論文

ロンドンの警察署に勤務している司法専門看護師の活動や、司法関係者、警察関係者から、触法精神障害者への制度の説明を受けた。この視察の報告である。

弧発性パーキンソン病のライフスタイル、嫌酒傾向、心理的特長について報告した。また、幻覚をもつ患者の遺伝的多型について報告した。

与薬法、特に注射について解剖生理学の知見を加え、看護技術を実施するに重要な項目を列挙した。

孤発性パーキンソン病患者と同年代の対象群について、嫌酒傾向と、飲酒量についてALDH２多型を用いて比較検討を行った。ALDH２分布には差がなかったが、嫌酒傾向が見出された。

孤発性パーキンソン病と関連する可能性のある遺伝的多型について、CCKを中心に分析し、その結果を報告した。

OBJECTIVE: The objective was to conduct a survey to examine what support is necessary for patients with Parkinson's Disease (PD) given in-home care in Japan and to determine the current status of care service utilization. In 2004, a questionnaire survey was conducted on the Tokyo chapter members of the Japan PD METHODS: Association and the results were compared with those from the 1995 survey performed on subjects from the same association. In the 1995 survey, half of the association members of the chapter were selected via random systematic sampling. In the 2004 survey, the questionnaire was mailed with a newsletter to all the association members of the chapter. The individuals returned their questionnaires by postal mail. The collection rates were 52.9% in 1995 and 21.3% in 2004. In both surveys, the mean age of RESULTS: the participants was 69.0 years old. The respondents in the 2004 survey had a higher severity of disease and a larger percentage answered that they had predominant symptoms and difficulties with daily life. Regarding participation in various activities, opportunities to work had decreased, but the possibility of meeting people other than at work and to engage in hobbies and relax had increased. Regarding sources of information, decrease was noted for public health nurses and increase for magazines. There was an increase in the number of people who were told that their problem was psychological at their initial diagnosis. 58.2% of the respondents in the 2004 survey received approval for long-term care insurance, and 37.3% of these reported that they their symptoms were more severe than the level for which they were approved. 7.5% of the respondents answered that their condition had worsened after admission to a nursing facility. CONCLUSION: The results of this 2004 survey have limitations and might not be characteristic of all PD patients. However, the respondents answered that their severity of disease was high and their difficulties increased, despite increase in opportunities to enjoy hobbies and to relax. Clearly, some patients feel that their condition is more severe than the level recognized by the primary nursing care authorities, with some considering that their conditions worsened after receipt of services. Understanding the characteristics of PD, provision of services appropriate to patients' symptoms, and ways of incorporating rehabilitation in patients' daily lives appear to be increasingly necessary. Information support is necessary to understand how best to provide psychological support for PD patients.

© 2018, Kobe University School of Medicine. All rights reserved. This study assessed the symptoms, treatment, social systems use, and perception of living conditions of patients with young-onset Parkinson’s disease (YOPD), and investigated the support needed by them. Method: Among the 252 people who completed our questionnaire, we defined YOPD patients as those diagnosed as young onset or those with onset at ≤40 years. The data were compared with others. Results: There were 24 patients with YOPD (9.5%) (average age: 61.7 years), with an average disease duration 6.4 years longer (p < 0.01) and time until diagnosis 0.7 years longer (p < 0.1) than those of other patients. This group took 1.6 times more types of medicines, and time to their next appointment was 8.6 days shorter than that of other patients (p < 0.05). Patients with YOPD had more pulsive walking and more sweating (p < 0.05), and more motor fluctuation (p < 0.1). More patients with YOPD had a physical disability certificate but felt they were not obtaining the required services (p < 0.05). 45.0% of the YOPD group wanted to work more, more used information and communication equipment (p < 0.05), and more felt their medications were adequate (p < 0.1). Conclusions: Increased awareness of YOPD is needed. YOPD patients have motor fluctuation because of the longer disease duration. Thus, the support of doctors and nurses, and frequent examination visits, are indispensable for controlling symptoms to achieve middle age developmental tasks. Increased support for care-giving, leisure-time activities, and work is also necessary and may help maintain the desire to work in this group.

麻薬の取り扱いに関するチェックリストを作成した。

パーキンソン病患者の生活調査を行い、身体の種類の程度と患者のニーズについての分析を行った。障害者プランに先駆けて、患者の社会的資源のニーズを分析した。

現在の看護教育を参考にして看護における遺伝看護の体系を提案した。また、遺伝情報の取り扱いについて提示した。

触法精神患者へのよりよい支援のために十分な看護体制が必要なことを述べた。

看護学生向けに、HIVウイルスを例にしながら、遺伝子治療について解説した。

現在の住宅改修と福祉用具についてまとめた。障害をもつ人々がより安全に在宅ですごせるように、住環境整備について述べた。

福祉住環境コーディネートの視点を看護へ紹介した。また、本学の短大生の合格紀を加え、日本商工会議所主催の試験勉強の具体策を紹介した。