@article{oai:kyukan.repo.nii.ac.jp:00000208,
 author = {柴田, 恵子},
 issue = {1},
 journal = {九州看護福祉大学紀要, The Journal of Kyushu University of Nursing and Social Welfare},
 month = {Mar},
 note = {110000035483, 21世紀の医療は，患者が主体となる医療で，インフォームド・コンセントという言葉で代表される患者の自律が必要になるだろう．そのため，医療環境，患者を支える方法を体制として作り上げれば，患者の自律も実現するであろう．そこで，「患者の自律の必要性」，「援助関係における自己と他者の関係性」の二つの視点から，患者の自律は以下のことで可能になると思われる．①患者が疾患に対して自己コントロールが可能になる．②患者は自己決定を行いやすくなるので，「その人らしく」いられる．③患者は疾患や人（家族，医療スタッフ）から自由になれる．
　また，看護者は患者の自律を高めるために以下のことを援助することが大切となろう．①看護者は援助関係を重視する，②看護者は患者を「一人称もしくは三人称ではなく二人称の患者」とみなす．③看護者の開かれた自己によって患者を看護する．
　結論として，患者と看護者がそれぞれ関係性を作り上げていき続けることで，「個」を尊重するようになれると考えられるのである．, Medical treatment in the 2lst century makes patients the objects of its control, rather patients being subjects participating in their own treatments. Informed Consent stands for the patients' autonomy during their medical treatment. If we construct a system, a medical treatment environment and a means for supporting patients, then patient autonomy may be materialised. To this end, nursing was examined from two perspectives: the 'Need for Patient Autonomy and, the subject-object relationship in supportive care. As a result, patient autonomy was found achievable through the following: By giving some responsibility and motivation to patients to manage their own diseases. Prioritising patient's judgments regarding their disease management. By this means, patientst' anxieties will be reduced concerning pain and other disease symptoms. Nurses can support patients to raise their autonomy through the following: 1) Nurses hold patients in high esteem, in a supportive relationship; 2) Nurses discuss treatments with patients, on a more equal footing; and 3) Nurse applying an open-ended self patients. Thus, patients and nurses can have a deeper relationship with each other, from which will grow respect for the individual.},
 pages = {287--295},
 title = {患者の自律実現と看護},
 volume = {5},
 year = {2003}
}