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Nursing Care Effective for Rehabilitation of Schizophrenics

护理对精神分裂症患者的康复有效

基本信息

批准号：
04807171
负责人：
KAYAMA Mami
金额：
$ 0.9万
依托单位：
St.Luke's College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (C)
财政年份：
1992
资助国家：
日本
起止时间：
1992 至 1993
项目状态：
已结题

项目摘要

In this study, continuous observation of nursing care was made for two years in 1992 and 1993, including observation of two cases with schizophrenia using 8 mm video camera. In the meantime, constant comparative analysis of data were made. Thus, nursing care provided for two years was analized and discussed.As the results, two aspects were drawn, i.e., "function and structure of nursing practice which provided for two cases in the hospital rehabilitation system" and "analysis of communication technique adopted to the practice of nursing care".Nurses provide nursing care based on interpersonal relations between nurses and patients. To be connected with the community, patients need to make the use of communication skills. However, patients, who stayd in hospital for a long time, are especially poor at the skills. Therefore, they need to regain it based on trustful relations with nurses. Nurses provided concrete image to patients what kind of life they have a possibility to make and a right to live in community, confirming and encouraging patients' will to be independent.Effective nursing care for patients with schizophrenia to come back to community were provided by nurses with a consistent attitude, and these two aspects were used incomplexly and organically in the effective nursing care. In this study, nursing care which were provided in the rehabilitation process was analized within a mental hospital setting. Therefore, to make these aspects clear will be needed to continue analysis at different settings and situations in the future, e.g., whether or not such nursing care and the skills are characteristics of mental hospital, or it is universal to other nursing professionals such as public health nurse.

本研究于1992年和1993年连续两年进行护理观察，其中包括对两例精神分裂症患者进行8毫米摄像机观察。与此同时，不断对数据进行比较分析。通过对两年来的护理工作进行分析和讨论，得出两个方面的结论，即：《护理实践的功能与结构》和《护理实践中沟通技巧的应用分析》等，护士在护理实践中以护患人际关系为基础提供护理服务。为了与社区建立联系，患者需要使用沟通技巧。然而，长期住院的病人，技能尤其差。因此，他们需要在与护士的信任关系的基础上重新获得它。护士向患者提供了他们有可能过什么样的生活和在社区生活的权利的具体形象，确认和鼓励患者的独立意志，护士以一致的态度为精神分裂症患者重返社区提供有效的护理，这两个方面在有效的护理中有机地结合起来。本研究以一精神病院为研究对象，分析复健过程中所提供的护理服务。因此，需要明确这些方面，以便今后在不同的环境和情况下继续进行分析，例如，这种护理和技能是否是精神病院的特色，或者是其他护理专业人员如公共卫生护士所普遍具备的。