{"id":8124,"date":"2017-11-28T11:31:00","date_gmt":"2017-11-28T02:31:00","guid":{"rendered":"https:\/\/kango.mynavi.jp\/contents\/nurseplus_stg\/uncategorized\/8124\/"},"modified":"2022-05-17T17:32:10","modified_gmt":"2022-05-17T08:32:10","slug":"20171128","status":"publish","type":"post","link":"https:\/\/kango.mynavi.jp\/contents\/nurseplus\/workstyle\/20171128-8124\/","title":{"rendered":"[\u7dcf\u8ad6]\u306a\u305c\u3001\u3044\u307e\u8853\u5f8c\u56de\u5fa9\u306e\u8003\u3048\u65b9\u304c\u5927\u5207\uff1f"},"content":{"rendered":"

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\u300e\u30a8\u30ad\u30b9\u30d1\u30fc\u30c8\u30ca\u30fc\u30b9\u300f2015\u5e7412\u6708\u53f7\uff1c\u8853\u5f8c\u306e\u3064\u3089\u3055\u3092\u6539\u5584\u3059\u308b\u301010\u9805\u76ee\u3011 \u30ca\u30fc\u30b9\u304c\u3067\u304d\u308b\uff01 ERAS?<\/span>\uff08\u30a4\u30fc\u30e9\u30b9\uff09\u8853\u5f8c\u56de\u5fa9\u80fd\u529b \u5f37\u5316\u30d7\u30ed\u30c8\u30b3\u30eb\uff1e\u3088\u308a\u629c\u7c8b\u3002\u7b2c2\u56de\u306e\u3010[\u7dcf\u8ad6]\u306a\u305c\u3001\u3044\u307e\u8853\u5f8c\u56de\u5fa9\u306e\u8003\u3048\u65b9\u304c\u5927\u5207\uff1f\u3011\u3067\u306f\u3001ERAS?<\/span>\u3092\u884c\u3044\u305f\u30443\u3064\u306e\u7406\u7531\u306e\u4e2d\u304b\u3089\u300c\u3060\u304b\u3089\u3044\u307eERAS\u00ae\u2460\u300d\u306b\u3064\u3044\u3066\u3054\u7d39\u4ecb\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n<\/div>\n

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\u7de8\u96c6\uff1a\u7acb\u77f3 \u6e09<\/strong> \uff08\u6771\u4eac\u5973\u5b50\u533b\u79d1\u5927\u5b66\u6771\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u3000\u5fc3\u81d3\u8840\u7ba1\u5916\u79d1 \u52a9\u6559\u3001NST\uff09<\/p>\n<\/div>\n<\/div>\n

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\u3060\u304b\u3089\u3044\u307eERAS?<\/span> \u2460 ERAS?<\/span>\u304c\u59cb\u307e\u3063\u306610\u5e74\u3002\u52b9\u679c\u304c\u5b9f\u8a3c\u3055\u308c\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u3082\u96c6\u7d04\u3055\u308c\u3066\u304d\u3066\u3044\u308b<\/h2>\n

\u307e\u305a\u56f31\uff08\u5f15\u7528\u6587\u732e2<\/a>\uff09\u3092\u898b\u3066\u304f\u3060\u3055\u3044\u3002\u5f53\u79d1\u306b\u304a\u3044\u30662008\u5e74\u304b\u30892011\u5e74\u306b\u8179\u90e8\u5927\u52d5\u8108\u958b\u8179\u624b\u8853\u306b\u5bfe\u3057\u3066ERAS?<\/span>\uff08enhanced recovery aftersurgery\u3001\u8853\u5f8c\u56de\u5fa9\u80fd\u529b\u5f37\u5316\u30d7\u30ed\u30c8\u30b3\u30eb\uff09\u7ba1\u7406\u3092\u884c\u3063\u305f\u7d50\u679c\u3067\u3059\u3002\u3053\u306e\u308f\u308c\u308f\u308c\u306e\u7d50\u679c\u306f\u3001ERAS\u00ae\u3092\u884c\u3046\u3053\u3068\u3067\u300c\u8853\u5f8c\u65e9\u671f\u306e\u98df\u4e8b\u958b\u59cb\u300d\u300c\u5728\u9662\u65e5\u6570\u306e\u77ed\u7e2e\u300d\u300c\u533b\u7642\u8cbb\u306e\u524a\u6e1b\u300d\u304c\u9054\u6210<\/span>\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/div>\n

