患児の家族6名中5名(83%)より、尿中CPM濃度が検出されたが、日常生活行動が自立している13歳患児の家族からは検出されなかった。抗がん剤曝露は、吸入、経口、皮膚接触など、さまざまな経路で起こることから、家族へ曝露する要因になり得る機会が、排泄介助以外にあったことが考えられる。このことより、抗がん剤曝露対策は医療者だけではなく、家族に対してもトータルケアが必要である。","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"福岡看護大学看護学部 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