@article{oai:sapmed.repo.nii.ac.jp:00016313,
 author = {澤田, いずみ},
 journal = {札幌医科大学保健医療学部紀要 = Bulletin of School of Health Sciences Sapporo Medical University, Bulletin of School of Health Sciences Sapporo Medical University},
 month = {Mar},
 note = {この報告は、不登校症例への家族看護援助方法を探ることを目的としている。症例は、両親の離婚を契機に５年に渡って不登校となっていた14才の男児である。看護者は医師の家族面接と平行して症例に対して週に１度の頻度で１対１の遊戯療法を基盤とした面接を行った。34回の面接の結果、症例は高校へ進学するに至った。この過程から、1．家族システム、特に両親サブシステムの機能不全が症例の不適応レベルと連動していたこと、2．家族面接により両親サブシステムの機能に回復が促され、これに伴い症例の適応レベルにも改善が見られたこと、3．看護者との関係性に基づく面接は症例の自我機能の低下に改善を促したことが示唆された。以上のことから、不登校症例への援助には、看護者が症例との支持的な関係に基づき過渡的なシステムとして機能しながら、彼らを通じて混乱を表している家族システムに目を向け、両親サブシステムの強化を促すことが重要である。The purpose of the present report was to assess family nursing methods used to support the cases of non-attendance at school. The subject was a fourteen-year-old boy who had not attended school for 5 years since his parents’divorce. Therapeutic interviews and play therapy were given to him once a week, while his doctor interviewed his family. As a result of the thirty-four interviews, he started going to school and was eventually promoted to high school. This process was considered in view of changes in family system. Following discoveries were made： 1）His maladjustment derived from the dysfunction within his family system, and especially his parents’sub-system. 2）As the parents sub-system improved during the course of our family interviews, he recovered his adaptability to social life. 3）The nurse’s therapeutic interviews had positive effects on his ego-fragilitas. From the above, two points of our nursing care should be emphasized with regards to school non-attendants. One is the importance of our supportive role in each individual case within a transitional care system. The other is our intervention to strengthen the parents’sub-system.},
 pages = {63--67},
 title = {両親の離婚を契機に不登校となった男児への援助 : 家族システムの変化に焦点を当てて},
 volume = {1},
 year = {1997}
}