ERAS\u00ae\u306f\u5f93\u6765\u306e\u3088\u3046\u306a\u300c\u8853\u5f8c\u5b89\u9759\u300d\u300c\u7d76\u98df\u300d\u300c\u8f38\u6db2\u6295\u4e0e\u7d99\u7d9a\u300d\u306a\u3069\u304c\u884c\u308f\u308c\u305f\u7ba1\u7406\u3092\u3084\u3081\u3001\u5f8c\u8ff0\u3059\u308b\u3088\u3046\u306a\u3055\u307e\u3056\u307e\u306a\u7ba1\u7406\u30fb\u4ecb\u5165\u3092\u884c\u3044\u3001\u65e9\u671f\u56de\u5fa9\u3092\u56f3\u308b\u3082\u306e\u3068\u3057\u30662005\u5e74\u306b\u30e8\u30fc\u30ed\u30c3\u30d1\u81e8\u5e8a\u6804\u990a\u30fb\u4ee3\u8b1d\u5b66\u4f1a\uff08ESPEN\uff09\u304b\u3089\u767a\u8868\u3055\u308c\u305f\u96c6\u5b66\u7684\u8853\u5f8c\u56de\u5fa9\u30d7\u30ed\u30b0\u30e9\u30e0\u3067\u3001\u4eca\u5e74\u306710\u5e74\u304c\u7d4c\u904e\u3057\u307e\u3059\uff08\u5f15\u7528\u6587\u732e1<\/a>\uff09\u3002<\/div>\n
\u672c\u90a6\u3067\u306f2006\u5e74\u3054\u308d\u304b\u3089\u5c11\u3057\u305a\u3064\u767a\u8868\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u308a\uff08\u5f15\u7528\u6587\u732e3<\/a>\uff09\u3001\u73fe\u5728\u3067\u306f\u6d88\u5316\u5668\u5916\u79d1\u9818\u57df\u3067\u306f\u5b66\u4f1a\u7b49\u3067\u3082\u5927\u304d\u304f\u53d6\u308a\u4e0a\u3052\u3089\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u3001\u304b\u306a\u308a\u8a8d\u77e5\u5ea6\u304c\u4e0a\u304c\u3063\u3066\u304d\u3066\u3044\u308b\u5370\u8c61\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e10\u5e74\u3067\u3055\u307e\u3056\u307e\u306a\u5831\u544a\u304c\u3055\u308c\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u4f5c\u6210\u3084\uff08\u5f15\u7528\u6587\u732e4,5<\/a>\uff09\u3001\u6709\u52b9\u6027\u30fb\u554f\u984c\u70b9\u306a\u3069\u304c\u8ad6\u8b70\u3055\u308c\u3066\u3044\u308b\u72b6\u6cc1\u3067\u3059\u3002<\/div>\n<\/div>\n
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\u56f31<\/span>\u3000ERAS?<\/span>\u5c0e\u5165\u306b\u3088\u308b\u6539\u5584\u52b9\u679c<\/p>\n

\"img-2\"<\/p>\n

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Illustration\uff1aHyuga Ishikawa<\/p>\n<\/div>\n<\/div>\n

