\u3053\u306e\u7269\u8a9e<\/a> \u30b9\u30bf\u30f3\u30d5\u30a9\u30fc\u30c9\u5927\u5b66\u30eb\u30b7\u30fc\u30eb\u30fb\u30d1\u30c3\u30ab\u30fc\u30c9\u5c0f\u5150\u75c5\u9662\u306e\u30ec\u30a4\u30ca\u3055\u3093\u306f\u3001\u690d\u8fbc\u307f\u578b\u9664\u7d30\u52d5\u5668\uff08ICD\uff09\u3092\u88c5\u7740\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u306f\u3001\u624b\u8853\u3067\u57cb\u3081\u8fbc\u307e\u308c\u308b\u88c5\u7f6e\u3067\u3001\u5fc3\u62cd\u6570\u3092\u7d99\u7d9a\u7684\u306b\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3057\u307e\u3059\u3002ICD\u306f\u3001\u5fc3\u81d3\u304b\u3089\u91d1\u5c5e\u88fd\u306e\u7bb1\u306e\u4e2d\u306b\u3042\u308b\u5c0f\u578b\u30b3\u30f3\u30d4\u30e5\u30fc\u30bf\u30fc\u306b\u96fb\u6c17\u4fe1\u53f7\u3092\u9001\u308b\u30ef\u30a4\u30e4\u30fc\u3067\u69cb\u6210\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u547d\u3092\u6551\u3046\u3060\u3051\u3067\u306a\u304f\u3001\u4eba\u751f\u3092\u5909\u3048\u308b\u51fa\u6765\u4e8b\u3067\u3082\u3042\u308a\u307e\u3059\u3002 <\/p>\n\u307b\u3068\u3093\u3069\u306e\u5834\u5408\u3001ICD\u306f\u4e0d\u6574\u8108\u60a3\u8005\u306e\u5fc3\u62cd\u6570\u3092\u60a3\u8005\u304c\u6c17\u3065\u304b\u306a\u3044\u3046\u3061\u306b\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3057\u307e\u3059\u3002\u3057\u304b\u3057\u3001ICD\u304c\u5fc3\u62cd\u6570\u304c\u7570\u5e38\u306b\u901f\u304f\u306a\u3063\u3066\u3044\u308b\u3068\u8a8d\u8b58\u3059\u308b\u3068\u3001\u5f37\u529b\u306a\u653e\u96fb\u3092\u767a\u751f\u3055\u305b\u3001\u5fc3\u62cd\u30ea\u30ba\u30e0\u3092\u6b63\u5e38\u306b\u623b\u3057\u307e\u3059\u3002 <\/p>\n
\u3053\u306e\u7a81\u6483\u306f\u547d\u3092\u6551\u3046\u304c\u3001\u300c\u80f8\u3092\u8e74\u3089\u308c\u305f\u3088\u3046\u306a\u300d\u75db\u307f\u3060\u3068\u8868\u73fe\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u60a3\u8005\u306f\u606f\u304c\u6b62\u307e\u3063\u305f\u3088\u3046\u306b\u611f\u3058\u3001\u56de\u5fa9\u306b\u6642\u9593\u304c\u304b\u304b\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002 <\/p>\n
