術後患者の安全で効果的な離床を遂行するためには, 離床に至るまでの筋力維持向上への努力とともに臥床期間の短縮が重要な課題である. そこで今回は離床までの期間短縮を意図して, 消化器疾患で開腹および開胸・開腹術を受け、 医師の許可により術後1日目に離床した40歳から72歳までの16名の患者を対象に, 初回離床時の循環動態(収縮期血圧, 脈拍, 心電図所見)と自覚・他覚症状(6項目)について検討し, 以下の結果を得た.
循環に及ぼす影響: 59歳以下では収縮期血圧の, 60歳以上では脈拍の変動率が大きく, 心電図上ではST・Tの変化が多くあらわれたが, 殆どは一過性で4例には離床による改善がみられた.
自覚・他覚症状: 痛みおよびそれに伴う発汗, 顔色の変化の出現率が高かったが, 術前の下肢筋力は術後1日目では維持されていることがみとめられた.

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Adult nursing covers a wide range of field, and its teaching contents tend to become quite extensive. Nevertheless, there have been hardly any study made to propose the essential teaching contents of adult nursing.
The purpose of this study has been to define the structure of adult nursing, and then to select the essential teaching contents of adult nursing from the viewpoint of nursing in its uniqueness.
As we showed in the previous study we proposed a model structure of the teaching contents of adult nursing with the items of the divisions and subdivisions for the purpose of the operation of the study.
In this study the more detailed teaching contents under each subdivision have been defined, referring at the same time to the topics and diseases suggested to be taught. The study has been developed mainly based on the following considerations.
1. The study of adult nursing should be developed based on the study of fundamentals of nursing.
2. No references were made to any particular theories so that this will be left to the disposition of teachers.
3. All the diseases suggested in the contents are intended to be taught under the items that characterize adult nursing.
The divisions of the model structure of the teaching contents of adult nursing consists of: Developmental stages of adults and their characteristics; Fundamentals of adult nursing; Nursing operative patients; Nursing patients with chronic diseases; Rehabilitation and nursing; Nursing cancer patients; Nursing geriatric patients; Mental health and nursing; Nursing patients with sensory disturbances; Special areas in nursing; community health nursing; Occupational health nursing.

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