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\uff3b\u5f15\u7528\u6587\u732e\uff3d<\/b>
1.Fearon KC\uff0cLjungqvist O\uff0cVon Meyenfeldt M\uff0cet al\uff0e\uff1aEnhanced recovery a f t e r s u r g e r y\uff1aA consensus r e v i e w o f c l i n i c a l c a r e f o r p a t i e n t s undergoing colonic resection\uff0eClin Nutr 2005\uff1b24\uff083\uff09\uff1a466-477\uff0e
2.Tatsuishi W\uff0cKohri T\uff0cKodera K\uff0cet a l .\uff1aUsefulness o f an enhanced recovery after surgery protocol for perioperative management following open repair of an abdominal aortic aneurysm\uff0eSurg Today 2012\uff1b42\uff0812\uff09\uff1a1195-1200\uff0e
3.\u90e1\u9686\u4e4b\uff0c\u6238\u4e38\u609f\u5fd7\uff0c\u65b0\u884c\u5185\u5065\u4e00\uff0c\u4ed6\uff1a\u6d88\u5316\u7ba1\u624b\u8853\u75c7\u4f8b\u306b\u304a\u3051\u308bERAS\uff08enhanced recovery after surgery\uff09\u30d7\u30ed\u30c8\u30b3\u30eb\u306epilot study\uff0e\u9759\u8108\u7d4c\u8178\u6804\u990a 2006\uff1b21\u5897\u520a\u53f7\uff1a102\uff0e
4.G u s t a f s s o n UO\uff0cS c o t t MJ\uff0cSchwenk W\uff0ce t a l .\uff1aG u i d e l i n e s f o r perioperative care in elective colonic surgery\uff1aEnhanced Recovery After Surgery\uff08ERAS?<\/span>\uff09Society recommendations\uff0eClin Nutr 2012\uff1b31\uff086\uff09\uff1a783-800\uff0e
5.Nygren J\uff0cThacker J\uff0cCarli F\uff0cet al.\uff1aEnhanced Recovery After Surgery Society\uff1aGuidelines for perioperative care in elective rectal\/pelvic s u r g e r y : E n h a n c e d R e c o v e r y A f t e r S u r g e r y\uff08ERAS?<\/span>\uff09S o c i e t y recommendations. Clin Nutr 2012\uff1b31\uff086\uff09\uff1a801-816\uff0e<\/div>\n<\/div>\n
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\uff3bPROFILE\uff3d<\/b><\/p>\n
\u7acb\u77f3 \u6e09\uff08\u305f\u3064\u3044\u3057\u30fb\u308f\u305f\u308b\uff09<\/div>\n

\u6771\u4eac\u5973\u5b50\u533b\u79d1\u5927\u5b66\u6771\u533b\u7642\u30bb\u30f3\u30bf\u30fc \u5fc3\u81d3\u8840\u7ba1\u5916\u79d1 \u52a9\u6559\u3001NST<\/p>\n<\/div>\n<\/div>\n

2006\u5e74\u7fa4\u99ac\u5927\u5b66\u533b\u5b66\u90e8\u5352\u696d\u3002\u5229\u6839\u4e2d\u592e\u75c5\u9662\u52e4\u52d9\uff08\u7814\u4fee\u533b\uff09\u306e\u969b\u306bERAS?<\/span>\u3092\u5b66\u3073\u3001\u305d\u306e\u77e5\u8b58\u3092\u751f\u304b\u3057\u3066\u6771\u4eac\u5973\u5b50\u533b\u79d1\u5927\u5b66\u6771\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u5fc3\u81d3\u8840\u7ba1\u5916\u79d1\u3067ERAS?<\/span>\u3092\u5c0e\u5165\u3002\u7fa4\u99ac\u770c\u7acb\u5fc3\u81d3\u8840\u7ba1\u30bb\u30f3\u30bf\u30fc\u306a\u3069\u3092\u7d4c\u30662013\u5e74\u3088\u308a\u73fe\u8077\u3002\u5fc3\u81d3\u8840\u7ba1\u5916\u79d1\u533b\u3068\u3057\u3066\u306f\u6570\u5c11\u306a\u3044JSPEN\uff08\u65e5\u672c\u9759\u8108\u7d4c\u8178\u6804\u990a\u5b66\u4f1a\uff09\u8a8d\u5b9a\u533b\u3002<\/div>\n<\/div>\n
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\u672c\u8a18\u4e8b\u306f\u682a\u5f0f\u4f1a\u793e\u7167\u6797\u793e\u306e\u63d0\u4f9b\u306b\u3088\u308a\u63b2\u8f09\u3057\u3066\u3044\u307e\u3059\u3002\/\u8457\u4f5c\u6a29\u6240\u6709?2015\u7167\u6797\u793e<\/a> \uff3b\u51fa\u5178\uff3d\u30a8\u30ad\u30b9\u30d1\u30fc\u30c8\u30ca\u30fc\u30b92015\u5e7412\u6708\u53f7<\/p>\n

P.68\uff5e\u300c\u8853\u5f8c\u306e\u3064\u3089\u3055\u3092\u6539\u5584\u3059\u308b\u301010\u9805\u76ee\u3011\u3000\u30ca\u30fc\u30b9\u304c\u3067\u304d\u308b\uff01 ERAS?<\/span>\uff08\u30a4\u30fc\u30e9\u30b9\uff09\u8853\u5f8c\u56de\u5fa9\u80fd\u529b \u5f37\u5316\u30d7\u30ed\u30c8\u30b3\u30eb\u300d<\/p>\n

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