\u7570\u5e38\u306b\u901f\u3044\u5fc3\u62cd\u6570\u306b\u3088\u3063\u3066\u3044\u3064\u88c5\u7f6e\u304c\u4f5c\u52d5\u3059\u308b\u304b\u5206\u304b\u3089\u306a\u3044\u3068\u3044\u3046\u8a8d\u8b58\u306f\u3001\u60a3\u8005\u3068\u305d\u306e\u5bb6\u65cf\u306b\u3068\u3063\u3066\u91cd\u8377\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u30b9\u30dd\u30fc\u30c4\u3084\u30cf\u30a4\u30ad\u30f3\u30b0\u306a\u3069\u3001\u304b\u3064\u3066\u306f\u697d\u3057\u304b\u3063\u305f\u6d3b\u52d5\u304c\u3001\u4e88\u6e2c\u4e0d\u80fd\u3067\u6050\u308d\u3057\u3044\u3082\u306e\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u300cICD\u88c5\u7740\u306b\u5bfe\u3059\u308b\u611f\u60c5\u7684\u306a\u53cd\u5fdc\u306f\u60a3\u8005\u3055\u3093\u306b\u3088\u3063\u3066\u7570\u306a\u308a\u307e\u3059\u304c\u3001\u5171\u901a\u3057\u3066\u3044\u308b\u306e\u306f\u4e0d\u78ba\u5b9f\u6027\u3084\u4e0d\u5b89\u611f\u3067\u3059\u300d\u3068\u3001\u30b9\u30bf\u30f3\u30d5\u30a9\u30fc\u30c9\u5927\u5b66\u30eb\u30b7\u30fc\u30eb\u30fb\u30d1\u30c3\u30ab\u30fc\u30c9\u5c0f\u5150\u75c5\u9662\u306e\u81e8\u5e8a\u52a9\u6559\u6388\u3067\u3042\u308a\u3001\u5f53\u9662\u5c0f\u5150\u5fc3\u81d3\u30bb\u30f3\u30bf\u30fc\u30671\u5e74\u524d\u306b\u958b\u59cb\u3055\u308c\u305f\u5fc3\u81d3\u5fc3\u7406\u5b66\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u5275\u8a2d\u8005\u306e\u4e00\u4eba\u3067\u3042\u308b\u30ed\u30fc\u30ec\u30f3\u30fb\u30df\u30af\u30e9\u30fb\u30b7\u30e5\u30ca\u30a4\u30c0\u30fc\u535a\u58eb\u306f\u8aac\u660e\u3057\u307e\u3059\u3002\u5bc4\u4ed8\u91d1\u306b\u3088\u3063\u3066\u8cc7\u91d1\u63d0\u4f9b\u3055\u308c\u3066\u3044\u308b\u3053\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u3001ICD\u60a3\u8005\u306e\u5fc3\u7406\u7684\u5065\u5eb7\u304c\u81e8\u5e8a\u30b1\u30a2\u306e\u4e0d\u53ef\u6b20\u306a\u8981\u7d20\u3068\u306a\u308b\u3053\u3068\u3092\u76ee\u6307\u3057\u3066\u3044\u307e\u3059\u3002 <\/p>\n
\u300c\u5bc4\u4ed8\u8005\u306e\u652f\u63f4\u306e\u304a\u304b\u3052\u3067\u3001\u5fc3\u7406\u5b66\u8005\u304c\u30c1\u30eb\u30c9\u30ec\u30f3\u30ba\u30cf\u30fc\u30c8\u30bb\u30f3\u30bf\u30fc\u306b\u5e38\u99d0\u3057\u3001\u5b50\u4f9b\u305f\u3061\u3068\u305d\u306e\u5bb6\u65cf\u304c\u65b0\u3057\u3044\u73fe\u5b9f\u306b\u9069\u5fdc\u3059\u308b\u306e\u306b\u5f79\u7acb\u3064\u65b0\u3057\u3044\u5b9f\u8df5\u3068\u7814\u7a76\u3092\u958b\u767a\u3059\u308b\u6a5f\u4f1a\u3092\u5f97\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u300d\u3068\u30b7\u30e5\u30ca\u30a4\u30c0\u30fc\u6c0f\u306f\u8a00\u3046\u3002\u5f7c\u5973\u3068\u3001\u5c0f\u5150\u5fc3\u81d3\u75c5\u5b66\u6559\u6388\u306e\u30a2\u30f3\u30fb\u30c7\u30e5\u30d3\u30f3\u533b\u5b66\u535a\u58eb\u3001\u5c0f\u5150\u5fc3\u81d3\u75c5\u5b66\u52a9\u6559