@article{oai:toyama.repo.nii.ac.jp:00002600,
 author = {原, 元子 and 八塚, 美樹 and 長内, 志津子 and 安田, 智美 and 吉井, 美穂 and 松井, 文 and 田澤, 賢次},
 issue = {1},
 journal = {富山医科薬科大学看護学会誌},
 month = {Jul},
 note = {application/pdf, 看護は対人関係を基盤とした援助行動プロセスである.私たちは先行研究において,維持期の透析患者への援助行動プロセスは「規範」「感情」「認知」から成り立ち,【概略認知】【初期感情】【規範意識】【事態・ケースに対する認知】【援助意図の決定】【援助行動】【援助結果】【患者の行動や反応に対する感情】【揺れ動く認知】の9つに分類されたことを報告した.そこで今回は,効果的な援援助行動プロセスに繋げるために,援助行動プロセスの構造を援助成果と援助の達成感の視点で分類し,その分類した各援助行動プロセスの特徴を分析した.その結果,(1)援助成果が得られ,援助者の達成感も得られた(1型)(2)援助成果は得られたが援助者の達成感は得られなかった(2型)(3)援助成果が得られず援助者の達成感も得られなかった(3型)(4)援助行動を行わなかった(4型)の4類型に分類した.維持期の透析患者への生活援助行動時に看護師は,援助行動プロセスにおいて,1型では<感情移入制限による感情修正>,2型では<感情抑制>や<感情優先>,3型では「自己防衛的言動」,4型では「患者への責任転嫁」や「援助行動の据え置き」が語られ,次の援助行動への規定因となっていた.これら,【揺れ動く認知】における,看護師の感情処理および表出の仕方が援助類型に関与していた., Nursing is an assistance action process based on personal relationships. We previously reported that processes of assistance action for patients undergoing maintenance hemodialysis consisted of norma, feeling, and cognition and furthermore were subdivided into 9 categories: outline cognition, initial feeling, norma consciousness, congnition to a situation and a care, determination of an assistance intention, assistance action, assistance result, feeling over action and reaction of patient, and shaking cognition . In this study, to provide assistance for patients effectively, the structures of assistance action processes were analyzed from point of view of assistance results and sense of attainment, namely classified 4 types as follows: type 1 was successful in both sense of attainment and satisfaction results of assistance and; type 2 was Assistance results were obtained but not sense of attainment ; type 3, Neither assistance results nor sense of satisfaction was obtained; and type 4, no assistance action was performed. And we clarified the character of each structure of process. The result showed that in daily life assistance action for patients undergoing maintenance hemodialysis, nurses described the revision of feeling by restriction of feeling transfusion in type 1 assistance action process, inhibition of feelings and priority of feelings in type 2, self-protective words and actions in type 3, and shift the blame onto patients and abstention of further assistance in type 4. In conclusion, assistant actions were regulated by shaking cognition, caused by the control of feelings and the manners of expression of feelings, and these were associated with the determination of four types of process of assistance action in nurses engaged in uatient with receiving1 hemodialvsis., Article},
 pages = {81--90},
 title = {血液透析患者への生活援助場面からみた看護師の援助行動プロセスにおける援助行動成果と援助達成感について},
 volume = {6},
 year = {2005}
}