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Journal of Japan Academy of Critical Care Nursing最新文献

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Research on the Actual Condition of the Memories and Experiences of Patients who Have been in an Intensive Care Unit 重症监护室病人的记忆和经历的实际情况研究
Pub Date : 1900-01-01 DOI: 10.11153/JACCN.9.29
Tomohide Fukuda, Tomoko Inoue, Y. Sasaki, Etsuko Moro
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引用次数: 2
Mind and Action of Emergency and Critical Family Care: -before hospitalization/during the first examination/in hospitalization-@@@―搬入前・初療時・入院後― 紧急和危重家庭护理的思想和行动:-住院前/第一次检查期间/住院期间-@@@ -
Pub Date : 1900-01-01 DOI: 10.11153/JACCN.1.3_46
Y. Hashida, M. Omori
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引用次数: 0
集中治療室における患者管理の 1 つとしての身体抑制を取り巻く看護師の判断と行動 作为重症监护室内患者管理的一种,围绕着身体抑制的护士的判断和行动
Pub Date : 1900-01-01 DOI: 10.11153/JACCN.5.2_25
静代 長澤, 裕子 黒田
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引用次数: 2
Specialty of Critical Care Nursing 重症护理专业
Pub Date : 1900-01-01 DOI: 10.11153/JACCN.12.1_1
Y. Yamase
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引用次数: 0
Experience of Uncertainty in Patients with Unruptured Intracranial Aneurysms Treated with Endovascular Coiling and Their Nursing Care 未破裂颅内动脉瘤行血管内卷绕术治疗的不确定性体会及护理
Pub Date : 1900-01-01 DOI: 10.11153/JACCN.6.3_16
Mitsumi Masuda, Tomoko Inoue
未破裂脳動脈瘤(以下 UIAとする)に対する血管内手術を受けた患者 19名を対象とし,UIAにより 血管内手術を受けた患者の体験を明らかにし,看護支援のあり方を検討した.縦断群:退院前,手術 後 1カ月,3カ月,横断群:手術後 1~1.5年の時期に,半構成的面接を行い,解釈的現象学を参考に 分析した.その結果,5つの時期が抽出され,体験した不確かさ,受け止め・対処,意味づけの 3側 面が抽出された.各時期に異なる不確かさを体験していた.診断期には体験した不確かさの側面にの みテーマが存在しており,治療選択期では受け止め・対処の側面に多くのテーマが出現した.治療期 においては,不確かさから一時的に解放された.その後,日常性の取り戻し期・再治療選択期に至る と意味づけの側面のテーマが増していた.UIAにより血管内手術を受けるということは不確かさが常 につきまとい,診断・治療も繰り返される可能性があるという現実を受け入れ,患者が自分で意思決 定し意味を見出していけるように支援する必要がある.
以接受未破裂脑动脉瘤(以下简称UIA)血管内手术的19名患者为对象,调查了通过UIA接受血管内手术的患者的体验,探讨了护理支援的方法。纵断组:出院前、手术后1个月、3个月;横切组:手术后1~1.5年进行半结构面试,参考解释性现象学分析的结果,抽取了5个时期,体验的不确定,接受和应对,赋予意义3个方面。在各个时期体验着不同的不确定性。在诊断期只在体验到的不确定性的侧面存在主题,在治疗选择期则在接受、应对的侧面出现了很多主题。在治疗期,暂时从不确定中解放出来。之后,到了日常性的恢复期和再治疗选择期,赋予意义的方面的主题增加了。由于UIA接受血管内手术,不确定是常有的事。,接受诊断和治疗也有反复的可能性这一现实,有必要帮助患者自己决策并找到意义。
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引用次数: 2
The Specialty of Medical Providers and Multi-Professional Intensive Care 医疗服务提供者的专业和多专业重症监护
Pub Date : 1900-01-01 DOI: 10.11153/JACCN.12.1_31
Y. Ujike
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引用次数: 1
Experiences of Transitioning to Home Care in Patients with Implantable Ventricular Assist Devices and their Caregivers 植入式心室辅助装置患者及其护理人员过渡到家庭护理的经验
Pub Date : 1900-01-01 DOI: 10.11153/JACCN.12.3_25
M. Yamanaka
The purpose of this study was to clarify the psychological distress and conflicts experienced by patients with Implantable Ventricular Assist Devices (VAD) and their caregivers with regard to home care as well as the changes in their health-related quality of life (SF36) and to consider nursing care based on the findings. The authors adopted a mixed method design wherein qualitative and quantitative studies were concurrently conducted. The participants in the qualitative study were 13 patients and 13 caregivers. The participants in the quantitative study were 19 patients and 10 caregivers. The authors collected and then analyzed data pertaining to the participants for the period spanning from immediately before discharge until 12 months after initial discharge from hospital. The results revealed that, even after they had returned to home care, the patients still faced problems of limited physical function and complication prevention, and they also struggled to adjust to society. The caregivers, on the other hand, were caring for such home-return patients in a self-sacrificial manner while struggling to cope with psychological distress. However, the psychological distress of both patients and caregivers was not reflected in their healthrelated quality of life. In addition, in the course of their home care-centered lifestyle, the patients and their caregivers─ each of whom experienced psychological distress─ exhibited mutual interactions and attempted to adjust to the lifestyle changes. It is necessary to understand the subjective experiences of patients and their caregivers and to adopt a continuous approach that commences from before the surgery.
本研究的目的是澄清植入心室辅助装置(VAD)患者及其护理人员在家庭护理方面所经历的心理困扰和冲突,以及他们与健康相关的生活质量的变化(SF36),并根据研究结果考虑护理。作者采用混合方法设计,其中定性和定量研究同时进行。定性研究的参与者为13名患者和13名护理人员。定量研究的参与者为19名患者和10名护理人员。作者收集并分析了从出院前到首次出院后12个月期间有关参与者的数据。结果显示,即使在他们回到家庭护理后,患者仍然面临着身体功能受限和并发症预防的问题,他们也很难适应社会。另一方面,护理人员在努力应对心理困扰的同时,以自我牺牲的方式照顾这些回家的病人。然而,患者和照顾者的心理困扰并没有反映在他们与健康相关的生活质量中。此外,在以家庭护理为中心的生活方式的过程中,患者和他们的照顾者──他们都经历过心理困扰──表现出了相互的互动,并试图适应生活方式的改变。有必要了解患者及其护理人员的主观经验,并采取从术前开始的持续方法。
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引用次数: 1
A Study on Process which Accepts a Disease of Patient with Dilated Cardiomyopathy and on Support for Nursing 扩张型心肌病患者疾病接受过程及护理支持的研究
Pub Date : 1900-01-01 DOI: 10.11153/JACCN.5.2_43
Jun Yomogida, Y. Kuroda
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引用次数: 0
『看護師が測定する心肺停止状態にある患者家族ニーズ表』の作成:―信頼性・妥当性の検討― 《护士测量心肺停止患者家属需求表》的制作:-可靠性、妥当性讨论-
Pub Date : 1900-01-01 DOI: 10.11153/JACCN.6.1_34
中谷 美紀子, 黒田 裕子
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引用次数: 0
Relation between Difficulties in Nursing Practice and Willingness to Continue Working among Intensive Care Unit Nurses 重症监护室护士护理实践困难与继续工作意愿的关系
Pub Date : 1900-01-01 DOI: 10.11153/JACCN.13.3_71
I. Yamamoto
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引用次数: 0
期刊
Journal of Japan Academy of Critical Care Nursing
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