思春期炎症性腸疾患患者が症状管理をしながら日常生活を拡大するタクティクス：文献検討

Tactics to Expand Daily Life Activities During Symptom Management of Inflammatory Bowel Disease in Adolescents: A Literature Review

要旨

　目的：国内外の文献を用いて，思春期炎症性腸疾患（Inflammatory bowel disease以下，IBD）患者が症状管理をしながら日常生活を拡大するタクティクスを明らかにし，看護支援への示唆を得る．

　方法：文献検索は医中誌webとPubMed，CINAHLを用いた．

　結果：思春期IBD患者の症状管理をしながら日常生活を拡大するタクティクスとして，【友人に開示して病気への理解と支援を得る】，【病気と普通の自分の均衡を保つ生活スタイルを見出す】，【手助けを得て療養行動を継続する】，【親離れとともに自立へ近づく】4つのカテゴリーが見出された．

　結論：思春期IBD患者は周囲の支援を得ながら，自分なりの日常生活を拡大するタクティクスを見出していた．患者の目指す姿を共有し，患者中心の包括的視点を持った看護支援を行う必要性が示唆された．

　Objective: This study aimed to elucidate the tactics to expand daily life while managing symptoms among adolescent patients with Inflammatory Bowel Disease(IBD) by synthesizing domestic and foreign research literature. Additionally, it seeks to obtain recommendations for nursing support in this context.

　Methods: A literature search was performed using Ichushi Web, PubMed, and CINAHL databases.

　Results: In examining the tactics to expand daily life while managing symptoms of adolescent patients with IBD, we identified four categories: "Disclose diagnosis to friends to gain understanding and support for my disease", "Device my lifestyle that maintains a balance between my disease and normal myself", "Continue my self-management with help", "Get closer to independence through leaving home".

　Conclusion: Adolescent patients with IBD actively seek self-care tactics while seeking support. It is imperative to acknowledge and support their aspirations for independence. Nursing support should be offered from a comprehensive, patient-centered perspective, aligning with the individual needs and goals of the patients.