Investigation on care by nurses based on narratives of ASD patients

2019 Fiscal Year Final Research Report

• Project/Area Number: 17K17544
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Community health nursing
• Research Institution: Ishikawa Prefectural Nursing University
• Principal Investigator: oe shingo 石川県立看護大学, 看護学部, 助教 (50611266)
• Project Period (FY): 2017-04-01 – 2020-03-31
• Keywords: 自閉スペクトラム症 / 看護ケア

Outline of Final Research Achievements

Scenes in which autistic spectrum disorder (ASD) patients interact with nurses include scenes in daily life in addition to scenes with a focus on ASD characteristics, and it was considered necessary to accumulate knowledge about nursing care for all aspects of daily life of ASD patients. Moreover, ASD patients' characteristics of being prone to literal interpretation and having difficulty in empathizing with others appeared to have an impact on gaps between perceptions of ASD patients and intentions of nurses. In settings where such gaps emerge, it was suggested that nurses need to have interactions acting on patients’ self-affirmation in a timely manner and may be able to provide ASD patients with nursing care facilitating the development of empathy. In cases where there are no gaps between perceptions and intentions, nurses thought that the interactions need to remain that way.

Free Research Field

精神看護学

Academic Significance and Societal Importance of the Research Achievements

これまでの研究では，ASD患者の特性を要因とする他者とのコミュニケーション課題や問題行動に対する看護ケアが検討されてきたが，本研究の結果より看護師はASD患者の日常生活全般にかかわっており，この点について知見を重ねていく必要性が明らかになったことは、効果的な看護ケアにつながる可能性がある．また，ASD患者のもつ字義的にとらえる傾向や他者との共感をもちにくい特徴に配慮した看護ケア必要であることが明らかになったこと，自己肯定感を養う看護ケアの可能性が示唆されたことは意義があったと考える．