@article{oai:ncn.repo.nii.ac.jp:00000103, author = {寺島, 憲治 and 内田, 雅代 and 平出, 礼子 and 竹内, 幸江 and 扇, 千晶}, journal = {長野県看護大学紀要, Bulletin,Nagano College of Nursing}, month = {Mar}, note = {110004687751, 造血細胞移植の無菌管理の簡略化が検討されている中で,わが国の造血細胞移植施設における内服援助の実際と病棟の方針および看護婦個人の考えを明らかにし,内服援助の視点について考察した.   内服援助の実際では,看護婦は様々な方法で内服薬の味や形態の工夫をしており,薬剤師の協力の見られた病棟もあった.看護婦の対応では,患児の気持ちを大切にした関わりがされていた.また,内服には家族の協力もあり,その協力の仕方は様々であった.内服は絶対不可欠という厳重な病棟方針に対する看護婦個人の考えも内服は必要であり飲ませるとするものが多かった.また患児にとって過酷な状況で内服を強いられている実態も見られ,患児の苦痛を目の当たりにしながら援助する看護婦の葛藤も見られた.患児の状況を最も把握している看護婦の役割として,内服中止の判断も含め積極的に関わろうとする意見もあり,看護婦の役割の再認識と拡大を求める姿勢がうかがえた., The purpose of this study was to clarify 1 ) how the nurses have assisted for the children who have difficulties of taking oral medication, 2) what kind of the policy in the wards on the children’s oral medication, 3) nurses’ individual thoughts for the policy in the ward. Questionnaire contained both closed and open-ended questions. This questionnaire was sent to 42 wards(3 copies to 1 ward) . This study result has clarified following facts. 1 ) The nurse cared for them by changing tastes and forms of medications. There were some of wards in which pharmacist, doctor and family discussed the method of oral medication. 2 ) The nurses have got the cooperation of the family of the children, when the children patient takes the medication. The ways of the cooperation of the family and nurses were various. 3 ) Many nurses have agreed policy of their ward. 4 ) There were some of wards in which the children go on taking the medication, until appearance of stomatitis and hematemesis and consiousness. 5 ) Nurses have to better themselves for children.  Nurses have to constantly reassess their roles of nursing and betterment of their roles according to the children’s changing status.}, pages = {61--71}, title = {造血細胞移植を受ける小児への内服援助に関する研究 : 内服援助の実際,病棟の方針,看護婦の考え}, volume = {4}, year = {2002} }