クロイツフェルト・ヤコブ病の看護  クロイツフェルト・ヤコブ病患者入院受入れの経験  病棟体制の整備と看護:―病棟体制の整備と看護―  [in Japanese] Nursing of the Patients with Creutzfeldt-Jakob Disease. Acceptance of a Patient with Creutzfeldt-Jakob Disease: Establishment of Nursing System and Care Manual in Our Hospital Ward.:ESTABLISHMENT OF NURSING SYSTEM AND CARE MANUAL IN OUR HOSPITAL WARD  [in Japanese]

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Abstract

1997年クロイツフェルト・ヤコブ病(CJD)がマスコミを賑わしている最中に, 当院にCJDの紹介があった. 入院を受け入れるにあたり, 感染などの恐れから職員の不安は大きく, 辞職を申し出る職員も出現した. 病院幹部をはじめとして, 施設全体の協力を得ながら職員教育と感染防止対策の徹底を図った. ウイルス性肝炎なみの防護体制をとるとともに, 職員教育では感染効率が低いことと, 通常の看護業務では安全であることを強調した. そして, 病棟の受入れ体制をスタッフとともに整備した結果, 医療事故も辞職者もなく, 終末まで無事患者を看取ることができた. 受入れ当初は試行錯誤の中であり, CJDの学問的見地からすると, 感染防止対策は厳重すぎた点も多く, 今後は, 当施設に応じたCJD受入れ体制を検討する必要がある.

We accepted a woman patient with Creutzfeldt-Jakob disease (CJD) in 1997. In that year, CJD was a hot topic of the journalism, and some employees suggested their resignations in our hospital because of panic for unknown etiology of the fatal infaction, Then, we tried to establish the management manual for CJD patient and made a campaign for education to all employees. The manual indicated strict anti-infection mimicking that of viral hepatitis. In the campaign, neurologist and head nurse emphasised low efficiency of the infection and safety in routine nursing for CJD in spin of restricted manual. The patient terminated after 17 months administration to our hospital without medical accident and resigned person. Although our manual for CJD care may be strict for current standard, accurate practice produced good results to abolish the fear of the employees including the nursing and caring staffs in those days.

Journal

  • Japanese Journal of National Medical Services

    Japanese Journal of National Medical Services 56(11), 646-649, 2002

    Japanese Society of National Medical Services

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