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論文 |
論文
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Shimodaira, Kimiko ; Ito, Mayumi ; 下平, きみ子 ; 伊藤, まゆみ
概要:
Journal Article<br />[目 的]一般病院で身体的治療を受ける認知症高齢者のケアを担う看護師への教育研修実施のための教育\n二一ズの把握と教育プログラム内容の抽出をする.[対象と方法]急性期治療を行う2病院の整形外科病\n
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棟の看護師,各6名に,フォーカス・グループインタビューを行い,逐語録からデータを質的帰納的に分析し\nた.[結 果]「認知症高齢者のケアの困難」から8カテゴリ,「認知症高齢者のケアで心がけていること」\nから5カテゴリ,「教育研修にっいて希望すること」から4カテゴリが抽出された.[結 語]教育二一ズと\nしては,①認知症高齢者の状態の理解,②BPSD・危険行動の理解,③せん妄の理解,④認知症高齢者の世界の\n理解,⑤急性期病棟での具体的事例を用いて認知症高齢者のケア方法の理解,教育プログラム内容は,①認知\n症の疾患・治療,②認知症高齢者の理解とアセスメントツール,③BPSD・危険行動の行動分析と介入の実際,\n④せん妄とその対応,⑤認知症患者の言動の意味,⑥認知症高齢者との関わり方,⑦認知症患者とのコミュニ\nケーション,⑧急性期病棟での事例を通した看護過程の展開,が抽出された.
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論文 |
論文
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Ito, Mayumi ; Kamata, Hisako
概要:
application/pdf<br />Journal Article<br />Purpose: The study was conducted to ascertain changes in life and social activity among elderly\nmyocardial infarction (hereafter MI) patients in two years after leaving hospital and to
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identify their\ncauses. Methods: Ten persons aged over 65 who had the first MI were visited during a period to two\nyears after being released from hospital to carry out a prospective study. A semi-structured interview was\nconducted and the social activity indicator was used to measure social activity. Results : The score of\nthe social activity indicator was thelowest in the third month after leaving hospital, which then increased\nup to the twelfth month. However, it dropped two years after leaving hospital. In the high activity\nlevel five cases made a good recovery in their social activity and quality oflife. On the other hand, in\ntwo cases their recovery remained only at about 5096. In the low activity level group the score of the\nsocial activity indicator slightly declined in the third month, which was maintained up to the twelfth\nmonth, and further dropped two years after leaving hospital. As to infiuencing factors fbr expanding\nsocial activity, the patient had anxiety about a recurrence of paroxysms and chest pain and the family had\nthe same fear also in six cases. Conclusions: This study implied the necessity ofincluding the following\nsupport in continuous nursing for elderly MI patients: to assess the conditions and socio-psychological\nmaladaptation of the patients who show no signs of expanding their social activity for six months after\nleaving hospital, to assess the patient!s and family!s fear of a recurrence of paroxysms.
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論文 |
論文
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Ito, Mayumi ; Kamata, Hisako
概要:
application/pdf<br />Journal Article<br />Purpose : The study was conducted to ascert ain what was actually done for elderly myocardi al infarction\n(hereafter MI) patients by proficient nurses and to identify problems with selficare that
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they encountered\nin their daily nursing practice. Methods: A focus-group interview was carried out on proficient nurses\nin two hospitals. The interview was recorded and later transcribed for inductive qualitative analysis.\nResults : Content-wise problems with selficare that proficient nurses encountered in their nursing care\nwere related to the issues of a low-salt diet, medication management, and activities, whereas method-wise\nproblems were related to the issues of a decline in understanding and cognitive abilities, family functions,\nand continuity of nursing. The major place of nursing for patients was the hospital ward (treatment\nright after MI). Out of the features categorized into 1 5 extracted from my preceding study, the categories\nthat were frequently confirmed by both groups were: "Patient!s anxiety about recurrence," "Reduction\nin the level and scope of activities," and "Observation of the process up to coronary angiography after\nleaving hospital." This study added three categories as to issues in continuous nursing. Conclusions :\nIn order to cope with difficulties in supporting elderly patients who had selficare problems in a limited\nperiod of hospitalization, important were the continuity of nursing in the ward, the outpatient depart-\nment and a hospital stay for examination, and coordination with people in other domains such as\nregistered dieticians and pharmacists.
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