Definition and practice of nursing care for the comfort of patients seclusion due to acts harmful to others

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K19607
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: The University of Shimane
• Principal Investigator: HINO MASAHIRO 島根県立大学, 看護栄養学部, 助教 (20760482)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: 看護 / 安楽 / 精神科 / 隔離 / 他害行為

Outline of Final Research Achievements

The purpose of this study was to clarify nursing care aimed at the comfort of patients who have been seclusion in psychiatric wards due to harmful behavior, and to compile a collection of practical case studies.
Specifically, a literature review was conducted to show the current state of nursing during seclusion, and the effects of seclusion were clarified through interviews with patients who had been seclusion immediately after and those who had been seclusion for a long time.
These studies suggested that getting patients to express their feelings and perceptions about seclusion would be a starting point for nursing aimed at patient comfort. Utilizing the patients' stories obtained in this study, a collection of practical case studies was created that shows how nursing should be provided.

Free Research Field

精神看護学

Academic Significance and Societal Importance of the Research Achievements

精神科病棟で隔離となった患者への看護のあり方は、行動制限最小化に向けたものが多くある一方、安楽に向けた看護は明らかになっていない。本研究の成果によって、隔離中の患者への看護のあり方への新たな視点を導くことができた。また、患者の体験を語りによって明らかにすることができたことから、隔離となった患者の看護を検討する上での波及性のある基礎資料に位置付けることができた。
特に患者の思いや認識に価値をもつ看護の必要性が示されたことから、隔離となった患者への看護の発展が期待できるものである。