家族が患者の手を握る行為の有用性  [in Japanese] The Efficacy of the Family's Handholding on the Patients  [in Japanese]

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Abstract

認知機能が低下している患者とのかかわりに対して,家族が無力感を感じていることは多い.その中で,家族が患者の手を握りながら寄り添っている光景をよくみかける.そこで,手を握る行為が患者の自律神経機能に与える影響を客観的に評価することは,家族の自己効力感の向上につながると考えられた.今回,家族が手を握る行為による患者の胃運動機能の変化,その結果の説明による家族の自己効力感の変化を評価した.対象は,胃瘻による栄養を受けている認知機能の低下した癌終末期を含む患者とその付き添い家族の計13組とした.胃運動機能は,体外式超音波で評価した.家族の自己効力感は,一般性自己効力感尺度などで評価した.結果は,家族が手を握る行為下では非行為下と比較し,前庭部運動能,胃排出能ともに有意に亢進した.その結果の説明にて,家族の自己効力感は高まった.

It is not rare that the families of the patients whose cognitive functions are deteriorated feel helpless, specially concerning their relationships. We often see the circumstances where the family members are quite close to the patient and holding his or her hands. Therefore, we speculated handholding might lead to the improvement of family's self-efficacy. To elucidate this phenomenon, we objectively evaluated the influence of handholding on the patient's autonomic nerves system. We studied the change in patients' gastric motility under the situation with or without handholding, and the change in family's self-efficacy by explaining the study result. The subjects are 13 patients under enteral nutrition including the terminal stage cancer patients whose cognitive functions are deteriorated. Gastric motility was evaluated by ultrasonography. Family's self-efficacy level was estimated using the Generalized Self-Efficacy Scale. The results are as follows : under the handholding situation, both motility index and gastric emptying rate were significantly greater compared to those without handholding. The explanation of the study result improved family's self-efficacy.

Journal

  • Japanese Journal of Psychosomatic Medicine

    Japanese Journal of Psychosomatic Medicine 52(2), 134-140, 2012

    Japanese Society of Psychosomatic Medicine

References:  17

Codes

  • NII Article ID (NAID)
    110009327654
  • NII NACSIS-CAT ID (NCID)
    AN00121636
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    0385-0307
  • NDL Article ID
    023405909
  • NDL Call No.
    Z19-26
  • Data Source
    CJP  NDL  NII-ELS  J-STAGE 
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