Search Results:　 1-17 of 17

  • 1

    Liaison Treatment for Patients with Chronic Pain of Locomotive Organ-Experience of Fukushima Medical University Hospital(Symposium/The Role of Psychosomatic Approach in Team Medical Care)  [in Japanese]

    Otani Koji

    まず,運動器の慢性疼痛を訴えている患者に対して,器質的疾患の関与と精神医学的問題の関与を整形外科で見極める.後者のスクリーニングには,BS-POPを使用している.患者の承諾が得られ,心身医療科とのリエゾン診療が始まった患者に対して,リエゾンカンファレンスを開催して,コメディカルを含めた医療チームの情報を共有し,一貫した治療方針で治療が行われている.最近のリエゾン診療症例32例の治療成績は,有効15 …

    Japanese Journal of Psychosomatic Medicine 51(8), 709-714, 2011-08-01

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  • 2

    Comparison of Moral Distress and Burnout Experienced by Mental Health Nurses in Japan and England : A Cross-sectional Questionnaire Survey

    OHNISHI Kayoko , KITAOKA Kazuyo , BOWERS Len , STEWART Duncan , MERWE Marie Van Der , NAKANO Masataka , OHGUSHI Yasuko , TANAKA Hiromi , FUJII Hirohide

    倫理的悩みは,看護師が倫理的価値や原則に基づいて正しい意思決定をしたが,現実的な制約により実行できなくなったときに生じる。研究目的は,精神科医療において資源の豊富さに差があるイングランド(以下,英)と日本の精神科看護師が経験する倫理的悩みとバーンアウトを比較することである。方法は,倫理的悩みに関する質問,バーンアウト尺度,それに属性に関する項目から成る無記名自記式質問紙を用いた横断的研究である。対 …

    Journal of Japan Health Medicine Association 20(2), 73-86, 2011-07-31

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  • 3

    Nationwide survey on the need for psychiatric training in palliative care education: the psychiatrist standpoint  [in Japanese]

    Hatano Yutaka , Tsuda Makoto , Maebayashi Yoshiro , Shima Yasuo , Kawase Masatoshi , Fukui Kenji

    【目的】緩和ケアの充実および緩和ケア専門医の育成が急務であるが, その中で精神的苦痛緩和の重要性が認識されるようになってきている. そこで, 緩和ケアに求められる知識・技術, 特に精神医学的知識・技術の必要性と自己評価を明らかにし, 緩和ケア教育での精神科研修のあり方を探るため, 調査を行った. 【対象・方法】全国の緩和ケア病棟およびがん診療連携拠点病院の緩和ケアチームで専従もしくは専任の勤務経験 …

    Palliative Care Research 4(1), 101-111, 2009

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  • 4

    A Support System for Young Psychiatric Nurses with Conflicts between Colleagues  [in Japanese]

    YAMAGUCHI Tomoyo , SHIMAZU Seiko , YAMADA Kiyoko , ARAKI Takaharu

    今回の調査では,精神科病棟で勤務する卒業後5年前後の若手看護師が感じている,看護者間の対人関係上おこる葛藤に焦点を当てた。研究方法は,病棟で行われた看護体験を語り合う会での若手看護師の発言を分析するためにKJ法を用いた。403枚のラベルから5つの島が出来,そのうち,若手看護師とチームの看護者間の関係性を示す「スタッフとの相互作用」は,101枚存在した。その中で,「乗り越えるべき壁」「良好な支援関係 …

    Journal of School of Nursing Osaka Prefecture University 12(1), 77-84, 2006-03-01

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  • 5

    Burnout among psychiatry staff nurses : Comparing with another staff except nurse  [in Japanese]

    YAMAGUCHI TOMOYA , ONISHI RYO , OOKA YUKA , SUKITA MISUZU , TSUJIMARU SHUSAKU

    本研究は,精神科看護職のバーンアウトを,他職種と比較することで検討するものである。その結果,情緒的消耗感と脱人格化で有意に看護職のほうが高かった。また,看護職のバーンアウトには,自己の能力の欠如が大きく関連しており,精神科看護の困難さと看護効果の見えにくさが反映した形となった。さらに,看護職の情緒的消耗感においては,サポートや対処行動が緩和要因となっておらず,何らかの対策が必要であることが示された …

