{"created":"2023-05-15T15:14:22.988326+00:00","id":15,"links":{},"metadata":{"_buckets":{"deposit":"9ac644a5-5ca0-4a52-88c6-c2b25363c28b"},"_deposit":{"created_by":10,"id":"15","owners":[10],"pid":{"revision_id":0,"type":"depid","value":"15"},"status":"published"},"_oai":{"id":"oai:rchokkaido-cn.repo.nii.ac.jp:00000015","sets":["8:9"]},"author_link":["209","324","325","219"],"control_number":"15","item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"8","bibliographicPageStart":"1","bibliographicVolumeNumber":"6","bibliographic_titles":[{"bibliographic_title":"日本赤十字北海道看護大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of Japanese Red Cross Hokkaido College of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"pdf","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"末梢血管疾患の症状の一つに疼痛があり、患者のQOLを著しく低下させることから、その対策は原疾患の治療とともに重要な課題となっている。疼痛の原因の多くは動脈閉塞に伴う組織や器官の虚血に起因しており、慢性あるいは急性動脈閉塞症や血管炎などで発症する。虚血の理想的治療は血管内治療や手術であるが、適応とならない場合には非ステロイド系消炎鎮痛剤やモルヒネなどの薬物療法、肢切断を含めた疼痛対策が治療の主体となる。また適切なフットケアや危険因子の除去が重要であり、綿密な疼痛管理が必要とされる。ここではTASC（TransAtlantic Inter-Society Consensus）Groupが提示した慢性動脈閉塞症に対する診断・治療指針を中心に、末梢血管疾患に対する疼痛対策として行われている治療を提示し、その治療の現況と問題点を解説した。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本赤十字北海道看護大学","subitem_publisher_language":"ja"}]},"item_10002_relation_12":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"40015274891","subitem_relation_type_select":"NAID"}}]},"item_10002_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本赤十字北海道看護大学","subitem_rights_language":"ja"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11558248","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"13461745","subitem_source_identifier_type":"PISSN"}]},"item_10002_textarea_1":{"attribute_name":"抄録（英）","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"Sever pain is one of the major complications of peripheral vascular disease, and it decreases the quality of life in patients afflicted with the disease.  Therefore, pain control is a crucial element in the treatment of these patients.  Etiology of the pain is primarily related to ischemia of tissue and organs, and ideally relief of the pain is attempted by an arterial revascularization; such as a bypass operation or an endo-vascular intervention.  However, in patients for whom revascularizations cannot be performed, pharmacological management using nonsteroidal antiinflammatory drugs (NSAID) or epidural anesthesia are indicated.  For some cases, amputation of the ischemia-afflicted leg may be necessary.  Proper foot care and control of risk factors such as diabetes, hyperlipidemia, hypertension, and smoking habit, should be needed to prevent incremental worsening of ischemia. Pain control should be individualized and multifactorial, because carefully focused treatment leads to satisfactory results."}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"佐久間, まこと","creatorNameLang":"ja"},{"creatorName":"サクマ, マコト","creatorNameLang":"ja-Kana"},{"creatorName":"Sakuma, 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Eiko","creatorNameLang":"en"}],"familyNames":[{"familyName":"河原田","familyNameLang":"ja"},{"familyName":"カワハラダ","familyNameLang":"ja-Kana"},{"familyName":"Kawaharada","familyNameLang":"en"}],"givenNames":[{"givenName":"榮子","givenNameLang":"ja"},{"givenName":"エイコ","givenNameLang":"ja-Kana"},{"givenName":"Eiko","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"324","nameIdentifierScheme":"WEKO"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"長谷部, 佳子","creatorNameLang":"ja"},{"creatorName":"ハセベ, ヨシコ","creatorNameLang":"ja-Kana"},{"creatorName":"Hasebe, Yoshiko","creatorNameLang":"en"}],"familyNames":[{"familyName":"長谷部","familyNameLang":"ja"},{"familyName":"ハセベ","familyNameLang":"ja-Kana"},{"familyName":"Hasebe","familyNameLang":"en"}],"givenNames":[{"givenName":"佳子","givenNameLang":"ja"},{"givenName":"ヨシコ","givenNameLang":"ja-Kana"},{"givenName":"Yoshiko","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"325","nameIdentifierScheme":"WEKO"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"岡本, 明子","creatorNameLang":"ja"},{"creatorName":"オカモト, アキコ","creatorNameLang":"ja-Kana"},{"creatorName":"Okamoto, Akiko","creatorNameLang":"en"}],"familyNames":[{"familyName":"岡本","familyNameLang":"ja"},{"familyName":"オカモト","familyNameLang":"ja-Kana"},{"familyName":"Okamoto","familyNameLang":"en"}],"givenNames":[{"givenName":"明子","givenNameLang":"ja"},{"givenName":"アキコ","givenNameLang":"ja-Kana"},{"givenName":"Akiko","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"219","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-09-06"}],"displaytype":"detail","filename":"006_P001.pdf","filesize":[{"value":"5.0 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