- VernacularTitle:在宅診療を受けているがん末期患者における褥瘡の予測危険因子
- Author:
Hisayoshi Nishizaki
;
Natsue Ishikawa
;
Hideyuki Hirayama
;
Mitsunori Miyashita
;
Nobuhisa Nakajima
- Keywords: bedsores; predictive factor; delirium; terminal cancer patient; home care
- From:Palliative Care Research 2017;12(3):271-276
- CountryJapan
- Language:Japanese
-
Abstract:
Aim: To clarify the predictive risk factors for bedsores of terminal cancer patients receiving home-based care. Methods: A retrospective study was conducted involving 95 terminal cancer patients receiving home-based care, including people using services provided by home-visit care providers until death. Results: The numbers of patients with and without bedsores were 31 and 64, respectively. Bivariate analyses revealed that significant variables were the Ohura-Hotta scale (P=0.02), hyperactive delirium (P=0.005), contracture (P=0.008), and anemia (P=0.02). According to multivariable logistic analysis, significant variables were contracture (OR=16.55, P=0.0002) and hyperactive delirium (OR=4.22, P=0.008) as independent risk factors for bedsores. Discussion: For terminal cancer patients receiving home-based care, hyperactive delirium should also be considered as a predictive risk factor for bedsores.