    Kurume University psychological research 4, 127-134, 2005-00-00

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  • 6

    The Present Medical System for the Treatment of Eating Disorders in Japan and Proposals for Future Improvements  [in Japanese]

    Takagi Syuichiro , Suzuki Yutaka

    摂食障害の増加に対し本邦での対応は遅れており, 治療システムの構築が必要である.実態の把握のため, 精神科医, 開業医, 心療内科医の医師にアンケートを行い, 769名から回答を得た.その結果にわれわれの見解も加え報告した.治療施設の拡大が必要である.日本の保険医療制度にマッチした治療指針が望まれる.専門医が不足しており, 病態レベルに応じた治療の役割分担が必要である.家族療法の充実, 集団療法, …

    Japanese Journal of Psychosomatic Medicine 41(7), 549-556, 2001-10-01

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  • 7

    A Study on Therapeutic Teams in Psychoanalytical Hospital Treatment : Diversity and agreement within the team

    KANO Rikihachiro

    … The author evaluates the group function of therapeutic teams in psychoanalytical inpatient treatment, by examining the association between perception of factors which affect treatment in 4 groups comprising the therapeutic team: the patients, attending physicians, supervisors, and nurses. … The survey was conducted prospectively following the course of hospitalization on 98 patients and staff groups using 8 rating scales. …

    Tokai journal of experimental and clinical medicine 25(3), 101-116, 2000-10-00

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  • 8

    Nurses' Perspectives concerning Do-Not-Resuscitate (DNR) Orders

    HOSAKA Takashi , NAGANO Hirotada , INOMATA Chieko , KOBAYASHI Ichiro , MIYAMOTO Tsuyoshi , TAMAI Yoshihumi , TAMURA Yoshiyuki , TOKUDA Yutaka , YONEKURA Shuji , SAITO Hiroko , MORI Tomoyuki

    … The purpose of this study was to investigate the views of the nursing staff concerning do-not-resuscitate (DNR) orders at the Tokai University Hospital where a controversial incident occurred several years ago. … The questionnaire was returned by 706 of 780 (90.5%) nurses from every ward/specialty, which revealed that 87% of the nurses felt that DNRs were occasionally necessary, with more than 40% of the nurses answering that they took part in DNR. …

    Tokai journal of experimental and clinical medicine 24(1), 29-34, 1999-04-00

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  • 9

    A Test of Introduction of the "Continuous Case Method of Module Form" in Nursing Modality  [in Japanese]

    Ando-KITAMURA Michiyo , Kadota Nahomi , Mitsuda Sachie

    … The methods used by nurses while working in a ward cause stress. …

    Memoirs of Kyushu University School of Health Sciences 26, 31-38, 1999-03-00

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  • 10

    The Influence of the Nurses' Denial to the Patients : The Staff Members' Team Changes by Nurses' Recognition and Healing  [in Japanese]

    西増 和美 , 猪野 美春 , 西岡 那美

    病院・地域精神医学 = The Japanese journal of hospital and community psychiatry 41(3), 237-239, 1998-09-30

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  • 11

    Consultation-liaison Service by Psychiatrists(The Present State and Problems of Consultation-liaison Activities viewed from a Standpoint Psychosomatic Medicine)  [in Japanese]

    Kashiwase Hirotaka , Kato Makoto

    精神科医として経験した症例を取り上げ, 検討した.(1)当院の現況について, 依頼票の内容の不備, 他科病棟内に面接室がない, 入院患者の精神科への転棟については必ずしもスムーズに行われていない, などの問題点があった.(2)外来患者のコンサルテーションで, 近所の総合病院から精神科がないために頻繁に依頼がなされてくる.せめて国公立の総合病院ぐらいは, 週半日でもよいから精神科外来を開くべきである …

