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Title :家族性アミロイドポリニューロパチー(FAP)患者の看護における基礎的研究 : 肝臓移植を受けていない患者の看護記録の分析から
Authors :柊中, 智恵子
森田, 敏子
渡辺, ちず子
安東, 由喜雄
Issue Date :29-Feb-2008
Citation jtitle :熊本大学医学部保健学科紀要
vol. :4
start page :23
end page :34
Abstract :FAP患者の看護について、筆者はこれまでに人口肛門造設術や遺伝子診断について報告してきた。田口らは異常感覚の強い患者の苦痛緩和に向けた援助を事例報告し、海外では、Jonsenらが肝臓移植後のQOLについて報告している。しかし、FAP患者の看護について体系的に整理したものは、国内外をみても報告されていない。そこで、FAP患者の看護を体系化するための基礎的研究として、本研究では肝臓移植を受けておらず、症状が進行している4名の患者の看護記録を分析し、行われた看護内容を明らかにした。
The purpose of this study is to identify some points to take into consideration when nursing patients with advanced Familial Amyloidotic Ployneuropathy (ATTR Val30Met) who have not had a liver transplantation. We analyzed the nursing records of four cooperating patients during their stay in the hospital. In regard to their clinical symptoms, all 4 patients showed clear symptoms of a dysautonomia and a peripheral neuropathy and other general bodily symptoms. Three of them were admitted to the hospital in order to have a pacemaker inserted. One of those three patients had a marked kidney disorder as well and was having dialysis. The other patient was staying in the hospital in order to receive treatment for malnutrition, orthostatic hypotension and diarrhea. Examination of the records identified the necessity for the nursing staff to provide assistance in all aspects of everyday activities including exercises, rest, food intake, excretion and hygiene as well as assistance in their medical treatment. However, it is also important for the staff to anticipate, and cope with, such symptoms as peripheral neuropathy and dysautonomia and other general bodily symptoms that may appear as the patients' conditions progress.
Type Local :紀要論文
ISSN :18807151
Publisher :熊本大学
URI :http://hdl.handle.net/2298/17833
Appears in Collections:Bulletin of Kumamoto University, School of Health Sciences (Medicine)
Please use this identifier to cite or link to this item: http://hdl.handle.net/2298/17833