特集名 | 透析患者へのリハビリテーション | |
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題名 | 女性患者のリハビリテーション -- 子産み子育て支援 | |
発刊年月 | 2002年 08月 | |
著者 | 岡崎 愉加 | 岡山大学医学部保健学科看護学専攻 |
著者 | 奥田 博之 | 岡山大学医学部保健学科看護学専攻 |
【 要旨 】 | リプロダクティブ・ヘルス/ライツの視点から,出産・育児支援は,透析患者が自分の意思で妊娠の選択をし,出産・育児を通してQOLの向上をはかるために重要である.そこで,透析患者の面接調査と文献から,出産・育児支援について検討した. 結果,妊娠中は切迫流早産,貧血,羊水過多など異常の予防と早期発見に加えて,不安やストレスの軽減,産科・内科・透析室の連携を密にし,透析患者をよく理解して支援することが必要である.育児では,必要なときに透析日時の変更ができるなど透析病院の理解と協力が重要であり,また,子どもの成長段階に応じた保育や家事協力者の確保,育児相談などの育児支援の充実が必要である. |
Theme | Rehabilitation in Hemodialysis Patients | |
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Title | Rehabilitation of hemodialysis patients-delivery/child care support | |
Author | Yuka Okazaki | Faculty of Health Sciences, Okayama University Medical School |
Author | Hiroyuki Okuda | Faculty of Health Sciences, Okayama University Medical School |
[ Summary ] | From the aspect of reproductive health/rights, delivery/child care support is important to hemodialysis patients when choosing to become pregnant and in improving their QOL through delivery/child care. Therefore, we evaluated delivery/child care support in both an interview survey and a review of the literature. During pregnancy, in addition to the prevention and early detection of abnormalities such as threatened abortion/premature delivery, anemia, and hydramnion, patients' anxiety and stress levels should be reduced, and support should be provided with a good understanding of patients and close cooperation between the departments of gynecology and obstetrics, the medical department, and the hemodialysis section. In addition, child care support related to the growth stage of children is important and should be developed by selecting persons who can cooperate in housework and in providing giving child care consultation. |