臨牀透析 Vol.16 No.4(1-2)


特集名 透析看護におけるエキスパートナースを目指して
題名 エキスパートナースを必要とする理由 (2) 透析医として
発刊年月 2000年 03月
著者 栗山 哲 東京都済生会中央病院
【 要旨 】 透析医療は,他の医療とは異なる特徴がある.慢性腎不全は全身疾患であること,透析医療は先進医療であり知識・技術の進歩は日進月歩であること,穿刺,透析計画,透析終了などの高度で実践的な手技が要求されること,患者との心の交流に巧みな交流術が欠かせないこと,患者は常に「死」を意識し不安や焦躁感などがあること,導入患者の高齢化と糖尿病透析患者の急増があること,食事制限,飲水制限,正確な内服など厳格な自己管理が必要であること,などである.透析ナースは,患者のもつこれらすべての問題に関わることが多い.したがって,これらの透析医療の特殊性を念頭に置いて,看護目標を立てる必要がある.そのうえで透析患者の抱える身体的・精神的・社会的問題に取り組んでいく姿勢と,これらの成果を患者に捧げる心が重要である.透析ナーシングの果たすべき役割はきわめて大きく,また透析医からの期待も大きい.
Theme Aspire to Be Expert Nurse in Dialysis Nursing
Title Reasons specialized dialysis nurses are needed
Author Satoru Kuriyama Department of Nephrology, Saiseikai Central Hospital
[ Summary ] The characteristics of medical care for patients on dialysis are complicated and multifactorial. For instance, chronic renal failure (CRF) is not solely a discase of the kidney. It is a systemic disease, Whose clinical manifestations include disorders of many organs and systems such as the cardiovascular, gastrointestinal, neurological, hematological, respiratory, dermatological and psychological systems. Therefore, nurses specialized in dialysis must have a good understanding and knowledge of, these clinical diseases. Based on information from patients on dialysis, nurses specialized in dialysis would plan individual care for the future of the patient, to achieve better QOL and ADL. Furthermore, since dialysis related medical care has shown remarkably rapid technological progress. Nurses must keep up with this progress, by being alert to new medical information through continuous education and study. In a system of good nursing care for dialysis patients, individual problems should be analyzed, from the viewpoint of physical, mental, and social problems.
We, expect that doctors, nurses, medical engineering staff, dieticians, and MSW must cooperate, to achieve the final goal of providing good dialysis care, to benefit our patients.
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