同種造血幹細胞移植を受けた男性患者の退院後生活に配偶者が対処し折り合いをつけるプロセス  [in Japanese] Post-discharge life adaptations of spouses of allotransplanted male patients  [in Japanese]

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Author(s)

    • 横田 宜子 Yokota Noriko
    • 原三信病院看護部|国際医療福祉看護大学医療福祉学研究科保健医療学専攻看護学分野修士課程 Department of Nursing, Harasanshin Hospital|Division of Nursing, Master's Program in Health Sciences, Graduated School of Health and Welfare Sciences, International University of Health and Welfare
    • 小田 正枝 Oda Masae
    • 国際医療福祉大学大学院 Graduate School of Health and Welfare Sciences, International University of Health and Welfare

Abstract

【目的】同種造血幹細胞移植を受けた男性患者の退院後の生活に配偶者が対処するプロセスを検討した.【方法】6名の配偶者に夫の退院後の困難と対処について半構造化面接法を用いてデータ収集を行い,インタビューデータを修正版グラウンデッド・セオリー・アプローチにて質的記述的に分析した."取り組むべき責務""夫の日常生活管理""経験して得る自信""家庭の中での習慣化"のサブカテゴリーより'感染対策の習慣化'のカテゴリーを,"実感する夫とのズレ""価値観の変化""それぞれの妥協点""移植がもたらした恩恵""消えない不安"のサブカテゴリーより'気がかりの変容'のカテゴリーを導いた.【結論】配偶者は自己効力感を育み感染対策を習慣化,変えられない生活様式と移植後の夫との生活に折り合いをつけていた.配偶者の気がかりは時間とともに変容していたが,再発や移植片対宿主病などの病状や経済的な困窮への不安は続いていた.

Purpose: The aim of this study was to characterize the process of adaptation experienced by the spouses of allotransplanted male patients following discharge. Methods: We conducted semi-structured interviews with six spouses and questioned them about the difficulties experienced in daily life following the discharge of their husband, and their coping strategies. We descriptively analyzed the interview data using the modified grounded theory approach. Results: We extracted 'habituation of combating communicable diseases' from "responsibility for making effort," "management of everyday life, "confidence derived from experience " and "habituation in the family." We also extracted 'change in anxiety and concern' from "perception of differences in attitude in daily life between husband and wife," "change in the sense of values," "finding a point of compromise in each family," "benefit from allotransplant," and "persistent anxiety." Conclusion: The females habituated themselves to combating communicable diseases by gaining self-efficacy so that they reconciled a new, fixed lifestyle with their husbands following allotransplantation. Although their anxiety and concerns changed over time, they had persistent anxiety about both their husbands' health, including the risk of relapse or graft-versus-host disease, and financial hardships.

Journal

  • Palliative Care Research

    Palliative Care Research 10(3), 201-208, 2015

    Japanese Society for Palliative Medicine

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