2026-03-09T15:09:35Z https://komajo.repo.nii.ac.jp/oai

oai:komajo.repo.nii.ac.jp:00001358 2023-06-20T15:23:40Z 1:95:96

脳卒中術後に意識障害を残す患者の家族へのケアに対する看護師の認識 Nurses’ awareness of care for families of patients experiencing disorders of consciousness following surgery for stroke 飯塚, 麻紀 イイツカ, マキ 榎本, 佳子 エノモト, ヨシコ IITSUKA, Maki ENOMOTO, Yoshiko 家族ケア 意識障害 脳卒中術後 care for families disorders of consciousness following surgery for stroke 目的：脳卒中術後に意識障害を残す患者の家族へのケアに対する看護師の認識を明らかにすること． 方法：脳外科病棟で５年以上の勤務経験を有する看護師17名を対象にグループインタビューを行い， 質的内容分析の手法を参考にして分析した． 結果：219の分析単位から，３つのカテゴリーと，１つのメインカテゴリー≪経験に基づく家族理 解と複雑な思いを孕むケアの実践≫が抽出された． 結論：看護師は，これまでの経験から，術後回復と意識回復の区別が難しい中でも患者の変化に敏 感な家族の特徴を把握していた．そして，患者を尊重して，家族の不安に配慮しながら患者のケア に巻き込むことで，ともに回復を目指す家族ケアを実践していた．しかし実践には常に，葛藤の続 く家族への対応や一人で実践することの困難感が伴っていた． Objective: This study aimed to shed light on the awareness of nurse regarding care for families of patients experiencing disorders of consciousness following surgery for stroke. Methods: A group interview was conducted with 17 nurses, each with more than 5 years’ experience working in the cerebral surgery ward. Data were analyzed using qualitative content analysis techniques. Results: From the 219 units of analysis, 3 subcategories that made up 1 overarching category were extracted: understanding of patients’ families through experiences and care practices in which empathy and emotional intelligence are used. Conclusions: From their experiences thus far, we can conclude that the nurses had been aware of the characteristics of families who were perceptive about the changes in the patient, even when it was difficult to distinguish between postoperative recovery and the recovery of consciousness. In addition, by respecting the patient and being involved in caring for the patient while also being considerate of the family’s anxieties, the nurses had also been providing care for families that aimed toward recovery. However, the nurses experienced difficulties when dealing with families who had continuous conflict or when they working alone. 駒沢女子（短期）大学　学長　光田　督良 2018-12-25 jpn departmental bulletin paper https://doi.org/10.18998/00001335 https://komajo.repo.nii.ac.jp/records/1358 10.18998/00001335 2434-7574 1 49 60 https://komajo.repo.nii.ac.jp/record/1358/files/P049-060-飯塚麻紀先生ほか.pdf application/pdf 612.5 kB 2019-04-11