欧米における「内視鏡看護研究」の現状--文献的考察を中心に  [in Japanese] The history and present status of researches on endoscopy nursing in the West : A review of the literature  [in Japanese]

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Abstract

研究では,欧米における内視鏡看護研究の歩みと現状を明らかにすることを目的に文献的考察を行った. MEDLINE (1951~2003年)とCINAHL(1982~2003年)のOvidのWeb版(2004年5月7日現在)を使用し, Key wordをNursing and Endoscopyとする全種類の文献のうち,看護系雑誌に掲載されていた109篇を対象に分析を行った.その結果, 1966~1980年代までは解説が中心であったが, 1990年代に入ると研究報告や症例報告もみられるようになり,文献数は増加傾向を示していた.しかし約50年間において,解説に準ずるものが全体の86%を占め,研究報告8.3%,症例報告4.6%であり,未だに内視鏡看護に関する研究が乏しい現状が明らかとなった.文献は活用目的により,『患者の安全・安楽への援助(48.7%)』『医学知識の習得(22.9%)』『看護業務の質の向上や円滑化(28.4%)』の3カテゴリーに大別された. 1960年代後半は医学知識の習得のための報告が主であったが, 1980年代中頃から患者の安全・安楽への援助に関するものが急増していた.さらに1990年代になると,再び医学知識の習得のための報告があり,看護業務の質の向上や円滑化を図るための報告も次第に定着してみられるようになっていた.これらは報告内容によりさらに12サブカテゴリーに分類された.とくに患者の成長段階・理解力・疾患や病期・心理面など患者の特性に視点を置いた看護の報告や,スタッフの教育や健康管理,関連部門や他職種との連携などの実践に繋がる報告が少なく,この方面への研究の蓄積が今後の課題として考えられた.

The aim of the study was to show the historical development and present status of researches of endoscopy nursing in the West. We searched the Web version [Ovid Technolo gies] of MEDLINE from 1951 to 2003 and Cumulative Index to Nursing and Allied Health (CINAHL) from 1982 to 2003 using the following key words: nursing and endoscopy at acce ssed 2004, May 7. A total of 109 articles of nursing on endoscopy were identified. As a result, most articles were commentaries from 1966 to 1989. In the 1990s, research reports and case reports appeared, and the total number of articles increased. Of all articles, 86% were commentaries, 9.1% were research reports and 4.5% were case reports during past 50 years. Thus far, research reports on endoscopy nursing were still limited. These literatures were grouped into 3 categories based the purposes of practical use as follows; Safe and comfortable aids for a patients (48.7%) , learning about gastroenterological endoscopy and bronchology (22.9%) , and Quality improvement and smooth promotion of nursing service (28.4%). In the second half of the 1960s, literatures related to learning about gastroenterological endoscopy and bronchology were main theme. In the middle of the 1980s, articles related to Safe and comfortable aids for a patients increased rapidly. In the 1990s, articles related to learning about gastroenterological endoscopy and bronchology appeared again, and reports related to Quality improvement and smooth promotion of nursing service were established gradually. The contents of articles were grouped into 12 subcategories. In future, it is needed to research in the field following two kinds of contents; 1) Nursin g care service focused on the difference of characteristics of patients, such as growth stage, comprehension, condition of disease, and psychology. 2) Practical methods for staff education and health management, coordinating with related sections, cooperating with various special staffs.

Journal

  • The Journal of the Nursing Society of the Toyama Medical and Pharmaceutical University

    The Journal of the Nursing Society of the Toyama Medical and Pharmaceutical University 6(1), 101-110, 2005-07

    University of Toyama

Cited by:  1

Codes

  • NII Article ID (NAID)
    110004615606
  • NII NACSIS-CAT ID (NCID)
    AA11340152
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • Journal Type
    大学紀要
  • ISSN
    13441434
  • NDL Article ID
    7795419
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z74-B352
  • Data Source
    CJPref  NDL  NII-ELS  IR 
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