The Role of Comedical Staff in Medical Care for Venous Disease and Lymphedema

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概要

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• Our institute has provided effective medical care for vascular diseases with the establishment of a department of vascular surgery in 2004, an outpatient department for lymphedema in 2005, and the introduction of authorized clinical vascular technologists in 2008. Regarding the treatment of venous disease and lymphedema, the findings and problems to be solved that were obtained through collaborative treatment with comedical staff are described. [Physiotherapists] Interface pressure and stiffness were measured by various compression devices and compression therapy is also being performed.[Clinical laboratory technologist] Vascular ultrasounds examination showed the incidence of a sole reflux of the perforating vein of the thigh in the patients of the varicose vein of the lower limbs. Below-knee tourniquet-photopletysmography showed the usefulness of screening to determine the indications for limb varicose vein surgery, high ligation combined with sclerothrapy of the saphenous vein trunks. As transthoracic echocardiography during foam sclerotherapy showed higher incidence of microbubbles in the right heart, we choose CO2 foam sclerosant instead of air foam sclerosant to reduce the side effect due to microembolism.[Nurse] Regarding one day varicose vein surgery of the lower limb, an increased understanding/reduced anxiety of the patient by conducting preoperative visual path orientation and improvements in patient QOL were exhibited (reduced body pain, overall healthy feeling, vitality, and mental health) both prior to and following surgery.In the future, it will be necessary to increase health insurance income for complex decongestive therapy as well as strong support to improve the environmental management of the hospital which is easy to carry out clinical study, thus allowing for comedical staff members to play an increasingly active role.

著者

• 戸島 雅宏

  かみいち総合病院血管外科

• 牧野 聡美

  かみいち総合病院看護科

• 森野 良久

  かみいち総合病院リハビリテーション科

• 井上 幸子

  かみいち総合病院検査科

• 藤縄 摂子

  かみいち総合病院検査科

• 麻柄 恵一

  かみいち総合病院検査科

• 荒瀬 弘美

  かみいち総合病院看護科

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