超高齢社会の進展に伴い、褥瘡は患者の苦痛と医療費の増大を招く深刻な問題である。従来の褥瘡ケアは、発見の遅れや効果的な介入の限界、看護師の負担増大といった課題を抱え、ベッドサイドでの質の高いケア提供が困難な状況にあった。
そこで、「看護理工学」という学際的なアプローチが、褥瘡ケアを「再定義する」革新的な実践を可能にする。仲上教授は、AIを用いた褥瘡の超早期発見システム 、創部バイオフィルム制御法 、難治性創傷に対する振動療法 など、最先端の技術をベッドサイドのケアに応用する。また、排泄ケアにおける携帯型超音波活用 や、訪問看護師向けの遠隔学習システム の開発も進める。
これらの「革新的実践」は、看護師のアセスメント能力を飛躍的に向上させ、個別化されたケアを可能にする。本講演では、看護理工学が褥瘡ケアの質をいかに向上させ、患者のQOL改善と医療リソースの最適化に貢献するかを詳述する。超高齢社会における看護現場の未来を切り拓く、その具体的なアプローチと展望を提示する。

With the advancement of a super-aging society, pressure ulcers pose a serious problem, causing patient suffering and increasing healthcare costs. Traditional pressure ulcer care has faced challenges such as delayed detection, limitations in effective intervention, and increased burden on nurses, making it difficult to provide high-quality care at the bedside.
Therefore, an interdisciplinary approach called "Nursing Science and Technology" enables innovative practices that "redefine" pressure ulcer care. Professor Nakagami is advancing the development of ultra-early detection systems for pressure ulcers using AI  and genetic testing methods to identify high-risk individuals for pressure ulcers. He also applies cutting-edge technologies to bedside care, including biofilm control methods for wounds  and vibration therapy for hard-to-heal wounds using wearable vibration dressings. Furthermore, he is developing portable ultrasound for bowel care in elderly patients requiring nursing care  and remote learning systems for ultrasound examination techniques for visiting nurses.
These "innovative practices" dramatically improve nurses' assessment capabilities and enable personalized care. Specifically, nurses can perform more objective and detailed patient assessments, leading to earlier detection of pressure ulcers and infections, and individualized bowel care, thereby providing higher quality care. Moreover, the promotion of telemedicine and home care allows nurses to exercise their expertise in a wider range of environments and supports data-driven decision-making. This enables patients to receive high-quality care at home and achieves efficient allocation of medical resources. This lecture will detail how Nursing Science and Technology contributes to improving the quality of pressure ulcer care, enhancing patient QOL, and optimizing medical resources. It will present concrete approaches and prospects that open up the future of nursing practice in a super-aging society.