{"created":"2023-07-25T09:52:40.303881+00:00","id":26,"links":{},"metadata":{"_buckets":{"deposit":"8a79c741-7c07-49b5-a8cb-ec3e33149d9e"},"_deposit":{"created_by":11,"id":"26","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"26"},"status":"published"},"_oai":{"id":"oai:gcnr.repo.nii.ac.jp:00000026","sets":["2:11"]},"author_link":[],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"53","bibliographicPageStart":"43","bibliographicVolumeNumber":"15","bibliographic_titles":[{"bibliographic_title":"岐阜県立看護大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of Gifu College of Nursing","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　本研究は、精神科急性期治療期間を超過した患者を受け入れる機能を有するある一病棟において、入院3ヵ月以上1年未満で退院した事例に対して実施された看護や看護師の認識、退院患者の思いを明らかにし、そこから急性期治療期間を超過した患者のさらなる入院長期化を防止するために必要な看護を検討することを目的とした。\n　退院患者に対して実施された看護は[患者に積極的に関わり、話を聴き、思いを捉えた上での説明・提案等の対応]、[身体・精神症状の軽減と安全の確保]、[日常生活上のセルフケア不足への介助]、[身体・精神上の健康問題に対する自己管理能力の向上]、[肯定的な評価]等の9つに整理された。また、看護師の認識として[適切な時期が来たら退院できる]、[退院は難しい]、[服薬自己管理は無理]、[すぐに再入院するかもしれないが退院できるうちにした方が良い]等11の内容が明らかとなった。さらに、退院患者の思いとして[看護師と会話ができて良かった]、[話を聴いてほしい]、[看護師には退院希望を言わない]等29の内容が明らかとなった。\n　検討の結果、急性期治療期間を超過した患者のさらなる入院長期化を防止するための具体的な看護実践内容9つと看護師に必要な姿勢2つを合わせて11の看護が必要だと考えられた。その看護は、[積極的に退院支援に取り組む姿勢]、[患者の力を信じる姿勢]、[患者に積極的に関わり、話を聴き、思いを捉えた上での説明・提案等の対応]、[肯定的な評価]、[退院を視野に入れてのアセスメント]、[身体・精神症状の軽減と安全の確保]、[日常生活上のセルフケア不足への介助]、[身体・精神上の健康問題に対する自己管理能力の向上]、[退院に関する思いや認識の確認と退院に向けた練習・具体的準備への支援]、[多職種間・看護師間で連携し援助方針の検討・提案・情報共有]、[家族の思いの把握と家族間調整]であった。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"研究報告"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"岐阜県立看護大学","subitem_publisher_language":"ja"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11546486","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-2520","subitem_source_identifier_type":"PISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Kuzuya, Reiko","creatorNameLang":"en"},{"creatorName":"葛谷, 玲子","creatorNameLang":"ja"},{"creatorName":"クズヤ, レイコ","creatorNameLang":"ja-Kana"}]},{"creatorNames":[{"creatorName":"藤澤, まこと","creatorNameLang":"ja"},{"creatorName":"Fujisawa, Makoto","creatorNameLang":"en"},{"creatorName":"フジサワ, マコト","creatorNameLang":"ja-Kana"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-06-04"}],"displaytype":"detail","filename":"1501_P043.pdf","filesize":[{"value":"466.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"精神科急性期治療期間を超過した患者のさらなる入院長期化を防止するために必要な看護","url":"https://gcnr.repo.nii.ac.jp/record/26/files/1501_P043.pdf"},"version_id":"5c9b64da-83a2-476b-863a-1bb330a63cb5"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"入院長期化防止","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"退院支援","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"精神科急性期治療期間","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"prevention of prolonged hospital stay","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"discharge support","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"psychiatric acute-phase treatment period","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"本文言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"精神科急性期治療期間を超過した患者のさらなる入院長期化を防止するために必要な看護","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"精神科急性期治療期間を超過した患者のさらなる入院長期化を防止するために必要な看護","subitem_title_language":"ja"},{"subitem_title":"Nursing Required to Prevent the Prolonged Admission of Patients Who Have Exceeded the Acute Phase Treatment Period for Psychiatric Care","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"11","path":["11"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2016-06-04"},"publish_date":"2016-06-04","publish_status":"0","recid":"26","relation_version_is_last":true,"title":["精神科急性期治療期間を超過した患者のさらなる入院長期化を防止するために必要な看護"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-12-18T05:26:24.425819+00:00"}