交通外傷後職場復帰が困難なケースに対する看護面接の試み

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By a traffic accident, a 55 years old female pedestrian had injuries on her head, back, and extremities. After treatment by orthopedic and surgical team, her objective signs by the injury disappeared. However, she could not resume her work and she complained of neurotic symptoms. Interview by the nurse was performed at the chance of her outpatient clinic. As a result, the inhibiting factors for her resuming work were found as follows: her working condition, her clumsy style of communication with her co-workers, and with medical staff, and her worsened subjective symptoms by complicating disease during the main injury course. Before the injury, she also experienced sudden disappearance of her husband and he left much loan to her. In addition, her mother died after long hospitalization. These factors reduced her tolerance to stress. Both of her coping pattern of tolerance and experience of her injured pride were considered to be the main reasons of her subjective complaint. With continuous medication by her doctor, regular interview by the nurse was performed repeatedly under supportive atmosphere. Then, she was noticed about her dependable limit in the situation. Also, professional advice was made concerning to her physical complaints. Similarly, more improved coping pattern was indicated to her to reduce stressful, stimuli. More dependable relation to her supervisor, her family, co-workers, and friends was suggested positively. As a result, her complaint became reduced and she could resume work by the improvement of her communication and coping pattern. Therefore, co-operative treatment by physician and nurse could offer the total care to the patient by giving each special abilities.
神戸大学の論文

交通外傷後職場復帰が困難なケースに対する看護面接の試み

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