精神科病院に長期入院中である統合失調症患者が捉える老いの認識と自己の将来像  [in Japanese] The Perception of Old Age and the Self-image in Future Held by the Patients of Integration Dysfunction Syndrome under a Long-Term Hospitalization in a Psychiatric Hospital  [in Japanese]

Access this Article

Author(s)

Abstract

本研究の目的は,高齢期の長期入院統合失調症患者がとらえる老いの認識と自己の将来像について明らかにし,看護実践への示唆を得ることである.研究対象者は,精神科病院に10年以上入院中である65歳以上の統合失調症患者7名であり,半構造化インタビューを実施し,質的帰納的分析を行った.その結果,老いの認識は「加齢に伴う心身能力の衰え」「精神科病院で老いていくしかない現状」「満たされることのない欲求の諦め」「死に近づく過程」であり,自己の将来像は「期待が心の糧」「成り行きに身を任せる」「将来像を抱くことを断念」であった.長期入院生活で老いを実感した対象者が語った現実は,社会復帰は絶望的であるという心理的危機状況であったが,現状生活に折り合いをつけて,心的バランスを保っている心情が明らかとなった.退院の見通しがつかない現状であるが,その人がその人らしく生きていくために,少しでも自己実現のための欲求を満たすことができるよう支援する必要がある.

The present study was intended to clarify the perception of old age and the self-image in future held by the elderly patients of integration dysfunction syndrome under a long-term hospitalization and thereby to obtain suggestions for practicing nursing activities. The subjects were 8 patients of integration dysfunction syndrome over the age of 65 years who were in hospital for more than 10 years in the psychiatric department. The authors conducted the semistructured interview with them, and made a qualitative and inductive analysis. As a result, the perception of old age could be described as "non-attainment of developmental tasks," "psychiatric hospital to become a last home in life," "resignation of unfulfilled desires" and "process approaching to death," while the self-image in future was depicted as "expectation is my spiritual nourishment", "letting a thing take its course," and "lack of the image in future." The reality depicted by those patients experiencing the old age in a long-term hospital life was a psychologically critical situation, in which it was hopeless to resume social life, but it was found that, by compromising on the existing living conditions, they managed to maintain a mental balance. In spite of the situation that there are no prospects for hospital discharge, it is necessary for us to extend the assistance to them so that they may each live a worthy life, satisfying their desires for self-realization as much as possible.

Journal

  • Journal of Japan Academy of Psychiatric and Mental Health Nursing

    Journal of Japan Academy of Psychiatric and Mental Health Nursing 19(1), 105-115, 2010

    The Japan Academy of Psychiatric and Mental Health Nursing

References:  28

Codes

  • NII Article ID (NAID)
    110008727634
  • NII NACSIS-CAT ID (NCID)
    AN10478677
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    0918-0621
  • NDL Article ID
    10757764
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z19-3804
  • Data Source
    CJP  NDL  NII-ELS  J-STAGE 
Page Top