家族ピア教育プログラムを精神障がい者家族が継続実施することで得る利益 : プログラム事後調査  [in Japanese] Benefits for Families of People with Mental Disorders Who Continuously Implement a Family Peer-education Program : A Program Post-test  [in Japanese]

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Abstract

目的:精神障がいの家族ピア教育プログラムを担当する家族が活動を継続実施することで得る利益を明らかにすることを目的とした.方法:横断研究とした.2013年度に家族学習会を実施した45か所のうち,10月以降に最終回を迎えた38か所で質問紙が配布された.質問紙は,最終回に参加した家族と実施した担当者家族に配布され,郵送で回収された.そのうち担当者の回答のみを本研究で分析した.独立変数を担当者として経験したコース数,従属変数をGroup Benefit ScaleとTherapeutic Factors Inventory-19の下位尺度Instillation of HopeとSecure Emotional Expressionとした.結果:質問紙は,担当者164人に配布され,133人が返送,130人が有効回答であった.実施したコース数が多い担当者ほど,「家族学習会に参加してから,私の家族としての対応は,かなりよくなった」(F=5.60, p<0.05),「家族学習会に参加し始めてから,自分自身がよい方向に変わってきたと感じる」(F=15.76, p<0.001), Instillation of Hope (F=5.29, p<0.05)を高く評価していた.考察:担当者を継続して実施することによって,担当者が使う進行技術が身に着いて聞き上手や褒め上手になると考えられる.これらの技術は,障がいをもつ本人とのコミュニケーションにおいても役立っている可能性がある.また,担当者が体験的知識を使って他の家族を助けることは,自身の否定的な体験を意味あるものへと変える.担当者になることは,自身の生き方にも影響を与えていると考えられる.よって,担当者を継続的に実施することは,担当者自身にとっても利益があるといえる.

Purpose: We aimed to clarify benefits that family facilitators gain by continuous implementation of a family-peer education program on mental disorders. Method: A cross-sectional study was employed. Questionnaires were administered at 38 program sites with sessions that ended after October from 45 sites with sessions in the 2013 fiscal year. The questionnaires were handed to family participants and facilitators during the last session and were collected by mail. Only the facilitators' questionnaires were analyzed for this study. The independent variable was the number of courses served as a facilitator. The dependent variables were the Group Benefit Scale and subscales Instillation of Hope and Secure Emotional Expression from the Therapeutic Factors Inventory-19. Results: The questionnaires were handed to 164 facilitators, 133 were returned, and 130 were valid. The more the respondents had served as facilitators, the more highly evaluated were the following factors: "Since joining the program, my coping as a family has improved greatly" (F=5.60, p<0.05), "Since I started joining the program, I feel much better about myself" (F=15.76, p<0.001), and Instillation of Hope (F=5.29, p<0.05). Discussion: Continuous implementation as facilitators may improve facilitation skills by improving abilities in listening to and praising others. These skills may also help facilitators communicate with their ill family members. Facilitators help families by using their experiential knowledge, thereby making a negative experience meaningful. Being a facilitator may affect the facilitators' ways of living. Therefore, continuous implementation by family facilitators is beneficial for the facilitators.

Journal

  • Journal of Japan Academy of Community Health Nursing

    Journal of Japan Academy of Community Health Nursing 18(1), 28-37, 2015

    Japan Academy of Community Health Nursing

Codes

  • NII Article ID (NAID)
    110009985144
  • NII NACSIS-CAT ID (NCID)
    AA11362530
  • Text Lang
    JPN
  • ISSN
    1346-9657
  • NDL Article ID
    026740668
  • NDL Call No.
    Z74-B543
  • Data Source
    NDL  NII-ELS  J-STAGE 
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