| 特集名 | 透析の導入・継続・中止 | |
|---|---|---|
| 題名 | 透析の導入 (2) 導入期患者の心理状態 | |
| 発刊年月 | 1998年 07月 | |
| 著者 | 橋本 誠 | 秋田赤十字病院精神科 |
| 【 要旨 】 | 「透析導入期」は，透析導入から12ヵ月間とした． 心理状態を考えるうえで診わける必要のある器質性精神症状群として，軽い意識障害と通過症状群とを述べた． そのうえで，透析導入期の患者の心理が，透析導入によって生じた「喪失体験」と，それを受容する過程としての「悲哀の仕事」によって特徴づけられると考え，それぞれについて記した．患者は死に直面しつつ，生活の急変にも対応していく．そのような患者の対処能力を活かしつつ理解する一助に，STAIとPILテストという二つの心理検査を用いて，元来不安の高い患者と高くない患者に分け，それぞれの不安の現われ方の特徴を記し，それぞれに対する援助方式について述べた． |
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| Theme | Initiation, Maintenance and Discontinuation of Dialysis Therapy | |
|---|---|---|
| Title | IPatient's mental condition during the period of dialytic introduction | |
| Author | Makoto Hashimoto | Department of Psychiatry, Akita Red Cross Hospital |
| [ Summary ] | The period of dialytic introduction has been determined to be twelve months from the initiation of treatment. We describe minor disturbances of consciousness and transient syndromes in relationship to organic brain syndromes, and the resultant need to monitor the patients' psychological condition. We reported on patients' mental conditions, characterized by object loss or grief work of dialysis. The patients were forced to deal with sudden life-style changes, with the knowledge of their possible impending death. To better understand how to help them cope, we used two types of psychological assessments, the STAI and the PIL. Using these assessments we separated patients into two groups. One group displayed high levels of trait anxiety, while the other did not. We then explained how patients' anxiety was expressed and described methods to assist them. |
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