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ID 109630
タイトルヨミ
タイイン オ ノゾマナイ チョウキ ニュウイン トウゴウ シッチョウショウ カンジャ ニ タイスル チイキ セイカツ ノ ジシン カクトク ニ ムケタ コンコーダンス スキル オ カツヨウ シタ カンゴ メンセツ ノ コウカ
タイトル別表記
Effectiveness of nursing interviews using concordance skills aimed at acquisition of self-confidence toward community life for long-stay patients with schizophrenia not wishing to be discharged
著者
片岡, 三佳 徳島大学大学院ヘルスバイオサイエンス研究部メンタルヘルス支援学分野 KAKEN研究者をさがす
谷岡, 哲也 徳島大学大学院ヘルスバイオサイエンス研究部看護管理学分野 徳島大学 教育研究者総覧 KAKEN研究者をさがす
友竹, 正人 徳島大学大学院ヘルスバイオサイエンス研究部メンタルヘルス支援学分野 徳島大学 教育研究者総覧 KAKEN研究者をさがす
三船, 和史 医療法人社団三愛会三船病院精神科
キーワード
Concordance skills
Nursing interview
long-stay patients with schizophrenia not wishing to be discharged
資料タイプ
学術雑誌論文
抄録
In the present study, we conducted nursing interviews using concordance skills (CS interviews) aimed at acquisition of self-confidence toward community life for two long-stay patients with schizophrenia who did not wish to be discharged from psychiatric hospital, and evaluated the effectiveness of CS interviews. Case A was a woman in her 70s who was diagnosed with schizophrenia at around age of 17 years and had been institutionalized for approximately 30 years since her ninth admission. Case B was a man in his 30s who was diagnosed with schizophrenia at around age of 22 years and had been admitted 15 times due to auditory hallucination, delusions, suffers a relapse, has been in hospital for two years and six months since his latest admission. As a result of interviews, scores on the Self-Efficacy for Community Life Scale improved from 150 to 160 points for Case A and from 66 to 82 points for Case B. In the Case A, the Global Assessment of Functioning (GAF) score was 35 with no changes before and after intervention. In the case B, GAF score improved from 25 to 35, before and after six months intervention. These findings suggest that CS interviews are effective for promoting self-confidence toward community life among long-stay patients and useful for providing support without exacerbating the severity of psychiatric symptoms or functional level of long-stay patients during the stage in which they nurture the dreams and hopes to be discharged.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
69
3-4
開始ページ
157
終了ページ
164
並び順
157
発行日
2013-08-25
EDB ID
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
医学系