\u6388\u306e\u30b9\u30b3\u30c3\u30c8\u30fb\u30bb\u30ec\u30b9\u30ca\u30af\u533b\u5b66\u535a\u58eb\u3001\u5c0f\u5150\u5fc3\u81d3\u75c5\u5b66\u81e8\u5e8a\u52a9\u6559\u6388\u306e\u30ab\u30e9\u30fb\u30e2\u30c8\u30ca\u30ac\u533b\u5b66\u535a\u58eb\u3001\u7cbe\u795e\u533b\u5b66\u304a\u3088\u3073\u884c\u52d5\u79d1\u5b66\u3001\u5185\u5206\u6ccc\u5b66\u304a\u3088\u3073\u7cd6\u5c3f\u75c5\u5b66\u306e\u81e8\u5e8a\u6559\u6388\u306e\u30b3\u30fc\u30ea\u30fc\u30fb\u30d5\u30c3\u30c9\u535a\u58eb\u3001\u7cbe\u795e\u533b\u5b66\u304a\u3088\u3073\u884c\u52d5\u79d1\u5b66\u6559\u6388\u306e\u30ea\u30c1\u30e3\u30fc\u30c9\u30fb\u30b7\u30e7\u30fc\u533b\u5b66\u535a\u58eb\u3001RN\u3001MSN\u3001CPNP-PC\u306e\u30c8\u30cb\u30fc\u30fb\u30c8\u30ec\u30e9\u3001RN\u3001PNP\u306e\u30c7\u30d6\u30e9\u30fb\u30cf\u30cb\u30c3\u30b7\u30e5\u3092\u542b\u3080\u30c1\u30fc\u30e0\u306f\u3001\u5fc3\u81d3\u75c5\u60a3\u8005\u304c\u4ef2\u9593\u3084\u533b\u7642\u5c02\u9580\u5bb6\u3068\u4f1a\u3063\u3066\u7d4c\u9a13\u3092\u5171\u6709\u3057\u3001ICD\u3092\u4f7f\u7528\u3057\u305f\u751f\u6d3b\u306e\u5236\u9650\u3092\u4e57\u308a\u8d8a\u3048\u308b\u610f\u6b32\u3092\u9ad8\u3081\u308b\u3001\u6bce\u5e74\u6052\u4f8b\u306e1\u65e5\u30a4\u30d9\u30f3\u30c8\u300c\u30b3\u30cd\u30af\u30c6\u30a3\u30f3\u30b0\u300d\u306e\u6210\u529f\u3092\u62e1\u5927\u3059\u308b\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u4f5c\u6210\u3057\u305f\u3002 <\/p>\n
\u300cICD\u690d\u3048\u8fbc\u307f\u5f8c\u306e\u5c0f\u5150\u3068\u305d\u306e\u5bb6\u65cf\u306b\u898b\u3089\u308c\u308b\u4e0d\u5b89\u3084\u6291\u3046\u3064\u306b\u3064\u3044\u3066\u306f\u591a\u304f\u306e\u7814\u7a76\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u308c\u3089\u306e\u554f\u984c\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u306e\u7814\u7a76\u306f\u307b\u3068\u3093\u3069\u884c\u308f\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u3053\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u3001\u3053\u306e\u4e16\u4ee3\u304c\u76f4\u9762\u3059\u308b\u975e\u5e38\u306b\u73fe\u5b9f\u7684\u306a\u5fc3\u7406\u7684\u554f\u984c\u306b\u5bfe\u51e6\u3059\u308b\u305f\u3081\u306e\u7b2c\u4e00\u6b69\u3067\u3059\u300d\u3068\u3001\u5c0f\u5150\u4e0d\u6574\u8108\u30b5\u30fc\u30d3\u30b9\u306e\u8cac\u4efb\u8005\u3067\u3042\u308b\u30c7\u30e5\u30d3\u30f3\u6c0f\u306f\u8ff0\u3079\u3066\u3044\u307e\u3059\u3002 <\/p>\n
