@article{oai:hsuh.repo.nii.ac.jp:00006945,
 author = {白井, 太一 and 佐々木, 重幸 and Shirai, Taichi and Sasaki, Shigeyuki},
 issue = {1},
 journal = {北海道医療大学看護福祉学部学会誌, Journal of School of Nursing and Social Services, Health Sciences University of Hokkaido},
 month = {Mar},
 note = {P(論文), 脳死臓器移植におけるドナー家族の悲嘆心理および看護介入について,文献をもとに考察を行った.ドナー家族のたどる心理過程には,それを数段階に分類する危機モデルがいくつか提唱されているが,これは目安に過ぎずその順序通りの経過をとるとは限らない.脳死に至った肉親の「臓器移植を希望する」思いをかなえることが家族の悲嘆心理を和らげる働きがあるとも指摘されており,それは単に「移植に同意する」ことだけでなく,脳死ドナーである肉親がその思いに至るまでの過程を共有できた,そのプロセス自体に意義があるともされている.看護師は,移植に中立的な立場でドナー家族に正確な情報を提供し,家族が患者と過ごせる,あるいは家族間で意志の疎通ができる時間と空間を提供する,といった支援が求められる.また移植終了後の支援も重要であり,移植コーディネーターなどと共に継続的支援体制をアレンジしていくことが今後の課題になると思われる., We examined recent literature concerning the grief of brain-dead donor families and considered optimum nursing intervention in organ transplantation. The psychological processes seen in brain-dead donor families have been classified into three or four steps, as was described in the crisis model. In clinical settings, however, the brain-dead donor families do not always follow these steps orderly. The grief of brain-dead donor families is often relieved by organ transplantation, which is a will of the brain-dead donor. This is probably due not only to that they would respond the donor's will, but also to that they have followed the process about how the brain-dead donor had the will of organ donation and deeply sympathized with it. The nursing staff should offer correct information to the brain-dead donor families on neutral ground to organ transplantation, and should make an attempt to provide comfortable environments with the brain-dead donor families to go through the last time with the donor and to communicate fully with each other. Nursing care for the brain-dead donor families is also important after organ transplantation. Coordinating efforts are encouraged to obtain the close cooperation of specialties that is essential for the consecutive mental support to relieve the grief of brain-dead donor families.},
 pages = {81--86},
 title = {脳死臓器提供におけるドナー家族の悲嘆心理と看護介入に関する研究},
 volume = {2},
 year = {2006}
}