DEVELOPMENT OF NURSING CARE MODEL FOR DRUG DEPENDENT PATIENTS

药物依赖患者护理模式的开发

• 批准号: 11672396
• 负责人: TANAKA Mieko
• 金额: $ 1.15万
• 依托单位: TOKYO WOMEN'S MEDICAL UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672396/
• 关键词: drug dependence; nursing model; psychiatric nursing; nursing care; nurse's feeling; 精神看護

At the first stage of this study, through the field work in the special word for drug dependent patients and interviewing 16 nurses in charge of caring for drug dependent patients from 5 facilities, we developed a tentative nursing model for drug dependent patients based on the clinical situation in Japan, which is consisted of contents of caring according to the specific 3 stages (withdrawal stage, craving stage, maintenance stage) and nurse's feeling on caring for drug dependent patients.At the second stage of the study, we developed an original questionnaire being based on the tentative nursing model given in the first stage of this study, and investigated 430 nurses about their nursing practice for drug dependent patients.As results of statistical analysis, the following matters were revealed.1. As contents of caring for drug dependent patients, the following 5 factors were identified.(1) Respecting patient's own self, (2) dealing with troubles, (3) having relation with empathy, (4) having consistent relation, (5) rehabilitation support.2. As nurses' troubles on caring for drug dependent patients, the following 4 factors were identified. (1) anti-social action of patients, (2) difficulties particular to the nursing of drug dependent patients, (3) patient's symptoms and social context, (4) the problems of nursing system. A significant relationship was found between "patient's symptoms and social context" and "the degree of trying to care".3. A relatively strong correlation was found between the total score of "nurses' professional life worth living" and "the degree of trying to care".4. As the feeling of nurses on caring for drug dependent patients, "anger", "guilty feeling" and "empathy" were founded.Integrating these results, a nursing model for drug dependent patients was demonstrated. These results suggested the importance of special education of nursing for drug dependent patients in both of under graduate program and continuing education program.

在本研究的第一阶段，通过对药物依赖患者专业领域的实地调查，并对5个机构的16名负责药物依赖患者护理的护士进行访谈，我们根据日本的临床情况，初步制定了一个药物依赖患者护理模式，该模式包括三个阶段的护理内容（戒断期、渴求期、维持期）及护理人员对药物依赖病人的护理感受，在第二阶段，我们根据第一阶段的护理模式设计了一份问卷，对430名护理人员进行药物依赖病人的护理实践调查，经统计学分析，结果表明：1.作为药物依赖患者的护理内容，确定了以下5个因素。(1)1.尊重病人自我，（2）处理麻烦，（3）建立同理心关系，（4）建立一致的关系，（5）康复支持.护理人员在照顾药物依赖病患时，困扰的因素有四项。(1)（2）药物依赖患者的护理困难;（3）患者的症状和社会背景;（4）护理系统存在的问题。“病患症状与社会背景”与“关怀尝试程度”有显著相关。护士职业生命价值总分与努力照顾程度有较强的相关性.护理人员对药物依赖病人的感受有“愤怒”、“罪恶感”、“移情”，整合这些结果，提出一个药物依赖病人的护理模式。提示在研究生教育和继续教育中对药物依赖患者进行特殊护理教育的重要性。