子どものハイリスク治療受け入れに向けた促しのための親の方略  [in Japanese] Parental Strategy for Encouraging Child's Acceptance in High Risk Treatment  [in Japanese]

Access this Article

Author(s)

Abstract

ハイリスク治療の意思決定への子どもの参加には親が強く関与し,親の働きかけとして「治療受け入れへの促し」と「確かめ」が先行研究から確認された.そこで本研究は,治療受け入れへの親の促しの構造を探求することを目的として,造血幹細胞移植を受ける子どもの親をプロスペクティブに調査し,グランデッドセオリーアプローチを用いて分析した.<br>その結果,「子どもの治療受け入れへの促し」は【親が期待する子どもの治療受け入れ】として《変化の受け入れ》《必要性の受け入れ》《主体的受け入れ》を目標と設定し,これらの目標実現に向けた【促し方】として《移植の告知》《動機づけ》《効果の提示》《子どもの情報収集の操作》《拒否への対応》《主体的受け入れへの促し》,【促しを効果的にする工夫】としての《適任者》《タイミング》の検討から成り立ち,これは,『子どもの治療受け入れに向けた促しのための親の方略』であることが明らかになった.

Children's participation in decision making in high risk treatment is strongly affected by parents, and we confirmed in our previous study that parents' approaches were “encouragement to accept treatment” and “confirmation”. Therefore, in this study, we aimed to clarify parental encouragement to accept treatment, we prospectively examined parents whose child would undergo hematopoiesis stem cell transplantation, and data were analyzed using Grounded Theory Approach.<br>The results demonstrated that parents' encouragement to “the child's acceptance of treatment” required to set “acceptance of change”, “acceptance of needs” and “subjective acceptance” as objectives of “the child's acceptance which meets parents' expectations”; “notification of transplantation”, “uplifting motivation”, “presentation of benefits”, “intervention in the child's information collection”, “handling of refusal” and “encouragement of subjective acceptance” as “how to encourage” child to achieve objectives;and considerations of “appropriate person” and “timing” as “measures to conduct the encouragement effectively”. This meant that “parental strategies for encouraging the child to accept treatment”.

Journal

  • Journal of Japan Academy of Nursing Science

    Journal of Japan Academy of Nursing Science 26(2), 3-11, 2006-06-20

    Japan Academy of Nursing Science

References:  11

Codes

  • NII Article ID (NAID)
    10026506226
  • NII NACSIS-CAT ID (NCID)
    AN00010260
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    02875330
  • NDL Article ID
    8009265
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z19-1337
  • Data Source
    CJP  NDL  J-STAGE 
Page Top