\u4eba\u751f\u3092\u5909\u3048\u308b\u3088\u3046\u306a\u8a3a\u65ad\u3068\u30c7\u30d0\u30a4\u30b9\u3092\u53d7\u3051\u305f\u5f8c\u3001\u5b50\u4f9b\u304c\u300c\u306a\u305c\u79c1\u306a\u306e\uff1f\u300d\u3068\u5c0b\u306d\u308b\u306e\u306f\u73cd\u3057\u3044\u3053\u3068\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u5fc3\u81d3\u5c02\u9580\u533b\u304c\u5fc3\u81d3\u306e\u751f\u7406\u7684\u6a5f\u80fd\u3092\u6b63\u5e38\u306b\u623b\u3059\u305f\u3081\u306b\u5c3d\u529b\u3059\u308b\u4e00\u65b9\u3067\u3001\u30b7\u30e5\u30ca\u30a4\u30c0\u30fc\u6c0f\u3068\u5f7c\u5973\u306e\u540c\u50da\u305f\u3061\u306f\u60a3\u8005\u3068\u305d\u306e\u5bb6\u65cf\u3068\u9762\u4f1a\u3057\u3001\u5fc3\u306e\u5065\u5eb7\u3092\u30b1\u30a2\u3057\u3066\u3044\u307e\u3059\u3002ICD\u30c7\u30d0\u30a4\u30b9\u88c5\u7740\u306b\u3064\u306a\u304c\u308b\u8a3a\u65ad\u3092\u53d7\u3051\u308b\u524d\u306b\u3001\u5b50\u4f9b\u306f\u5fc3\u505c\u6b62\u3092\u7d4c\u9a13\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u5f53\u7136\u306e\u3053\u3068\u306a\u304c\u3089\u3001\u3053\u308c\u306f\u89aa\u3084\u5144\u5f1f\u59c9\u59b9\u306b\u3068\u3063\u3066\u30c8\u30e9\u30a6\u30de\u3068\u306a\u308a\u3001PTSD\u306e\u3088\u3046\u306a\u53cd\u5fdc\u3092\u793a\u3059\u3053\u3068\u304c\u3088\u304f\u3042\u308a\u307e\u3059\u3002 <\/p>\n
\u300c\u79c1\u305f\u3061\u306f\u3001\u60a3\u8005\u3055\u3093\u304c\u6700\u521d\u306b\u79c1\u305f\u3061\u306e\u8a3a\u5bdf\u3092\u53d7\u3051\u308b\u304d\u3063\u304b\u3051\u3068\u306a\u3063\u305f\u5fc3\u81d3\u306e\u554f\u984c\u3060\u3051\u3067\u306a\u304f\u3001\u60a3\u8005\u3055\u3093\u5168\u4f53\u3092\u6cbb\u7642\u3059\u308b\u3053\u3068\u3092\u76ee\u6307\u3057\u3066\u3044\u307e\u3059\u300d\u3068\u30c7\u30e5\u30d3\u30f3\u6c0f\u306f\u8aac\u660e\u3057\u307e\u3059\u3002\u300c\u60a3\u8005\u3055\u3093\u304c\u751f\u547d\u3092\u8105\u304b\u3059\u3088\u3046\u306a\u4e8b\u614b\u306b\u9665\u3089\u306a\u3044\u3088\u3046\u306b\u3059\u308b\u3053\u3068\u306f\u91cd\u8981\u3067\u3059\u304c\u3001\u60a3\u8005\u3055\u3093\u306e\u751f\u6d3b\u306e\u8cea\u3092\u9ad8\u304f\u4fdd\u3064\u3053\u3068\u3082\u540c\u69d8\u306b\u91cd\u8981\u3067\u3059\u3002\u300d<\/p>\n
\u30c1\u30fc\u30e0\u306f\u3001ICD \u3092\u53d7\u3051\u53d6\u3063\u305f\u5b50\u4f9b\u3092\u6301\u3064\u3059\u3079\u3066\u306e\u5bb6\u65cf\u3068\u9762\u4f1a\u3057\u307e\u3059\u3002 <\/p>\n
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