Roles of Teachers in Charge of Health Education (School Nurses) in the Treatment of Childhood Onset Anorexia Nervosa

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  • 小児神経性無食欲症治療における養護教諭の役割
  • 臨床経験 小児神経性無食欲症治療における養護教諭の役割
  • リンショウ ケイケン ショウニ シンケイセイ ムショクヨクショウ チリョウ ニ オケル ヨウゴ キョウユ ノ ヤクワリ

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Objective : This study aimed at investigating the significance of the participation of teachers in charge of health education (school nurses) in the integrated treatment of childhood onset anorexia nervosa (AN). Subjects and methods : The subjects were 22 patients with AN admitted to the pediatric ward and they were matched on family environment. Non-school attendance, readmission and outcome (third year from discharge) were examined for 11 cases (a mean age of 12.9 years) in which school nurses took part and 11 cases (a mean age of 13.5 years) in which they did not. Result : In case of the participation of school nurses, there were 3 cases for non-school attendance (27%). O case for readmission and I case for poor outcome (9.1%) . In case of non-participation, there were 8 cases for non-school attendance (73%) , 6 cases for readmission (55%) and 4 cases for poor outcome (36%). Discussion : The roles of school nurses were (1) identification of AN, (2) persuading the patients and their family to see a doctor, (3) care for patients' mind and body before hospitalization, (4) liaison with visiting class teachers after hospitalization, (5) attending conference and exchange information, (6) assisting the patient in joining at activities and tests conducted by school during hospitalization, (7) follow-up at school after leaving hospital, (8) enlightening general teachers on the disease, (9) educating pupils about the disease and health. Conclusion : School nurses were inevitableas members of the multidisciplinary team. The activity done by medical institutions and schools are based upon constant efforts in developing a collaboration system for continuing long-term support.

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