ISHINUKI Tomohiro

写真a

Affiliation

School of Health Science, Department of Nursing, Division of Fundamental and Adult Nursing

Job title

Assistant Professor

Education 【 display / non-display

  • 2022
    -
    Now

    Sapporo Medical University   Graduate School of Health Sciences   博士課程後期 看護学専攻  

  • 2020
    -
    2022

    Sapporo Medical University   Graduate School of Health Sciences   博士課程前期 看護学専攻  

  • 2009
    -
    2013

    Asahikawa Medical University   School of Medicine   看護学科  

Research Experience 【 display / non-display

  • 2023.04
    -
    Now

    Sapporo Medical University   School of Health Sciences Department of Nursing   助教

  • 2020.06
    -
    2023.03

    江別市立病院 夜間診療室  

  • 2020.04
    -
    2023.03

    札幌医科大学 研究員  

  • 2016.09
    -
    2020.03

    旭川医科大学病院 救命救急センター外来  

  • 2013.04
    -
    2016.09

    旭川医科大学病院 救命救急センター病棟  

Professional Memberships 【 display / non-display

  • 2024.06
    -
    Now

    日本看護技術学会

  • 2023.05
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    Now

    日本看護研究学会

  • 2022.04
    -
    Now

    日本外科感染症学会

  • 2022.04
    -
    Now

    日本がん看護学会

  • 2021.04
    -
    Now

    日本看護科学学会

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Research Areas 【 display / non-display

  • Life sciences   Nutrition and health science  

  • Life sciences   Clinical nursing  

  • Informatics   Biological, health, and medical informatics  

  • Life sciences   Basic nursing   Fundamental Nursing

Affiliation 【 display / non-display

  • Sapporo Medical University   School of Health Sciences Department of Nursing   associate professor  

 

Research Interests 【 display / non-display

  • QOL

  • 救急看護

  • IoT機器

  • ヘルスプロモーション

  • AI

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Papers 【 display / non-display

  • Association between skin suture devices and incidence of incisional surgical site infection after gastrointestinal surgery: A systematic review and network meta-analysis.

    Keita Kouzu, Daijiro Kabata, Hiroji Shinkawa, Seiichi Shinji, Tomohiro Ishinuki, Koji Tamura, Motoi Uchino, Hiroki Ohge, Junzo Shimizu, Seiji Haji, Yasuhiko Mohri, Chizuru Yamashita, Yuichi Kitagawa, Katsunori Suzuki, Motomu Kobayashi, Masahiro Kobayashi, Yuki Hanai, Hiroshi Nobuhara, Hiroki Imaoka, Masahiro Yoshida, Toru Mizuguchi, Toshihiko Mayumi, Yuko Kitagawa

    The Journal of hospital infection    2024.06  [International journal]

     View Summary

    AIM: We aimed to compare which suture devices could reduce the incidence of incisional surgical site infections (SSIs) after gastrointestinal surgery using a systematic review and network meta-analysis. METHODS: The CENTRAL, PubMed, and ICHUSHI-Web databases were searched from January 1st, 2000, to December 31st, 2022, for randomised clinical trials (RCTs) comparing the incidence of incisional SSI after gastrointestinal surgery among patients treated with different surgical suture devices, including non-absorbable sutures, absorbable sutures, skin staplers, and tissue adhesives (last searched in August 23th 2023). The risk of bias was assessed using the criteria of the Cochrane Handbook for Systematic Reviews of Interventions. To estimate the pooled odds ratios (ORs) for each comparison, we employed a fixed-effect inverse-variance model based on the Mantel-Haenszel approach. This study was registered in PROSPERO and supported in part by the Japan Surgical Infection Society. RESULTS: A total of 18 RCTs with 5,496 patients were included in this study. The overall SSIs in absorbable sutures were significantly lower than the ones in skin staplers (OR: 0.77; 95% confidence intervals (CI): 0.63-0.95) and non-absorbable sutures (OR: 0.62; 95% CI: 0.39-0.99). On the other hand, SSIs in absorbable sutures were not statistically different from the SSIs in tissue adhesive. The highest P-score was 0.91 for absorbable sutures. A funnel plot for estimating the heterogeneity of the studies revealed that a publication bias would be minimal (Egger test, P = 0.271). CONCLUSION: This study showed that absorbable sutures reduced incisional SSIs in gastrointestinal surgical operations compared to any other suture devices.

