褥瘡の予防と治療 - Pressure ulcer

1 : .. NPUAP/EPUAP/PPPIA. Copyright National Pressure ulcer Advisory Panel, European Pressure ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance Copyright Japanese Society of Pressure ulcer & Japanese Society of Wound Ostomy Continence Management Japanese translation edition ISBN-10: 0-9579343-6-X. ISBN-13: 978-0-9579343-6-8. 2009 . 2014 . National Pressure ulcer Advisory Panel NPUAP European Pressure ulcer Advisory Panel EPUAP . Pan Pacific Pressure Injury Alliance PPPIA Cambridge Media .. National Pressure ulcer Advisory Panel, European Pressure ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. prevention and treatment of Pressure Ulcers: quick reference Guide. Emily Haesler (Ed.). Cambridge Media: Perth, Australia; 2014.. American National Pressure ulcer Advisory Panel NPUAP European Pressure ulcer Advisory Panel EPUAP Pan Pacific Pressure Injury Alliance PPPIA.

2 PDF . NPUAP EPUAP Australian Wound Management Association AWMA Hong Kong Enterostomal Therapists Association New Zealand Wound Care Society NZWCS Wound Healing Society Singapore International Pressure ulcer Guideline . : EPUAP (European Pressure ulcer Advisory Panel) . NPUAP (American National Pressure ulcer Advisory Panel) . PPPIA (Pan Pacific Pressure Injury Alliance) .. , .. RN, MSN, GNP-BC, CWON Torrance Memorial Medical Center Wound & Ostomy Care Unit .. Clinical Practice Guideline .. National Pressure ulcer Advisory Panel NPUAP . European Pressure ulcer Advisory Panel EPUAP 4 . NPUAP EPUAP Pan Pacific Pressure Injury Alliance . PPPIA .. 986 . NPUAP EPUAP PPPIA . GRADE .. NPUAP EPUAP . Australian Wound Management Association AWMA .. Hong Kong Enterostomal Therapists Association.

3 New Zealand Wound Care Society NZWCS . Wound Healing Society Singapore International Pressure ulcer Guideline . NPUAP EPUAP PPPIA .. National Pressure ulcer Advisory Panel, European Pressure ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. prevention and treatment of Pressure Ulcers: quick reference Guide. Emily Haesler (Ed.). Cambridge Media: Perth, Western Australia; 2014. 1.. 2.. NPUAP EPUAP PPPIA .. GDG SWG .. GDG .. GDG : Methodology .. SWG . SWG Sackett 1997 1 .. SWG . 2009 .. SWG . GDG GDG .. 3.. Clinical Practice Guideline . Sackett 1989 2 .. 1 .. AMSTAR . 11 9 .. 2 .. 3 .. 4 .. 5 .. GRADE .. A .. 1 . B .. 2 3 4 5 . C .. 4.. 1. 1. 2. 2. 3. 3. 4. 7. 9. 10.. 11. NPUAP-EPUAP 12.. 14. 16. 17. 18.. 20. 22. 26. 27. 30.. 33. 34. 36. 39. 39. 41. 43. 47.

4 47. 47. 5.. 49.. 53. 54. 56. 57. 59. 61. 63.. 66. 67. 68. 70. 71. 6.. GDG . NPUAP , , .. Diane Langemo, PhD, RN, FAAN NPUAP . Siu Ming Susan Law, BS N, MS N, RN, RM, ET. , . , , .. Janet Cuddigan, PhD, RN, CWCN, FAAN Ai Choo Tay, BN, , CWS. , , . , Laurie McNichol, MSN, RN, GNP, CWOCN, CWONAP.. , MD, PhD. , , , . Cone Health, WOC . Joyce Stechmiller, PhD, ACNP-BC, FAAN . , Emily Haesler, BN, PGDipAdvNursing , , . EPUAP . Lisette Schoonhoven, PhD EPUAP , , . , , .. : Methodology . , . , . Michael Clark, PhD. SWG . , , , .. , , .. , , . Cee Oomens , David Brienza, Jan Kottner, PhD Laura Edsberg, Amit Gefen, Pang Chak Hau . , , Charit Catherine Ratliff , , Yufitriana Amir, Margaret Birdsong, Chang Yee , Yee, Emily Haesler, Zena Moore, Lin Perry Cees Oomens, PhD, Ir.

