臨牀透析 Vol.34 No.5(11)


特集名 透析患者の体力と認知力を考える―患者と家族が満足するキュアとケア
題名 認知力維持のための透析看護の役割
発刊年月 2018年 05月
著者 大坪 みはる 関西看護医療大学看護学部看護学科
【 要旨 】 透析看護は,「慢性腎臓病(透析機器)とともに生きる人」を支える専門看護である.高齢透析患者の増加に伴い,認知症ケアに関する看護研究は増えているものの,透析看護領域において認知力維持に焦点を合わせた報告は見当たらない.そこで,日本神経学会の「認知症疾患診療ガイドライン2017」の危険因子・防御因子の項をもとに,日常実践している透析看護がリスク低減あるいは防御因子を高めているかを考えてみると,認知力維持のために透析看護ができることとして,①透析合併症予防,②個人的ケアと評価,③多職種連携のコーディネート役,④認知力維持の研究・組織的取り組み,が挙げられる.そして,それらを個人あるいは組織で効果的に実践することが透析看護の役割と考えられる.
Theme Practical approach to improve physical and cognitive function of patients on chronic dialysis: Points of satisfaction for patients and their families
Title The role of dialysis nursing to maintain cognitive ability
Author Miharu Otsubo Kansai University of Nursing and Health Sciences
[ Summary ] Dialysis nursing is a specialized field of nursing that supports "people who live with CKD (dialysis equipment)." Research pertaining to nursing and care provided to patients with dementia is increasing secondary to an increase in the number of elderly patients undergoing dialysis. Thus, it is important for dialysis nurses to learn/improve their knowledge of strategies to maintain cognitive abilities in this growing population of patients undergoing dialysis. However, no focused report is available in this context. Therefore, I examined whether the risk/preventive factors established by the Japanese Society of Dementia Disease Guidelines 2017 and dialysis nursing practiced on a daily basis are associated with increased risk reduction or prevention factors. Thus, to maintain cognitive ability, dialysis nursing ought to include the following components: 1) Prevention of complications of dialysis. 2) Personal care and evaluation. 3) Coordination of multi-occupational collaboration. 4) Research pertaining to cognitive ability, Organizational efforts. There are the individuals or organizations to effectively practice them I thought that role of dialysis nursing.
戻る