DSpace
   聖路加国際大学図書館 聖路加国際大学   

SLIU Repository >
聖路加看護学会誌 >
08巻1号 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10285/708

NII Resource type: Journal Article
Title: Development of a Theory to Support Patients with Cerebral Vascular Disease and their Families in Solving Post-discharge Difficulties in Daily Living Activities.
Authors: Kawahara, Kayoko
Keywords: Cerebral vascular disease patients
Family caregivers
Activities of daily living
Difficulties
Theory development
Shimei: 聖路加看護学会誌
Volume: 8
Issue: 1
Start page: 11
End page: 21
Issue Date: 23-Jun-2004
ISSN: 13441922
Abstract: 本研究の目的は、脳血管障害者と家族介護者が退院後の生活行為場面で直面する困難の概念枠組みを作成し,困難を解 決するための理論命題を提出することである。方法は,Yinのケース・スタディ・リサーチを用いた。対象は,在宅脳血 管障害者の家族介護者(女7名,男3名),平均年齢59.0歳(SD=9.8)であり,データ収集は,在宅介護でなにが大変であっ たかを中心に半構成的質問紙による面接調査を実施し質的に分析した。結果として,7つの概念:「障害者の困難」「介 護者の困難」「介護者の対処方法」「意識の転換」「情報」「環境」「障害者/介護者の困難の変化」から枠組みが構造化さ れた。この枠組みにおいて,障害者/介護者の困難は介護者の3つの対処方法により減少,あるいは増加する。理論命題 として,「介護者が対処方法1(観察する―工夫する―試す―確認する)をとると障害者/介護考の困難は減少する」が 提出された。
Abstract-Alternative: The purposes of this study are to develop a conceptual framework of difficulties cerebral vascular patients and their family caregivers face in their daily life after discharge from the hospital and to provide a theoretical proposition to be verified with the Case Study Research (Yin, 1994) approach. The subjects were 10 caregivers of the cerebral vascular patients (7 females and 3 males), the average age of whom was 59.0 (SD=9.8). The interviews were given with semi constitutive questionnaires. The questions were organized around difficulties in home care and data was collected and analyzed qualitatively. The seven concepts thus extracted were: difficulties for the patients; difficulties for the caregivers; caregiver's coping strategies; shift of、awareness; information; environmental factors; and change in patients and caregivers' difficulties. The framework was structured with these concepts and the difficulties were estimated to reduce or expand depending on the three coping strategies of the caregivers. The theoretical proposition to be verified was: If caregivers use coping strategy 1 (observation-plan-trial-confirmation), the difficulties may be reduced.
Bibliography: 1) Journal of Health and Welfare Statistics, Health and Welfare Statistics Association, 49(9),47-48,2002.
2) Grant JS ; Davis LL : Living with Loss : The Stroke Family Caregiver, Journal of Family Nursing, 3(1),36-56,1997.
3) Wineman NW, Nealon NR : Correlates of the Caregiving Process in Multiple Sclerosis, Scholarly Inquire for Nursing Practice : An International Journal, 9(4),323-338,1995.
4) Mclean J, Roper-Hall A, Mayer P, Main A : Service Needs of Stroke Survivors and their Informal Cares : A Pilot Study, Journal of Advanced Nursing, 19,559-564,1991.
5) Kawahara, K ; Iida, S : Characteristics of care burden for families taking care of stroke patients with higher brain impairment, Japanese Journal of Research in Family Nursing, 5(1), 9-16,1999.
6) Kawahara, K ; Ito, M : Difficult in daily living in relation to lesions and types of assistance needed for patients of cerebrovascular diseases, THE KITAKANTO MEDICAL JOURNAL, 49(4),261-268,1999.
7) Wallhagen MI : Caregiving Demands : Their Difficulty and Effects on the Well-Being of Elderly Caregivers, Scholarly Inquiry for Nursing Practice : An International Journal, 6(2),111-127,1992.
8) Kawahara, K ; Koisumi, M ; Yazima, M ; Ito, M : Difficulties in the patient-caregiver relationship in the care setting and assistance nedded for patients with cerebrovascular disabilities and their families, THE KITAKANTO MEDICAL JOURNAL, 50(3),267-274,2000.
9) Barkauskas, VH : Home Health Care, Annual Review of Nursing Research, 8,103-132,1990.
10) Whall AL, Loveland-Cherry CJ : Family Unit-Focused Research : 1984-1991, Annual Review of Nursing Research, 11,227-247,1993.
11) Zarit, SH : Issues and Directions in Family Intervention Research, In E.Light & BD. Lebowitz(Eds.), Alzheimer's Disease Treatment and Family Stress : Directions for Research, 158-486, DHHS Publication # ADM 89-1569, Dockville, MD : U. S. Department of Health and Human Services, 1989.
12) Given, BA ; Given, CW : Family care giving for the elderly, Annual Review of Nursing Research, 10,77-101,1992.
13) A Review of Nursing Research ; Development of a support program for stroke patients and their families, Nursing Research, 32(6),71-81,1999.
14) Yin, RK : Case Study Research : Design and Method, Applied Social Research Methods Series, 5(49)106-109,1994.
15) Evans RL, Bishop DS, et al. : Family Interaction and Treatment Adherence after Stroke, Arch Phys Med Rehabil, 68,513-517,1987.
16) Philips LR, Morrison E : Effects of the Situational Contest and Interactional Process on the Quality of Family Caregiving, Research in Nursing & Health, 18,205-216,1995.
17) Schults CL, Smyrnios KX, Carrafa GP, et al. : Predictors of Anxiety in Family Caregivers, Australian Occupational Therapy Journal, 41,153-161.
18) Archbold RG, Stewart BJ, Miller LL, et al. : The PREP System of Nursing Interventions : A Pilot Test with Families Caring for Older Members, Research in Nursing & Health, 18,3-16,1995.
19) Farran CJ, Keane-Hagerty E, Salloway S, et al. : Finding Meaning : An Alternative Paradigm for Alzheimer's Disease Family Caregivers, The Gerontologist, 31,483-489,1991.
20) Hinrichsen GA, Hernandez NA, Pollack S : Difficulties and Rewards in Family Care of the Depressed Older Adult, The Gerontologist, 32,486-492,1992.
21) Polit, DF ; Hungler BP : Nursing Research Principles and Methods Fourth Edition, 17-20,115-116, J. B. Lippingcott Company,1991.
Rights: このPDFファイルは国立情報学研究所で電子化されたものです。
URI: http://hdl.handle.net/10285/708
Appears in Collections:08巻1号

Files in This Item:

File Description SizeFormat
KJ00004781818.pdf919.37 kBAdobe PDFView/Open

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Valid XHTML 1.0! DSpace Software Copyright © 2002-2010  Duraspace - Feedback