A study of nurses' understanding of patient behavioral problems

カンゴシャ　ニ　トッテ　タイオウ　コンナン　ナ　カンジャ　コウドウ　ノ　リカイ　ニ　カンスル　コウサツ

池田, 明子

オオサカ　ダイガク　ダイガクイン　イガクケイ　ケンキュウカ　ホケンガク　センコウ

コミュニケーション障害

看護者の反応

The Anxious Patient

Communication Problems

Nurse's Attitude and Response

The purpose of this study is to analyse the patient's behavioral problems and clarify the factors affecting the nurse's difficulties in understanding them. This patient was transtered from a general ward to the psychiatric ward and he had severe communication problems caused by physical and mental disease. I felt it important to analyse the patient's psychiatric history, their mental status examination, their normal coping pattern, recent changes in their life, etc. But when nurses attempt to understand the patient's behavioral problems,it is difficult for the nurses to identify what patients may be communicating in those behaviors and comprehend the dynamics of the patient's behavioral problems . In this case, the nurse was affected negatively by the patient's intense anxiety and she tried to decrease her own anxiety before she helped her patient. These types of nurse responses may impair the process of the nurse's awareness of the dynamics of the patient's behavioral problems. As a result, the nurse was inclined to avoid the patient and became to feel powerless . The most difficulty for the nurse to comprehend the patient's behaviors was to explore her own attitudes and reactions that might be affected by the patient .

池田, 明子