5 Jane Nixon . PPPIA , Katrin Balzer, Virginia Capasso, Janet Keryln Carville, PhD, RN PPPIA Cuddigan, Ann Marie Dunk, Claudia Gorecki, , , Nancy Stotts, Aamir Siddiqui . Emily Haesler , Carina B th, Margaret Edmondson, Emil Schmidt, Ai Pamela Mitchell, MN, RN, RGDipWHTR Choo Tay Emily Haesler . Kerrie Coleman , 7.. Teresa Conner-Kerr, Susan Law, Anna Polak, Maria ten Hove, Jakub Taradaj . Pamela Scarborough, Jakub Taradaj Aamir Siddiqui , Emily Haesler, Kok Yee Onn . Jos Schols . , Mary Ellen Posthauer, Merrilyn Mary Ellen Posthauer , Banks, Judith Meijers, Nancy Munoz, Susan Jeannie Donnelly, Tracy Nowicki . Nelan Zena Moore Jill Cox , Ang Shin Yuh . , Barbara Braden, Jill Trelease, Tracey , Maarit Ahtiala, Paulo Alves, Alison Yap Stockley Tracey Yap , Jill Zena Moore , Barbara Braden, Jill Campbell, Emily Haesler, Susan Kennerly.

6 Trelease, Tracey Yap Clarissa David Huber , Steven Young , David Brienza, Joyce Black, Black, Ray Samuriwo, Susie Scott-Williams, Sandra Dean, Liesbet Demarre, Lena Geert Vanwalleghem . Gunningberg, Cathy Young Trudie Young , Wayne Naylor, Aletha Jill Cox , Liesbet Demarre, Tracy Tippett Emily Haesler, Mona Nowicki, Ray Samuriwo Baharestani, Carmel Boylan, Holly Kirkland-Walsh, Wong Ka Wai . Emily Haesler , Amy Darvall, Emily Haesler , Carina Bernadette McNally, Gillian Pedley B th, Margaret Edmondson, Emil Schmidt, Ai Choo Tay . Kerrie Coleman , Elizabeth Ong , , Dimitri Choo Eng, Michelle Lee, Amir Siddiqui, Mary Beeckman , Nancy Estocado, Morris Sieggreen Carrie Magnan, Joan Webster, Doris Wilborn, Daniel Sussman , Jane Nixon, Jan Wright Young Dimitri Beeckman Nicoletta Frescos , , Nancy Estocado, Morris Magnan, Mona Baharestani, Catherine Ratliff, Sue Joan Webster, Doris Wilborn, Daniel Young.

7 Templeton, Martin van Leen, David Voegeli Nancy Stotts , Winnie Sue Templeton , Siu, Wah Cheng, Michael Clark, Liesbet Mona Baharestani, Nicoletta Frescos, Catherine Demarre, Rebekah Grigsby, Emil Schmidt . Ratliff, Martin van Leen, David Voegeli Ruud Halfens , Judith Barker Anne Gardner, Heidi Huddleston Cross, Edel , Virginia Capasso, Erik de Laat, Wan Murray, Lorna Semple, Mary Sieggreen Yin Ping Erik de Laat , Michelle Deppisch, Margaret . Goldberg,Yanting Quek, Jan Rice Keryln Carville, Michael Clark, Janet Cuddigan, Laura Edsberg , Emily Haesler, Jan Kottner, Diane Langemo, Kumal Rajpaul, Colin Song Susan Law, Laurie McNichol, Pamela Mitchell, Laura Edsberg , Kumal Cees Oomens, Lisette Schoonhoven, Joyce Rajpaul, Colin Song Stechmiller, Ai Choo Tay Kerrie Coleman , Teresa Conner-Kerr, Anna Polak, Pamela Scarborough, 8.

