{"created":"2023-05-15T08:48:44.153385+00:00","id":148,"links":{},"metadata":{"_buckets":{"deposit":"fe539562-f2bf-4ad3-a4f2-4c30f40470e8"},"_deposit":{"created_by":4,"id":"148","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"148"},"status":"published"},"_oai":{"id":"oai:kawasakigakuen.repo.nii.ac.jp:00000148","sets":["5:24"]},"author_link":["235"],"control_number":"148","item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"23","bibliographicPageStart":"15","bibliographicVolumeNumber":"9","bibliographic_titles":[{"bibliographic_title":"大阪河﨑リハビリテーション大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of Osaka Kawasaki Rehabilitation University","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"A rehabilitation team approach with emphasis on quality of life was applied to symptoms, such as critical ingestion, swallowing difficulty, and articulation disorder, after post-operative and post-chemoradiotherapy treatment in a patient with head and neck complex multiple cancers. Through the cooperation of the rehabilitation staff regarding nursing, gastrointestinal surgery, dentistry and dietetic services, etc., there was success in the establishment of a nutritional route with improvement of swallowing function and articulation, as well as prevention of pneumonia. It was resulted in house leaving hospital. Although nutrition was attempted via intermittent oro-esophageal tube feeding (OE method), ultimately, intestinal fistula was used. Dent-maxillary prosthesis with palatal augmentation prosthesis (PAP)was created with an observed improvement of swallowing pressure and of opening of the upper esophageal sphincter, and consistencies of oral ingestion was limited to jelly and sips of water. Cooperation between the ingestion/swallowing team and other specialties and professionals was emphasized.","subitem_description_language":"en","subitem_description_type":"Abstract"},{"subitem_description":"頭頸部多重多発癌による術後の障害と化学放射線療法後の障害のため, 重篤な摂食嚥下障害・構音障害などをきたした症例に対し, 摂食嚥下チームアプローチがなされた. リハビリテーションスタッフのみでなく, 看護師や消化器外科, 歯科, 栄養士などの協力を得られたことから, 栄養摂取ルートの確立, 肺炎の予防, 嚥下機能改善, 構音明瞭度改善を認め, 自宅退院に至った. 栄養摂取はOE法を試みたが, 最終的には腸瘻となった. PAP付き顎義歯を作成し, 嚥下圧の改善, 食道入口部開大に改善を認めた. しかし経口摂取はゼリーと少量の水分にとどまった. 摂食嚥下チームと他の診療科や専門職との連携の重要性が確認された.","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_description_6":{"attribute_name":"内容種別","attribute_value_mlt":[{"subitem_description":"Original Article","subitem_description_type":"Other"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"大阪河﨑リハビリテーション大学","subitem_publisher_language":"ja"}]},"item_10002_relation_12":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"40020292412","subitem_relation_type_select":"NAID"}}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12235266","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1881-509X","subitem_source_identifier_type":"PISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"高ノ原 恭子","creatorNameLang":"ja"},{"creatorName":"Kyoko TAKANOHARA","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-06-16"}],"displaytype":"detail","filename":"Ｋ0901-015-023.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Ｋ0901-015-023","url":"https://kawasakigakuen.repo.nii.ac.jp/record/148/files/Ｋ0901-015-023.pdf"},"version_id":"24b310dd-e5e5-4f91-b96c-34ab11387095"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"head and neck cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"gingival cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"PAP","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"dent-maxillary prosthesis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"dysphagia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"頭頸部癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"上歯肉癌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"顎義歯","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"摂食嚥下障害","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"PAP","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"摂食嚥下チームアプローチが有効であった頭頸部多重多発癌の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"摂食嚥下チームアプローチが有効であった頭頸部多重多発癌の一例","subitem_title_language":"ja"},{"subitem_title":"A Case of Successful Rehabilitation Team Approach for Dysphagia in a Patient with Multiple Primary Cancers in the Craniocervical Region","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"4","path":["24"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-06-16"},"publish_date":"2020-06-16","publish_status":"0","recid":"148","relation_version_is_last":true,"title":["摂食嚥下チームアプローチが有効であった頭頸部多重多発癌の一例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-09-29T05:10:20.031554+00:00"}