{"created":"2023-07-25T10:40:35.392552+00:00","id":189,"links":{},"metadata":{"_buckets":{"deposit":"a9719441-c077-4954-b9cc-f5d5728f5c24"},"_deposit":{"created_by":2,"id":"189","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"189"},"status":"published"},"_oai":{"id":"oai:hcu.repo.nii.ac.jp:00000189","sets":["79:91:81"]},"author_link":["840","838","836","841","231","831","839","834","832","833","842","837"],"control_number":"189","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"14","bibliographicPageStart":"9","bibliographicVolumeNumber":"28","bibliographic_titles":[{"bibliographic_title":"理学療法の臨床と研究"}]}]},"item_10001_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"高齢者の肺炎の約 80％が誤嚥性肺炎であり、誤嚥性肺炎リスクを早期に発見し対応すること が急務である。嚥下機能と咳嗽能力の関連があることが報告されており、咳嗽能力を評価する ことは重要である。その評価指標の一つとして、咳嗽時の最大呼気流量（CPF）が用いられてい る。CPF 値が 270 L/min 以下となった場合、呼吸器感染症を発症すると、急性呼吸不全に陥る 可能性があるとされ、160 L/min 以下では、気管内挿管も考慮される値と報告されている。そ の他 242 L/min 未満が誤嚥性肺炎のカットオフ値として報告されている。臨床的には、そのカッ トオフ値を参考に低下した CPF を種々の咳嗽介助法を用いてカットオフ値以上に引き上げるこ とが重要となる。さらに筆者らは、咳嗽音を用いてより簡便な咳嗽力の評価方法を提案している。 誤嚥性肺炎を予防する第 1 歩としてより幅広く咳嗽力評価が用いられることを期待する。","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"広島県理学療法士会"}]},"item_10001_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"info:doi/10.14870/jptpr.28.9","subitem_relation_type_select":"DOI"}}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"（C）広島県理学療法士会"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1880070X","subitem_source_identifier_type":"ISSN"}]},"item_10001_subject_21":{"attribute_name":"日本十進分類法","attribute_value_mlt":[{"subitem_subject":"493.3","subitem_subject_scheme":"NDC"}]},"item_10001_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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open 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