8 NPUAP . EPUAP 2009 , . Charit . , 2009 , .. Claudia Richter, MA. Vera Kanti, MD. Janet Cuddigan, PhD, RN, CWCN, FAAN, Eva Katharina Barbosa Pfannes, PhD. [2009 Jan Kottner, PhD. -2012 ] , , .. Lisette Schoonhoven, PhD .. Kandis McCafferty, P D, RNC-OB , .. , , . Paul Haesler, BSc Hons IT .. , . IT .. McGoogan .. , . IT . , . , .. Emily Haesler . 9.. American National Pressure ulcer Advisory Panel NPUAP . European Pressure ulcer Advisory Panel EPUAP . Pan Pacific Pressure Injury Alliance PPPIA .. 20,000 . EHOB, Inc. Smith & Nephew PLC. 10,000 19,999 . ArjoHuntleigh Inc. M lnlycke Health Care 9,999 . Sage Products LLC. 10.. Clinical Practice Guideline .. 1.. C, .. 2 . 2.. C, . 3.. C, . 4.. C, . 5.. C, . 6.. C, . 7. C, .. 11.. NPUAP-EPUAP .. I .. I .. II .. III .. III.

9 III .. / III . / . 12.. IV .. / IV .. / IV .. / IV . / IV .. 13.. Clinical Practice Guideline .. 1. 8 . C, . 2. C, .. 3. C, .. 4.. C, . 5. C, . 6.. C, .. 1.. C, .. 1 . B, .. B, . B, . 14.. C, .. I I . B, .. B, . B, . 2.. C, . 3.. C, .. 1.. C, .. 2.. C, . 15.. 1.. C, . 2.. B, .. 1.. 8 .. C, .. C, .. 3,4 . C, .. 2. C, .. C, .. C, .. 3 .. 3.. 16.. B, .. B, .. C, .. 4. 1 2 . C, .. 1 2 . C, .. 5.. 1.. C, .. 2. C, . H C, . 3. C, .. 4. C, . C, . 5. C, 17.. 6.. C, . DMSO . B, . DMSO .. 1.. C, .. 6.. C, .. 6. 2.. C, .. 1.. B, . 2.. 18.. C, .. 3.. C, . 4. 1 1 .. C, .. 5.. C, .. 1.. B, .. SCI ES .. 1.. C, . 19.. 1.. C, .. 2.. C, .. 3.. C, .. 1. 30 5% 180 10% . C, . 2. C, .. 3.. C, .. 1.. C, .. 2.. 20.. C, .. 1. B, .. 2.. 1 kg 30 35 kcal C, . 3. 1. kg 30 35 kcal B, . 4.. C, . 5.

10 C, .. 6.. B, . ONS .. 7.. C, ).. 1.. C, . 2.. 1 kg g g . C, .. 3.. B, . 4.. 1 kg g g . B, .. 5.. A, . 21.. 6.. C, .. 7. , .. B, .. 1.. C, .. 2.. C, .. 3.. C, .. 7.. 1.. C, . 2.. C, . 3.. B, . 4.. B, .. 1.. A, .. 22.. 2.. C, .. 1.. A, . 2.. C, . 3.. C, .. C, . 4.. C, .. 1. C, .. 2.. C, .. 3. C, .. C, .. 23.. C, .. C, . 4.. C, .. 5. C, .. 1. 30 . C, . 30 40 . C, . 90 .. C, . 2. 30 . C, .. 8 .. C, .. 1.. C, . 2.. C, .. 3.. C, .. 1. C, . 2.. C, .. C, . 24.. 3.. C, .. C, .. 4. B, .. 1. C, .. C, .. 2.. C, .. 3.. C, .. 1.. C, .. 2.. C, .. C, .. 3. / 1. 3 60 .. C, . 25.. 4.. C, . 5.. C, .. 1.. C, .. 2.. C, .. 3. B, .. 1.. C, . C, . 2.. 1.. C, .. 1. C, .. 1 C, . 26.. B, .. 2. 5 10 C, . DVT .. 3. C, .. B, .. DVT .. 4. C, . 5. C, .. 1.. / I II B, .. 2. / III IV .. C, . / III IV.