JaLCDOI 10.18926/15212
タイトル(別表記) The role of forensic psychiatric nursing in foreign nations
フルテキストURL 014_1_103_111.pdf
著者 日高 経子| 三木 明子| 金崎 悠|
抄録 本論文は,諸外国における司法精神看護(forensic psychiatric nursing)について文献学的に概観し,司法精神看護の役割について明らかにすることを目的とした。司法精神看護師の役割としては,法的知識と看護の知識を持った上で,犯罪者が法廷に出る前の精神症状のアセスメントをし,適切な治療やケアを受けることができるように調整していくこと、また性的暴力を受けた被害者を検査し、フォローアップケアを行うこと等があった。司法精神看護の対象は,重大な罪を犯した精神障害者(触法精神障害者)だけでなく,触法精神障害者の家族,被害者が含まれていた。触法精神障害者に対しては,投薬,薬の効果・副作用の教育,社会的能力のトレーニングを行い,触法精神障害者の家族や犯罪被害者に対しては,感情のアセスメント,心理的危機介入,行動面等の評価を行う役割を担っていた。
抄録(別表記) This paper overviews the role of forensic psychiatric nursing, focusing on the situation overseas. Forensic nursing is primarily involved with the investigation and evaluation of an individual's mental state to determine whether the criminal justice system or the health care system most equitably meets their needs. From an American perspective, Lynch describes different areas of forensic nursing. 'Clinical forensic nursing' involves the application of clinical and scientific knowledge to questions of law and the criminal and civil investigation of survivors of traumatic injury and also includes court-related issues associated with patient treatment. The American system also utilizes a 'sexual assault nurse examiner,' this role is concerned with the clinical examination of sexually assaulted victims and the employment of therapeutic interventions to enable the process of healing. In the UK, this area of work has primarily emerged within the criminal justice system with specially trained police officers engaging with adult individuals who have been the victims of sexual assault, and working in partnership with medical interventions and investigation. Another specialty in the UK is 'forensic psychiatric nursing', concerning the assessment of criminal defendants before their court hearing. In the area of forensic nursing, the subjects are offenders with mental disorders, their families, and victims. The important roles in forensic psychiatric nursing are summarized as follows: assessment of mood and psychiatric symptoms, medication management, risk management, training in social skills, crisis intervention, and evaluation of behavioral or mental disorder.
キーワード 司法精神看護 (forensic psychiatric nursing) 役割 (role) 触法精神障害者 (mentally disorder offenders) 被害者 (victim)
出版物タイトル 岡山大学医学部保健学科紀要
発行日 2003-12-25
開始ページ 103
終了ページ 111
ISSN 1345-0948
言語 Japanese
論文のバージョン publisher
NAID 120002307997
JaLCDOI 10.18926/15194
タイトル(別表記) The significance of therapy in a private room to patientsin acute psychiatric wards
フルテキストURL 015_1_029_037.pdf
著者 豊田 由起子| 三木 明子| 藪下 祐一郎| 鬼塚 愛彦|
抄録 本研究は,全個室病棟で療養する精神疾患患者を対象に,患者自身が考える個室環境の意味を明らかにすることを目的とした。個室に2週間以上療養し,インタビューの協力が得られた患者は7名であった。患者にとっての個室環境の肯定的意味は,自分だけの空間を確保できることから,他者との距離の調節の場,プライバシーが保護される場,自由裁量が拡大される場であると捉えていた。また,休養や睡眠が確保できる場,症状をコントロールできる場であるという治療的意味や,個室を自己洞察の場ととらえ,他者の影響を受けずに自分らしさを再獲得するためという意味が示された。一方,個室環境の否定的意 味として,寂しさや不安が挙げられ,話しかけられる存在を身近に見出しにくい個室においては,わからないことや不安なことを尋ねにくく,人間関係を築くきっかけがつかみにくいことが示された。
抄録(別表記) This study sought to clarify the significance of therapy provided in a private room to hospitalized mentally ill patients, by determining through interview and observation their thoughts and feelings about such an experience. Subjects were 7 mentally ill patients resident in a ward of private rooms. Few patients requested a private room on admission and their reasons for this were considered to include admissions on an involuntary basis, for medical treatment or for custodial care, or because psychiatric status did not enable them to state an intention to have a private room. The results showed that most patients hoped for treatment in a private room regardless of whether or not they had requested it, and that the offer of using such a facility was important to them because most patients who experienced such a therapeutic environment requested it thereafter. Thus, once a patient recognized the availability of therapy in a private room and its benefits, they wanted to use it or to use it more. Patients were found to request use of a private room to preserve privacy, rest in a therapeutic environment promote circumspection, and see themselves as independent of others around, with the affirmative meaning of using a private room as "a place to preserve my privacy ", "a place to take a rest", "a place to gain insight into myself", and "a place to control my condition". Patients reported a negative meaning of "a place to feel loneliness and anxiety".
キーワード 精神疾患 (mentally ill) 患者 (patients) 個室 (private room) 精神科急性期病棟 (acute psychiatric ward)
出版物タイトル 岡山大学医学部保健学科紀要
発行日 2004-12-15
開始ページ 29
終了ページ 37
ISSN 1345-0948
言語 Japanese
論文のバージョン publisher
NAID 120002307586