臨牀透析 Vol.21 No.10(8)


特集名 小児腎不全 -- 発見から治療まで
題名 小児腎不全患者の良好な社会復帰への援助
発刊年月 2005年 09月
著者 長 佳代 東京慈恵会医科大学医学部看護学科・看護師
【 要旨 】 近年,乳幼児期から末期腎不全という病気とともに生きていく子どもの心理的・社会的発達や成長後の生活の質に,多くの関心が向けられるようになっている.本稿では,小児期に腎疾患となりその後,腎移植を受けた患者25人にインタビューした研究の結果に基づき,小児腎不全患者が良好な社会復帰を遂げるために大切なこととして,可能なかぎり普通の生活を送ることの大切さ,学校でのイジメの問題にあたっては真剣に子どものことを考え力を尽くすこと,職業選択の重要性の3点をあげ,援助として考察した事柄を述べた.
Theme A Total Care of Renal Failure from the Onset in Children
Title Support for psychosocial recovery of pediatric and end stage renal disease patients
Author Kayo Cho The Jikei Universify School of Nursing
[ Summary ] In recent years, interest is been directed to the psychosocial aspects of children living with end stage renal failure from infancy and their quality of life during growth. In this report, three important points and means of support were described based on a study that interviewed 25 post-renal transplant patients (10 females, 15 males). Patients, who had renal disease in childhood and then received renal transplants, were in good condition at the time of the interview. The things that were important so that child patients with renal failure could receive adequate rehabilitation were recognizing the importance of living as normal a life as possible, thinking about each child carefully concerning problems with punishment in school and the importance of career choices.
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