{"created":"2023-06-19T08:29:26.402783+00:00","id":116,"links":{},"metadata":{"_buckets":{"deposit":"ed006d51-85f1-47dd-a661-fc64873c309c"},"_deposit":{"created_by":13,"id":"116","owners":[13],"pid":{"revision_id":0,"type":"depid","value":"116"},"status":"published"},"_oai":{"id":"oai:kyukan.repo.nii.ac.jp:00000116","sets":[]},"author_link":["405"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"21","bibliographicPageStart":"11","bibliographicVolumeNumber":"8","bibliographic_titles":[{"bibliographic_title":"九州看護福祉大学紀要"},{"bibliographic_title":"The Journal of Kyushu University of Nursing and Social Welfare","bibliographic_titleLang":"en"}]}]},"item_10002_description_12":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_description":"110006243653","subitem_description_type":"Other"}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　高齢化社会を迎え、高齢者医療には様々な問題が発生している。本総説では、特に便失禁の問題を取り上げ、直腸・肛門の構造と神経支配、排便の仕組み、便失禁と静止肛門圧との関係、便失禁患者における外肛門括約筋強化訓練、動物を用いた直腸・肛門機能検査（肛門内圧測定法、摘出内肛門括約筋および直腸平滑筋条片の弛緩・収縮に対する薬物の作用検討）の概略について解説を行った。肛門静止圧が低い便失禁患者で「バイオフィードバック」訓練を行い、外肛門括約筋の筋力を増強すると便失禁症状の改善が認められる。実験動物を用いた直腸・肛門機能検査法は今後、便失禁治療薬の開発にモデル実験系を提供できるものであり、有用性が高い。","subitem_description_type":"Abstract"},{"subitem_description":" This review deals with anatomical features of the anorectum, mechanisms of defecation, relationship between fecal incontinence and the resting tension of the anorectum in patients, bio-feed-back training of the external anal sphincter of patients with fecal incontinence, and experimental testing methods for evaluating the ano-rectal function with manometory measurements of the anal canal pressure, and measurements of tension development of the anal and rectal strips excised from experimental animals. Bio-feedback training of the external anal sphincter in patients with fecal incontinent improved significantly the symptom. The experimental methods presented provide a new approach for evaluating novel drugs for future clinical settings in treatment of fecal incontinence.","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"0.2 総説","subitem_heading_headline":"特別企画“高齢社会への先駆的試み”","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"九州看護福祉大学"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13447505","subitem_source_identifier_type":"ISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"metadata only access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_14cb"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"西, 勝英"}],"nameIdentifiers":[{"nameIdentifier":"405","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"1000000040220","nameIdentifierScheme":"NRID","nameIdentifierURI":" "}]}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"便失禁","subitem_subject_scheme":"Other"},{"subitem_subject":"バイオフィードバック訓練","subitem_subject_scheme":"Other"},{"subitem_subject":"肛門-直腸機能不全","subitem_subject_scheme":"Other"},{"subitem_subject":"外・内肛門括約筋","subitem_subject_scheme":"Other"},{"subitem_subject":"摘出内肛門括約筋張力","subitem_subject_scheme":"Other"},{"subitem_subject":"Fecal_incontinence","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Bio-feed_back_training","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Ano-rectal_dysfunction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"External_and_Internal_anal_sphincter","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Tension_development_of_the_inner_anal_sphincter_strip","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"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":"排便機能障害改善へ向けてのアプローチ : 知られていない高齢者の悩み","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"排便機能障害改善へ向けてのアプローチ : 知られていない高齢者の悩み"},{"subitem_title":"Approach to improvement of dysfunction of defecation: disturbed but uncovered problems of senile peoples","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"13","path":["21"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-08-20"},"publish_date":"2013-08-20","publish_status":"0","recid":"116","relation_version_is_last":true,"title":["排便機能障害改善へ向けてのアプローチ : 知られていない高齢者の悩み"],"weko_creator_id":"13","weko_shared_id":-1},"updated":"2024-03-27T09:03:36.924155+00:00"}