透析を受けている患者の健康管理上の意欲向上につながった看護師のサポートを明らかにすることを目的に,透析を受けている5名の患者を対象に半構造化面接調査を行った.その結果,透析を受ける患者の健康管理上の意欲向上につながる看護師のサポートを表す以下の6カテゴリー【相互交流がもたらす情緒的サポートの体験】,【指導的な関わり】,【信頼できる存在】,【友人のような存在】,【患者と医療者の交流】,【患者同士の交流の促し】が導き出された.患者の意欲を支えていることとして,情緒的な支援が多く挙げられていた.全人的に患者を理解しようとする看護師の姿勢は,患者にとって,時に友人や仲間のような存在として受け止められていた.正確な知識・技術に対する信頼に加え,患者と医療者,患者同士の交流の中での関わりや1人の人間として患者を支える姿勢が健康管理上の意欲向上に重要であることが示された. A survey by semi-structured interviews was conducted on 5 patients undergoing dialysis therapy to clarify the support from nurses that leads to improvement of patient\u27s motivation in health management while under dialysis therapy. Subsequently, the following 6 categories emerged as representative of support related to the improvement of patient\u27s motivation : "experience of emotional support based on mutual exchange,""guiding relationship,""trust,""friendship,""interactions between patients and medical personnel,"and "encouragement of interactions between patients."Emotional support was often cited assupporting patient\u27s motivation. The attitude of nurses, who try to understand patients holistically, is sometimes perceivedby patients as being like that of a friend or peer. In addition to reliance in relation to accurate knowledge and technical skills, involvement in the interaction between patient and medical personnel and between patients themselves and an attitude that supports patients as individual human beings were shown to be important from the standpoint of improving motivation in terms of health management
