臨牀透析 Vol.24 No.2(2-1-3)


特集名 本邦のCAPD療法の現況
題名 CAPD療法に対する取り組み (1) 普及対策 iii. 一般人,患者への普及活動 -- NPO法人CAPD支援機構の設立
発刊年月 2008年 02月
著者 佐中 孜 CAPD支援機構代表 (東京女子医科大学東医療センター血液浄化部・腎臓内科)
【 要旨 】 腹膜透析 (CAPD) は伸び悩んでいる.筆者はその背景の一つには,清潔不潔の概念を含めた医療技術を知らない人にそれらを学ぶことを要求する問題が関与していると考える.これに対する解決法は,現時点では医療連携,病診連携,地域連携,家庭内連携などあらゆる人的連携手段を使って患者を支援する組織で補うことである.とくに自立行動が困難なCAPD患者には必須のシステムと考えられる.これを実現する目的で設立したのがNPO法人CAPD支援機構であり,多くのご支援を得て,活動を開始して3年になる.その活動の実状を紹介したい.
Theme Present Status of Peritoneal Dialysis in Japan
Title NPO organization for the expansion of peritoneal dialysis
Author Tsutomu Sanaka NPO Organization for CAPD Support (Department of Blood Purification, Division of Nephrology, Department of Medicine, Tokyo Women's Medical University Medical Center East)
[ Summary ] PD therapy has only slightly increased in Japan. The two reasons for this are as follows : (1) Although the frequency of peritonitis has decreased, the fear of infectious peritonitis and peritoneal sclerosis still exists. (2) It is necessary for patients who do not know medical techniques including a sterile procedures to learn them. The solution for the latter problem must come from changes in the present medical support for patients. This should be accomplished using all methods of cooperation, such as cooperation between medical providers, including inter-regional associations, and domestic cooperation. This is especially so for CAPD patients who can not easily act independently and need the support of these organizations. The NPO Organization for CAPD Support was established in order to achieve this goal. This organization has obtained help from various people and became active three years ago. Implementation of NPO functios should be carried out rapidly to provide improved patient support.
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