    DOI PubMed

  • Recent evidence for subcutaneous drains to prevent surgical site infections after abdominal surgery: A systematic review and meta-analysis

    Tomohiro Ishinuki, Hiroji Shinkawa, Keita Kouzu, Seiichi Shinji, Erika Goda, Toshio Ohyanagi, Masahiro Kobayashi, Motomu Kobayashi, Katsunori Suzuki, Yuichi Kitagawa, Chizuru Yamashita, Yasuhiko Mohri, Junzo Shimizu, Motoi Uchino, Seiji Haji, Masahiro Yoshida, Hiroki Ohge, Toshihiko Mayumi, Toru Mizuguchi

    World Journal of Gastrointestinal Surgery ( Baishideng Publishing Group Inc. )  15 ( 12 ) 2879 - 2889  2023.12  [Refereed]  [Invited]  [International journal]

    Authorship:   Lead author

     View Summary

    BACKGROUND Surgical site infections (SSIs) increase mortality, hospital stays, additional medical treatment, and medical costs. Subcutaneous drains prevent SSIs in gynecological and breast surgeries; however, their clinical impact in abdominal surgery remains unclear. AIM To investigate whether subcutaneous drains were beneficial in abdominal surgery using a systematic review and meta-analysis. METHODS The database search used PubMed, MEDLINE, and the Cochrane Library. The following inclusion criteria were set for the systematic review: (1) Randomized controlled trial studies comparing SSIs after abdominal surgery with or without subcutaneous drains; and (2) Studies that described clinical outcomes, such as SSIs, seroma formation, the length of hospital stays, and mortality. RESULTS Eight studies were included in this meta-analysis. The rate of total SSIs was significantly lower in the drained group (54/771, 7.0%) than in the control group (89/759, 11.7%), particularly in gastrointestinal surgery. Furthermore, the rate of superficial SSIs was slightly lower in the drained group (31/517, 6.0%) than in the control group (49/521, 9.4%). No significant differences were observed in seroma formation between the groups. Hospital stays were shorter in the drained group than in the control group. CONCLUSION Subcutaneous drains after abdominal surgery prevented SSIs and reduced hospital stays but did not significantly affect seroma formation. The timing of drain removal needs to be reconsidered in future studies.

    DOI

  • The effectiveness of fascial closure with antimicrobial-coated sutures in preventing incisional surgical site infections in gastrointestinal surgery: A systematic review and meta-analysis.

    Keita Kouzu, Hironori Tsujimoto, Tomohiro Ishinuki, Seiichi Shinji, Hiroji Shinkawa, Koji Tamura, Motoi Uchino, Hiroki Ohge, Junzo Shimizu, Seiji Haji, Yasuhiko Mohri, Chizuru Yamashita, Yuichi Kitagawa, Katsunori Suzuki, Motomu Kobayashi, Masahiro Kobayashi, Yuki Hanai, Hiroshi Nobuhara, Hiroki Imaoka, Masahiro Yoshida, Toru Mizuguchi, Toshihiko Mayumi, Yuko Kitagawa

    The Journal of hospital infection   S0195-6701 ( 23 ) 00293-1  2023.09  [Refereed]  [International journal]

     View Summary

    INTRODUCTION: The aim of this study was to conduct a systematic review and meta-analysis of the efficacy of fascial closure using antimicrobial-sutures specifically for the prevention of surgical site infections (SSI) in gastrointestinal surgery, as part of the revision of the SSI prevention guidelines of the Japanese Society of Surgical Infectious Diseases (JSSI). METHODS: We searched the CENTRAL, PubMed, and ICHUSHI-Web in May 2023, and included randomized controlled trials (RCTs) comparing antimicrobial-coated and non-coated sutures for fascial closure in gastrointestinal surgery (PROSPERO No. CRD42023430377). Three authors independently screened the RCTs. We assessed the risk of bias and the GRADE criteria for the extracted data. The primary outcome was incisional SSI and the secondary outcomes were abdominal wall dehiscence and the length of postoperative hospital stay. This study was supported partially by the JSSI. RESULTS: A total of 10 RCTs and 5,396 patients were included. The use of antimicrobial-coated sutures significantly lowered the risk of incisional SSI compared to non-coated suture (risk ratio: 0.79, 95% confidence intervals: 0.64-0.98). In subgroup analyses, antimicrobial-coated sutures reduce the risk of SSI for open surgeries, and when monofilament sutures were used. Antimicrobial-coated sutures did not reduce the incidence of abdominal wall dehiscence and the length of hospital stay compared to non-coated sutures. The certainty of the evidence was rated as moderate according to the GRADE criteria, because of risk of bias. CONCLUSION: The use of antimicrobial-coated sutures for fascial closure in gastrointestinal surgery is associated with a significantly lower risk of SSI than non-coated sutures.

    DOI PubMed

  • Clinical impact of rehabilitation and <scp>ICU</scp> diary on critically ill patients: A systematic review and meta‐analysis

    Tomohiro Ishinuki, Ling Zhang, Keisuke Harada, Hiroomi Tatsumi, Nobuaki Kokubu, Yoshika Kuno, Kanon Kumasaka, Rina Koike, Toshio Ohyanagi, Hirofumi Ohnishi, Eichi Narimatsu, Yoshiki Masuda, Toru Mizuguchi

    Nursing in Critical Care ( Wiley )  28   554 - 565  2023.01  [Refereed]  [International journal]

    Authorship:   Lead author

    DOI

  • The structural relationships between quality of life and mental conditions in stoma patients

    Narumi M, Nishimori H, Hasegawa M, Hazawa Y, Ishinuki T, Goda E, Hata F, Kihara C, Okita K, Ohyanagi T, Hui TT, Mizuguchi T

