The roles and the position of nurses in the renal transplant nursing

本論文の目的は,腎移植医療のなかで看護婦が果たすべき役割とその位置づけを明確にすることである。まず最初に,腎移植看護のフィロソフィーとチーム医療としての移植医療について述べた｡次に調査結果と文献的考察を基に,腎移植看護に携わる看護婦の役割とその位置づけを概説した。ここでは, 看護の対象がレシピエントとその家族,生体腎ドナーであり,看護婦の役割は,移植を待機している時期,移植術前の時期,移植術直後の時期,退院前の時期,退院後のフォローアップの時期に区分して示した｡その役割は予期的指導,術前術後の管理,セルフケア教育,相談指導,心理的支援,危機介入などであり,継続看護の必要性を強調している｡The purpose of this study is to clarify the roles and the position of nurses in the renal transplant nursing. First of all, the author describes philosophy of transplant nursing and medical care of recipients undergoing transplantation as a team. Then, the author outlines the roles and the position of nurses in relation to renal transplantation. Objects of nursing in this situation are the recipients, their families, and the living donors. The roles of nurses are shown in a separate manner at the period of waiting for transplantation, immediately before and after transplantation, before discharge from hospital, and follow-up period after discharge. The roles of nurses are anticipatory guidance, pre-and postoperartive management, self-care education, consultation, emotional support, and crisis intervention and so forth and the author stresses the necessity of continued nursing care