精神科看護領域における“思考過程混乱”の概念分析の再検討

To Re-Examine the Concept Analysis of“Disturbed Thought Processes”in the Field of Psychiatry

　 NAND-I看護診断ラベル“思考過程混乱”は，NANDA-I分類法IIの領域5［知覚/認知］類4［認知］診断概念［思考過程］に属する言葉である．「『思考過程（考えること）』とは，思考の1つで，思考を区分，整理，分類する過程という固有の特徴をもつ．論理的に考え，考えを発語で示す．目標指向，概念形成，心の変化に関連する」と国際看護協会で定義づけられている．精神科看護領域では，日本，ヨーロッパで，この診断が多く使われているとの報告がある．しかし，概念分析がないため，NANDA-Iの分類から削除されようとしている．われわれの研究は，この概念の文献的レビューを行うことによって，現在の精神看護において，この概念の必要性を問うものである．

　The NANDA nursing diagnosis term“disturbed thought process”belongs to the NANDA-I Taxonomy II, domain 5“Perception/Cognition”, class 4“Cognition”, diagnostic concept of“Thought Process”. A“thought process (thinking)”is defined by the International Council of Nurses as“an innate process characterized by its division, organization and classification of thoughts. It is involved to the process of thinking logically and showing one's thoughts through speech. It is also related to goal-oriented concept formation and to changes in consciousness”. This diagnosis has been reported to be widely used in clinical psychiatric nursing in Japan and in Europe. However, because of the absence of concept analysis, it is about to be removed from the NANDA-I classification. Through a review of the literature, our research examines the necessity of this concept in nowadays psychiatric nursing.