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"「自閉スペクトラム症」の児童は、成長段階にあることから、長期間にわたり、家族も含めた医療、教育現場や行政等、多くの支援が不可欠となる。今回、「自閉スペクトラム症」患者の10代から20代にかけての5年間に支援者の一員としてかかわった。患者は5年の聞に、自ら「自閉スペクトラム症」と向き合い、徐々に「自己肯定感」を高めながら「自律」していった。そこで、カルテ記録および患者へのインタビューをもとに患者とのかかわりを振り返り、「自己肯定感」を高めながら「自律」していく過程における有効な看護師のかかわりについて分析した。その結果、患者が「自己肯定感」を高めながら「自律」していくためには、①家族も支援しながら患者の特性を理解し、安心できる環境を提供すること、②本人が「変わりたい」と考えて行動するまで待ち、その思いを支援すること、③受け持ち看護師を固定し、看護チームが共通理解のもとにフォロ一体制をとることが重要であった。", "subitem_description_type": "Abstract"}]}, "item_10_description_30": {"attribute_name": "資源タイプ（コンテンツの種類）", "attribute_value_mlt": [{"subitem_description": "Article", "subitem_description_type": "Other"}]}, "item_10_description_5": {"attribute_name": "引用", "attribute_value_mlt": [{"subitem_description": "信州大学医学部附属病院看護研究集録 46(1):28-32(2018)", "subitem_description_type": "Other"}]}, "item_10_publisher_4": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "信州大学医学部附属病院看護部"}]}, "item_10_select_64": {"attribute_name": "著者版フラグ", "attribute_value_mlt": 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