東北大医短部紀要 11(1): 95〜103,2002

児童期後期の強迫神経症児が自己成長するまでの看護の分析
―― 看護婦―患者関係における段階と看護婦の役割 ――

齋 二美子,石田真知子*

東北大学医学部附属病院
*東北大学医療技術短期大学部 看護学科


Nursing Study of Helping Enhance the Self-growth for a Teen
Aged Female with Obsessive-compulsive Disorder:
Consideration of an Interpersonal Process
between a Client and Nurses and
the Roles of Nurses

Fumiko SAI and Machiko ISHIDA*

Tohoku University Hospital
*Department of Nursing, College of Medical Science, Tohoku University

Key words: 看護婦―患者関係の諸段階,看護婦の役割,児童,強迫神経症,自己成長


  An eleven year old girl with obsessive-compulsive was admitted, due to severe weight loss and hyperactivity. Nurses supported her by being with her and taking care of her so that she could set and reach her goals by herself, while she was treated with behavioral therapy.
  We reviewed the interpersonal process between her and the nurses based on Peplau's model of interpersonal relations. The relationship was developed in accordance with the four sequential phases of the interpersonal process; orientation, identification, exploitation, and resolution, overlapping each other. The nurses played the role of her mother consistently.