糖尿病足病変患者と看護師の入院時におけるかかわりの成り立ち—身体性に注目して

Building a Nursing Relationship with Hospitalized Patients with Diabetic Foot: Focusing on the Embodiment

　本研究の目的は，糖尿病足病変入院患者を看護する看護師の経験から，患者とのかかわりがいかに成り立っているのかを身体性に注目して記述することである．足病変患者の看護経験がある看護師に，非構造化面接を実施し，現象学を手がかりに２名の参加者のかかわりを記述した．

　参加者A氏は，患者の痛みやその生活の現状を自分の身体に接続させながら理解していた．また，足病変や健肢を知覚することで，患者の過去や現在の治療状況・医療システムを背景にそれらの意味を捉えていた．参加者B氏は，患者の治療を共にするなかで，患者の苦悩や治療の意味を身体から分かるようになった．かかわりは，このような看護師の身体の経験をもとに成されていたのであった．

　足病変患者への看護師のかかわりは，身体からの応答として成り立っていることが明らかになった．これは，知識をもとにして思考することとは別様の，身体で応じる中で自ずと生起するものと考えられた．

The aim of this study is to describe how the relationship with patients is built in terms of the experiences of nurses who provided care to hospitalized patients with diabetic foot, focusing on the embodiment. Unstructured interviews were conducted with nurses experienced in caring for patients with diabetic foot. The relationship of two participants with their patients was described in the framework of phenomenology.

Participant A understood patients' pain and their living situation through body contact with them. In addition, by perceiving patients' diabetic foot or healthy limb, he grasped the meaning of these in context of the patients' past or current treatment as well as the medical system. Participant B understood the meaning of patients' distress and treatment through her body as she shared the patients' treatment. The relationship was built based on these experiences from body of nurses.

The relationship of patients with diabetic foot and nurses was found to be built responses from body. It was thought that this nurses spontaneously responded, which is different from thinking based on knowledge.