    Japanese Journal of Psychosomatic Medicine 38(2), 119-126, 1998-02-01

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  • 12

    A Supportive Approach to the Patient's Family in Palliative Care(Changing Family Relationships and Health Problems)  [in Japanese]

    Ito Junichiro , Yagihashi Masahiko , Shimoyama Naoto

    … In this round, some psychiatrists, anesthesiologists and nurses have attended and made a "palliative care team". … because many patients are still not informed of the name of disease from the medical staff in our country. …

    Japanese Journal of Psychosomatic Medicine 35(3), 235-240, 1995-03-01

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  • 13

    Nurse's Attitude toward Palliative Care Units  [in Japanese]

    Kamimura Akiko , Minakawa Kuninao , Yoda Yumi , Ohkura Hisanao

    … We sent questionnaires to 327 doctors, nurses and other paramedical staff working on the medical wards of the National Cancer Center and of a general hospital as well as in the palliative care units of three general hospitals. … The present paper analyzes the responses of 148 nurses in their 20's and 30's. … Most nurses believe that terminally ill patients are best cared for in palliative care units or hospices. …

    Japanese Journal of Psychosomatic Medicine 34(4), 299-306, 1994-04-01

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  • 14

    Stress among Nursing Staff in Terminal Care  [in Japanese]

    Kamimura Akiko , Minakawa Kuninao , Yoda Yumi , Ohkura Hisanao

    … The object of the present survey was to reveal the difficulties and stress experienced by the medical and paramedical staff caring for the terminally ill and their families both in medical cancer wards and in palliative care units. … We sent questionnaires to 215 doctors, nurses and other paramedical staff working on the medical wards of the National Cancer Center and in the palliative care units of three general hospitals. …

    Japanese Journal of Psychosomatic Medicine 34(4), 291-298, 1994-04-01

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  • 15

    Group Therapy for Mothers of Eating Disorder Patients (Diagnosis and Treatment of Eating Disorders)  [in Japanese]

    Takagi Shuichiro

    … Besides a psychiatrist, the staff includes highly experienced professionals from various fields : 2 psychotherapists, 2 nurses, as well as pediatricians and psychiatric residents who joined the group later. … The unity and nature of the staff, their eagerness, their knowledge and understanding of eating disorders, are all important to the success of group therapy. … It is also excellent training for the staff, significantly raising the quality of the therapeutic team. …

    Japanese Journal of Psychosomatic Medicine 34(2), 183-189, 1994-02-01

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  • 16

    PROBLEM PATIENTS AND THE REHABILITATION TEAM  [in Japanese]

    SAITO Eiichi MD , KOTOKU Hayato MD , HOSAKA Takashi MD , HAMADA Akiko OTR , TERAKAWA Yukari MSW , NAKASHIMA Masumi OTR , TOYOKURA Minoru MD , TANAKA Hiroshi MD , JUNNAI Hiroyuki RPT , ISHIDA Akira MD , MURAKAMI Keiichi MD

    … sex were important factors : rather diagnosis associated with severe disability, viz., cerebrovascular accident (CVA), brain injury, and tetraplegia, were highyl correlated with "problem patients".3) Nurses tended to see CVA patients as problematic when the patients were severely disabled.4) Among 239 causes that personnel identified as problematic, 36 causes (15%) appeared to be derived from troubles within the service team, for instance, role conflicts among staff members.5) Four patients were unanimously considered …

    The Japanese Journal of Rehabilitation Medicine 26(1), 51-58, 1989-01-18

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  • 17

    The Team Approach to the Dying Patient and the Role of Hospice(Care of the Dying)  [in Japanese]

    Kashiwagi Tetsuo

    … Physicians, nurses, social workers, paramedical staff and pastors make one team to take care of the many needs of the dying patient (physical, psychological, social, and spiritual needs). …

    Japanese Journal of Psychosomatic Medicine 22(6), 511-516, 1982-12-01

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