ホスピス・緩和ケア病棟における患者と家族間の思いの言語化を支える家族支援─遺族調査による家族支援と「患者と家族との良好な関係性」および「ケアの全般的満足度」との関連性の検討─  [in Japanese] Medical Staff's Support for Family Members Who Verbally Communicate Feelings to Patients in Palliative Care Units: A Survey of Bereaved Family Members  [in Japanese]

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Author(s)

    • 志真 泰夫 Shima Yasuo
    • 筑波メディカルセンター病院緩和医療科 Department of Palliative Medicine, Tsukuba Medical Center Hospital
    • 宮下 光令 Miyashita Mitsunori
    • 東北大学大学院医学系研究科保健学専攻緩和ケア看護学分野 Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine
    • 塩崎 麻里子 Shiozaki Mariko
    • 近畿大学総合社会学部総合社会学科心理学系専攻 Department of Psychology, Faculty of Applied Sociology, Kindai University
    • 平井 啓 Hirai Kei
    • 大阪大学大学院人間科学研究科臨床心理学研究分野 Clinical Psychology, Graduate School of Human Sciences, Osaka University
    • 市原 香織 Ichihara Kaori
    • 大阪大学大学院医学系研究科保健学専攻 Division of Health Sciences, Graduate School of Medicine, Osaka University
    • 佐藤 眞一 Sato Shinichi
    • 大阪大学大学院人間科学研究科臨床死生学・老年行動学研究分野 Clinical Thanatology and Geriatric Behavioral Science, Graduate School of Human, Science, Osaka University
    • 清水 恵 Shimizu Megumi
    • 東北大学病院臨床研究推進センター Clinical Research, Innovation, and Education Center, Tohoku University Hospital
    • 恒藤 暁 Tsuneto Satoru
    • 京都大学大学院医学系研究科人間健康科学専攻 Department of Human Health Sciences, Graduate School of Medicine, Kyoto University

Abstract

<p>【目的】1)緩和ケア病棟における患者と家族間の思いの言語化を支える家族支援(家族へのバーバルコミュニケーション支援)の有無と評価,2)家族へのバーバルコミュニケーション支援と「患者と家族との良好な関係性」および「ケアの全般的満足度」との関連を検討した.【方法】全国の緩和ケア病棟103施設における死亡患者の遺族968名に質問紙調査を実施した.【結果】536名を分析対象とした.支援を受けた遺族の割合は内容によって差がみられたが,評価は概ね高かった.重回帰分析の結果,患者と家族との良好な関係性では,全8つの支援で有意な正の関連が認められた.ケアの全般的満足度では,4つの支援(家族から患者への言語化の具体的提案,家族の思いを患者に伝える,患者の聴覚機能保持の保証,患者の思いを推察した家族への言葉かけ)で有意な正の関連が認められた(p<0.05).【結論】家族へのバーバルコミュニケーション支援の意義が示唆された.</p>

<p>Objectives: This study aimed to clarify the presence and evaluation of eight types of support by medical staff for family members that aid the verbal communication of feelings to patients (i.e., verbal communication support for family members) in palliative care units. Further, the relationship between the presence of "verbal communication support for family members" and the variables of a "good relationship between patient and family," and "overall care satisfaction" was assessed. Methods: A questionnaire was administered to 968 bereaved family members of patients who died in 103 palliative care units in Japan. Results: A total of 536 responses were analyzed. Although the proportion of the families who received support differed depending on the content, the evaluation of the support received by the families was positive overall. Multiple regression analysis showed a significant positive association (p<0.05) for all eight types of support and those family members who reported a good relationship between patient and family. The results also showed a significant positive association (p<0.05) between four support types (concrete proposal of families' verbalization to the patients, telling to the patients the feelings that families want to convey, ensuring that the patients can hear, and words to families that imply the patient's feelings toward his/her family) and overall care satisfaction. Conclusion: Identifying methods to improve medical staff's "verbal communication support for families" in daily care may ultimately strengthen the relationship between patients and their families as well as lead to their increased satisfaction with care. </p>

Journal

  • Palliative Care Research

    Palliative Care Research 13(3), 263-271, 2018

    Japanese Society for Palliative Medicine

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