{"created":"2023-06-20T13:23:42.615651+00:00","id":29,"links":{},"metadata":{"_buckets":{"deposit":"ca29dd0d-d5c3-4a8d-8754-8d10fe0ff294"},"_deposit":{"created_by":5,"id":"29","owners":[5],"pid":{"revision_id":0,"type":"depid","value":"29"},"status":"published"},"_oai":{"id":"oai:fnc.repo.nii.ac.jp:00000029","sets":["1:8"]},"author_link":["219","216","221","220","217","197","218","222"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-02","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"97","bibliographicPageStart":"91","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":"医療者が糖尿病患者へ、「口腔ケアに関する教育介入」を行った文献を検討し、看護職の役割について考察することを目的とする。国内文献は、医学中央雑誌にて、「糖尿病、歯周病」、「糖尿病、口腔ケア」、「糖尿病、歯周病、教育」で検索した。海外文献はPubmedを用いて、「Diabetes mellitus、Oral health care」、「Diabetes mellitus、Periodontal disease、Education for patients」で検索した。その結果、21件の文献を対象とした。介入が多い順で歯科医師8件、看護師4件、歯科医師・内科医師4件であった。教育介入方法は、知識・技術・意欲面の3つに分類した。意欲面は看護師の教育介入であった。HbA1cの変化を観察した文献15件中、10件が空腹時血糖、HbA1cの減少があった。認識、行動変化を観察した文献は6件(国内のみ)で、患者の認識や行動変化があった。歯周病と糖尿病を支援するには、医科・歯科連携の強化が重要である。口腔ケアは日常生活習慣であり、行動変容を起こすには意欲面の支援が必要である。短い入院期間の中で、病棟と外来の看護師、主治医、歯科医師、歯科衛生士と連携し、口腔ケアを入院時から教育介入し、糖尿病および歯科の状況を共有できる体制づくりが必要である。看護職の役割は、患者と医科と歯科との橋渡し役として、中心的な役割を積極的に担う必要があると考える。","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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