著者

舟生 富寿 工藤 茂宣 大野 和美 二川原 和男 人見 浩 鈴木 唯司 三国 恒靖 寺山 百合子 青木 敬治 平山 順朗 小野寺 孝夫 菅原 茂

出版者

社団法人 日本腎臓学会

雑誌

日本腎臓学会誌 (ISSN:03852385)

巻号頁・発行日

vol.17, no.9, pp.823-836, 1975-09-30 (Released:2010-07-05)

参考文献数

34

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Metabolism of adrenocortical hormone in patients with chronic impaired renal function was investigated in this study. Urinary 17-OHCS (total, free and fractions-com. F, comp. E, THF, THE) we(re measured by use of thin layer in these 12 patients, including 6 patients who were made to artificial dialysis. Three patients of them were studied on load with ACTH-Z 20 units/day for 3 days intramuscularly and 9 patients were studied on administration of cortisol (1 mg/kg of body weight) intra-venously. Moreover, blood free 11-OHCS was determined in 3 patients with treatment of artificial dialysis. Following results were obtained. 1) The excretion volume of urinary total 17-OHCS remained low coincidently with decrease in creatinine clearance on control, on load with ACTH-Z and on administration of cortisol. 2) In above mentioned patients, the rate of urinary free 17-OHCS to total 17-OHCS exhibited various values which may be influenced with glomerular and tubular lesion, being compared with certain values of normal control. 3) The fractions of urinary 17-OHCS showed small pattern similar to normal control. 4) The excretion pattern of urinary 17-OHCS fractions shifted to cortisol pathway from cortisone pathway on load with ACTH-Z as normal control. 5) In the group with non-hyper BUN, the changes of the excretion volume of urinary 17-OHCS was seemed to be similar to normal control in every 2 hours measurement on administration of cortisol, while in the group with hyper BUN, the changes was not observed. 6) In the patients with artificial dialysis free 11-OHCS remained within normal range but showed abnormal in diurnary variation.

著者

菊地 美香 大野 和美

出版者

天使大学

雑誌

天使大学紀要 (ISSN:13464388)

巻号頁・発行日

vol.4, pp.53-67, 2004-03-31

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The purpose of this study was to investigate the contents of nursing skills which senior nursing students experienced, in adult nursing practice of an acute term. We distinguished the nursing skills according to each patients disease type and according to the type of teaching materials used for the students. We did a questionnaire investigation of 83 senior nursing students of "A" college, after the course and practice was finished. The results were as follows : 1. Preoperative nursing skills were evaluated at 6-37%; the rate that students could perform pre-op care was therefore low. 2. Postoperative nursing skills were evaluated at a high level particularly for "bed baths" and " wound treatment", whilst stoma care, tube-feeding, oral/nasal suctioning, etc were weaker. 3. The contents of nursing skills that students could experience were different according to the patients' disease type. The students entrusted to care for patients with a disease of the digestive organs, or of the circulatory system showed a greater tendency to perform skills better. 4. 62% of the students were prepared for clinical practice using "the hint for learning nursing skills" (information packet). 40% of the students also made use of "the self learning unit" (practice unit in the college nursing lab), to practice their nursing skills. Of all the various teaching materials available to nursing students it seems to us that "video learning" may be the least effective.

著者

菊地 美香 大野 和美

出版者

天使大学

雑誌

天使大学紀要 (ISSN:13464388)

巻号頁・発行日

vol.5, pp.39-50, 2005-09-30

被引用文献数

1

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This study aims to understand the effects of changes in the approaches to clinical practice, specifically the introduction of skills exercises beforehand, on students' performance of nursing skills in the area of acute adult nursing in College A. Comparisons were made between the seniors of this school year (2004-2005), who had skills exercises prior to clinical practice, and those of school year (2003-2004) who did not. A questionnaire survey was conducted on 87 seniors at College A after the completion of each group's clinical practice. The response rate was 68 percent. The survey result was compared to the result of last year for analysis. The findings are as follows: 1. The nursing skills which 60 percent or more of the students were able to perform were five "post-operative" skill items, an increase of three items from the previous school year. On the other hand, the skills which only 30 percent or less of the students were able to perform were 10 items in the "pre-operative" category, up one item from the previous school year, and 23 items in the "post-operative" category, down one from the previous school year. 2. In seven items, the number of students who were able to perform the skills increased by 10 percent or more compared with the previous school year. Of the seven items, a significant difference from the previous year was found only in electrocardiogram monitor. In four items, the rate of performance by the students decreased by 10 percent or more. It is clear from the above that for more students to be able to perform nursing skills, it is necessary to introduce other methods to give them more opportunities to perform those skills in addition to the skills exercises prior to clinical practice.