{"created":"2021-03-01T06:12:23.966275+00:00","id":8539,"links":{},"metadata":{"_buckets":{"deposit":"fe664d0e-28dc-4a15-a8c5-876b00be027a"},"_deposit":{"id":"8539","owners":[],"pid":{"revision_id":0,"type":"depid","value":"8539"},"status":"published"},"_oai":{"id":"oai:soar-ir.repo.nii.ac.jp:00008539","sets":["882:884:885:899"]},"author_link":["24658"],"item_10_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2000-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"204","bibliographicPageStart":"199","bibliographicVolumeNumber":"29","bibliographic_titles":[{"bibliographic_title":"信州大学医学部附属病院看護研究集録"}]}]},"item_10_description_20":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"小児は成長発達の途上であり,入院・治療などのストレスに対する対処機制や因子が成人とは異なる。そのため小児には成人と異なる心理的配慮が必要だが,十分な配慮がなされないまま手術や処置がされる場合がある。今回2回の開頭手術後,発話の消失が見られた小児を経験した。この事例に岡堂の小児のストレス理論をあてはめ,心理的なものではないかと仮定し,ストレス因子,援助方法を抽出して援助を行ったところ有効であった。特に、「目新しさ」「自己概念の変化」「両親の不安」「遊び」は強化されたストレスであり,それらに対する有効だった援助でもある。小児は退行行動など負の対処機制で対処し,また成長過程の途上であり,理解力や自己概念,遊びなどの因子,そして両親の不安など本人以外の因子も加わるため,その分心理的危機状態に陥りやすい。そのため小児は心理的側面を考慮し,早期より,繊細で多彩な援助が必要である。","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 29(1): 199-204(2000)","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_source_id_35":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1343-3059","subitem_source_identifier_type":"ISSN"}]},"item_10_source_id_40":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11387338","subitem_source_identifier_type":"NCID"}]},"item_1627890569677":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"野瀬,  貴可"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-09-25"}],"displaytype":"detail","filename":"Nurshing_Research29-01-33.pdf","filesize":[{"value":"341.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Nurshing_Research29-01-33.pdf","url":"https://soar-ir.repo.nii.ac.jp/record/8539/files/Nurshing_Research29-01-33.pdf"},"version_id":"83964613-eeee-4ae2-bb45-5543a1909061"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"小児","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"心理的危機状態","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ストレス","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"心理的危機状態にある小児に対する援助(術後発話障害になった患児の事例を通して学んだ事)","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"心理的危機状態にある小児に対する援助(術後発話障害になった患児の事例を通して学んだ事)","subitem_title_language":"ja"},{"subitem_title":"Care of Infants Who are in Psychological Crisis","subitem_title_language":"en"}]},"item_type_id":"10","owner":"1","path":["899"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2012-03-19"},"publish_date":"2012-03-19","publish_status":"0","recid":"8539","relation_version_is_last":true,"title":["心理的危機状態にある小児に対する援助(術後発話障害になった患児の事例を通して学んだ事)"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-02-10T00:22:06.583449+00:00"}