臨牀透析 Vol.15 No.1(7)


特集名 血液浄化機器の歴史と今後の発展
題名 透析看護の今後の発展
発刊年月 1999年 01月
著者 水附 裕子 横須賀北部共済病院・看護婦
【 要旨 】 透析看護は当初より,「透析機器を含む患者の日常生活援助」を目標に,治療中の安全を確保することや患者のセルブケアを支援するなど個々の生活調整を主としてケアを行ってきたが,開始当初の「尿毒症からの救命」を目的とした治療方法から,長期の延命や「QOLの充実」という高次の内容を主眼とする医療に変わりつつある.看護援助の内容も多様化・拡大化し,看護の質が問われる時代となっている.患者ケアの視点はチーム医療のシステム化を前提に,患者の主観的障害のアセスメントから始まり,セルフケア能力の開発への援助,自己実現に至る成長への援助が重要で専門教育のポイントとなる.
Theme Progress and Future in Blood Purification
Title The prospects of the dialysis-nursing
Author Yuko Mizutsuki Department of nursing, Yokosuka Hokubu Kyosai Hospital
[ Summary ] From the beginning, dialysis-nursing has delivered care and support for each patient's life, such as securing the patients who are having treatments, and helping patients with self-care. Their purpose has been "helping patients who are using dialyzers with their lives". But, now the methods of treatment for dialysis-nursing have changed. The original purpose of the treatment, "saving patients from uremia" is changing into medical treatment of a high order, such as "prolonging the life for long term" and "satisfaction of QOL". Also, the types of nursing have diversified and expanded. It is about time we consider the quality of nursing. Making it a condition that team-medical treatment is systematized, caring for patients hegins with the assessment of subjective lesions learned from patients. It is an important point of professional instruction that we help patients develop the skills for self-care, and for growth process resulting in self-fulfillment.
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