患者の回復過程を支える社会復帰援助プログラムの有効性と無効性の検討  [in Japanese] An examination of the effectiveness of the rehabilitation care program to support recovery process for patients  [in Japanese]

Author(s)

Abstract

本研究の目的は,社会復帰援助プログラム(キングの目標達成理論とオレム・アンダーウッドのセルフケア理論に基づき,筆者が作成したプログラム)を通して看護面談を実施した2事例について,社会生活を維持したケースと再入院に至ったケースにおける看護介入とその介入による患者の回復過程の変化を比較し,社会復帰支援にとっての本プログラムの有効性や無効性の観点から,今後のプログラムの在り方を検討することである.面談中の会話の内容,自我得点,ラザルス式SCIの結果をデータとし,分析した結果,「自己洞察力の有無」と「現実直面の機会の有無」が患者の社会生活維持に影響をおよぼしていたことが明らかになった.したがって,自己洞察力を深める「語りの場」の提供をすること,そして重要他者も含めた包括的かかわりの実践により,患者の現実直面の機会を提供することが本プログラムの有効性を高めるという示唆が得られた.

The purpose of this study is to examine the effectiveness of the rehabilitation care program (made by the researcher by modifying King's theory of goal attainment and Orem-Underwood's theory of self care), by comparing two cases who were given nursing counseling throughout this program. Nursing counseling was provided to two schizophrenia patients who were determined to be discharged from a hospital after a relapse. Data was collected from conversation during nursing counseling sessions, ego strength scores and Lazarus stress coping inventory scores. As a result of analyzing data, it was identified that "deepening insight" and "an opportunity of facing reality" exerted an influence on their ability to continue living in a community. Therefore, the above result indicated that the effectiveness of this program would be increased by providing 'narrative occasion' in order to deepen insight and opportunity of facing reality through assertive care including a patients' key person.

Journal

  • Journal of School of Nursing and Social Services, Health Sciences University of Hokkaido

    Journal of School of Nursing and Social Services, Health Sciences University of Hokkaido 4(1), 43-57, 2008

    Nursing Welfare Department Society, Health Sciences University of Hokkaido

Cited by:  1

Codes

  • NII Article ID (NAID)
    110009569969
  • NII NACSIS-CAT ID (NCID)
    AA12025864
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • Journal Type
    大学紀要
  • ISSN
    13498967
  • NDL Article ID
    9555413
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学) // ZE5(社会・労働--社会問題・社会保障)
  • NDL Call No.
    Z74-E503
  • Data Source
    CJPref  NDL  NII-ELS 
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