    World Journal of Colorectal Surgery ( Medknow )  12 ( 1 ) 1 - 1  2023.01  [Refereed]  [International journal]  [International coauthorship]

    DOI

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Books and Other Publications 【 display / non-display

  • 看護ケアのための便秘時の大腸便貯留アセスメントに関する診療ガイドライン

    看護ケア開発・標準化委員会, 日本看護科学学会(システマティックレビューチーム)

    南江堂  2023.09 ISBN: 9784524206889

Misc 【 display / non-display

  • 療養環境を調整する場面における看護学生の臨床判断の特徴 -タナーの臨床判断モデルの解釈の段階に着目して-

    飯澤 良祐, 中村 円, 宇野 智子, 石貫 智裕, 堀口 雅美

    日本看護研究学会誌     53 - 53  2024.08

  • 高齢がん患者の周術期における睡眠変化量の検証

    石貫智裕

    第32回北海道地方会学術集会抄録    2024.07

    Authorship:   Lead author

  • 皮下ドレーンにおけるSSI予防の有用性:システマティックレビューとメタ解析

    石貫智裕, 新川寛二, 神津慶多, 進士誠, 合田恵理香, 大柳俊夫, 吉田雅博, 真弓俊彦, 水口 徹, 日本外科感染症学会, ガイドライン改定小委員会

    日本外科系連合学会誌   49 ( 3 ) 316 - 316  2024.05

    Authorship:   Lead author

  • Effect of Clinical Practice for Providing a Comfortable Environment for Patients on Nursing Students’ Skills: A Pilot Study

    Ishinuki Tomohiro, Uno Tomoko, Nakamura Madoka, Iizawa Ryosuke, Horiguchi Masami

    第27回東アジア看護学研究者フォーラム (EAFONS2024)    2024.03

    Authorship:   Lead author

  • オンラインPRO情報システムによる乳がん患者の手術部位感染症に対する危険因子と予後の検証

    石貫智裕

    第38回日本がん看護学会学術集会誌     207 - 207  2024.02

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Research Projects 【 display / non-display

  • 高齢患者の健康長寿を実現する健康自立支援アプリの研究

    Grant-in-Aid for Scientific Research (C)

    Project Year :

    2024.04
    -
    2026.03
     

    Authorship: Principal investigator

  • ウェアラブルデバイスを活用した医療の質と費用対効果を向上するオンラインシステムの開発

    Project Year :

    2023.12
    -
    2024.11
     

    Authorship: Principal investigator

  • がん患者の睡眠に対する自動評価システムの開発

    Project Year :

    2023.06
    -
    2023.12
     

    Authorship: Principal investigator

  • 患者教育のデジタル化と生体情報をリアルタイムに収集するヘルスシステムの開発

    Project Year :

    2023.04
    -
    2024.03
     

    Authorship: Principal investigator

  • 高齢がん患者の外科治療を支援する健康デジタルプラットフォームの構築

    Project Year :

    2022.04
    -
    2023.03
     

    Authorship: Principal investigator

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Presentations 【 display / non-display

  • 療養環境を調整する場面における看護学生の臨床判断の特徴 -タナーの臨床判断モデルの解釈の段階に着目して-

    飯澤 良祐, 中村 円, 宇野 智子, 石貫 智裕, 堀口 雅美

    日本看護研究学会 第50回学術集会 

    Presentation date: 2024.08

    Event date:
    2024.08
     
     
  • 高齢がん患者の周術期における睡眠変化量の検証

    石貫 智裕

    第32回北海道地方会学術集会 

    Presentation date: 2024.07

    Event date:
    2024.07
     
     
  • 皮下ドレーンにおけるSSI予防の有用性:システマティックレビューとメタ解析

    石貫智裕, 新川寛二, 神津慶多, 進士誠一, 合田恵理香, 大柳俊夫, 吉田雅博, 真弓俊彦, 水口徹, 日本外科感染症学会ガイドライン改定小委員会

    第49回日本外科系連合学会学術集会 

    Presentation date: 2024.06

    Event date:
    2024.06
     
     
  • Effect of Clinical Practice for Providing a Comfortable Environment for Patients on Nursing Students’ Skills: A Pilot Study

    Ishinuki Tomohiro, Uno Tomoko, Nakamura Madoka, Iizawa Ryosuke, Horiguchi Masami

    第27回東アジア看護学研究者フォーラム (EAFONS2024) 

    Presentation date: 2024.03

    Event date:
    2024.03
     
     
  • オンラインPRO情報システムによる乳がん患者の手術部位感染症に対する危険因子と予後の検証

    石貫智裕

    第38回日本がん看護学会学術集会 

    Presentation date: 2024.02

    Event date:
    2024.02
     
     

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Academic Activities 【 display / non-display

  • 消化器外科SSI予防のための周術期ガイドライン 改定委員

    Other

    2023.04
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    Now
  • Committee to Develop Clinical Guidelines for Assessment of Colonic Stool Retention during Constipation in the Elderly for Nursing Care

    Academic society, research group, etc.

    Japan Academy of Nursing Science  

    2022.04
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    2023.09