{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282680487236992.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11240/jsem.17.431"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"025633484"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/025633484"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I025633484"}},{"identifier":{"@type":"NAID","@value":"130005003228"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2014311116"}}],"dc:title":[{"@language":"ja","@value":"精神疾患をもつ患者による鋭的損傷症例の課題"},{"@language":"en","@value":"A problem of stab wound self-injury cases with mental  disorder"},{"@language":"ja-Kana","@value":"セイシン シッカン オ モツ カンジャ ニ ヨル エイテキ ソンショウ ショウレイ ノ カダイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"ja","@value":"<b>背景</b>：自傷行為による外傷患者への対応面では，さまざまな問題がある。<b>目的</b>：当院の過去8年間における精神疾患をもつ患者の鋭的損傷症例を調査・検討し，課題を見つけ，改善策を考えた。<b>結果</b>：症例数は93例であった。精神疾患をもつ患者は，入院日数が長く，精神科病院への転院が必要となる割合が高かった。課題として，入院中の精神科的治療・看護が不十分である可能性があった。しかし，身体的問題が解決しないと精神科病院への転院は困難であった。そこでわれわれは，身体的問題が完全に解決していなくても，患者の状態によっては，精神科病院に早期に転院し，必要に応じて当センター医師が往診に行き，外傷治療を継続している。<b>結論</b>：精神科疾患をもつ外傷患者で全身状態が安定している場合は，早期に精神科病院へ転院し，必要に応じて救命センター医師が往診に行くという体制を構築した。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282680487236992","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283712576"}],"foaf:name":[{"@language":"ja","@value":"須崎 紳一郎"},{"@language":"en","@value":"SUZAKI Shinitirou"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital"},{"@language":"ja","@value":"武蔵野赤十字病院救命救急センター"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680487236998","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283712579"}],"foaf:name":[{"@language":"ja","@value":"原 俊輔"},{"@language":"en","@value":"HARA Syunsuke"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital"},{"@language":"ja","@value":"武蔵野赤十字病院救命救急センター"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680487236996","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283712581"}],"foaf:name":[{"@language":"ja","@value":"酒井 拓磨"},{"@language":"en","@value":"SAKAI Takuma"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital"},{"@language":"ja","@value":"武蔵野赤十字病院救命救急センター"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680487236997","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283712575"}],"foaf:name":[{"@language":"ja","@value":"蕪木 友則"},{"@language":"en","@value":"KABURAKI Tomonori"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital"},{"@language":"ja","@value":"武蔵野赤十字病院救命救急センター"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680487236999","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283712577"}],"foaf:name":[{"@language":"ja","@value":"勝見 敦"},{"@language":"en","@value":"KATSUMI Atsushi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital"},{"@language":"ja","@value":"武蔵野赤十字病院救命救急センター"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680487236994","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283712582"}],"foaf:name":[{"@language":"ja","@value":"片岡 惇"},{"@language":"en","@value":"KATAOKA Jun"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital"},{"@language":"ja","@value":"武蔵野赤十字病院救命救急センター"}]},{"@id":"https://cir.nii.ac.jp/crid/1420001326214321152","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"80751924"},{"@type":"NRID","@value":"1000080751924"},{"@type":"NRID","@value":"9000258210863"},{"@type":"NRID","@value":"9000310339071"},{"@type":"NRID","@value":"9000363360637"},{"@type":"NRID","@value":"9000399535530"},{"@type":"NRID","@value":"9000399258455"},{"@type":"NRID","@value":"9000356671828"},{"@type":"NRID","@value":"9000004483010"},{"@type":"NRID","@value":"9000258096305"},{"@type":"NRID","@value":"9000398041725"},{"@type":"NRID","@value":"9000258096636"},{"@type":"NRID","@value":"9000316206350"},{"@type":"NRID","@value":"9000324667914"},{"@type":"NRID","@value":"9000283712580"},{"@type":"NRID","@value":"9000398041777"},{"@type":"NRID","@value":"9000331438598"},{"@type":"NRID","@value":"9000415348111"},{"@type":"NRID","@value":"9000324667977"},{"@type":"NRID","@value":"9000382236591"},{"@type":"NRID","@value":"9000258210775"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/yasudahideto"}],"foaf:name":[{"@language":"ja","@value":"安田 英人"},{"@language":"en","@value":"YASUDA Hideto"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital"},{"@language":"ja","@value":"武蔵野赤十字病院救命救急センター"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680487236995","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283712578"}],"foaf:name":[{"@language":"ja","@value":"原田 尚重"},{"@language":"en","@value":"HARADA Naosige"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Emergency and Critical Care Medicine, Japanese Red Cross Musashino Hospital"},{"@language":"ja","@value":"武蔵野赤十字病院救命救急センター"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13450581"},{"@type":"LISSN","@value":"13450581"},{"@type":"EISSN","@value":"21879001"},{"@type":"NDL_BIB_ID","@value":"000000106209"},{"@type":"ISSN","@value":"13450581"},{"@type":"NCID","@value":"AA1124939X"}],"prism:publicationName":[{"@language":"en","@value":"Journal of Japanese Society for Emergency Medicine"},{"@language":"ja","@value":"日本臨床救急医学会雑誌"},{"@language":"en","@value":"JJSEM"},{"@language":"ja","@value":"日臨救急医会誌"}],"dc:publisher":[{"@language":"en","@value":"Japanese Society for Emergency Medicine"},{"@language":"ja","@value":"一般社団法人 日本臨床救急医学会"}],"prism:publicationDate":"2014","prism:volume":"17","prism:number":"3","prism:startingPage":"431","prism:endingPage":"434"},"url":[{"@id":"http://id.ndl.go.jp/bib/025633484"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I025633484"},{"@id":"https://search.jamas.or.jp/link/ui/2014311116"}],"availableAt":"2014","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E9%8B%AD%E7%9A%84%E6%90%8D%E5%82%B7","dc:title":"鋭的損傷"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%87%AA%E5%82%B7%E8%A1%8C%E7%82%BA","dc:title":"自傷行為"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%B2%BE%E7%A5%9E%E7%96%BE%E6%82%A3","dc:title":"精神疾患"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2000009588"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I025633484"},{"@type":"CIA","@value":"130005003228"}]}