慢性疾患とともに生きる患者にとっての“Positive living”の概念分析

Concept Analysis of "Positive Living" for Patients Living With Chronic Illness

要旨

　目的：慢性疾患とともに生きる患者にとっての“Positive living”の概念分析を行ない，定義を明確にする．

　方法：45文献を対象に，Walker ＆ Avantの概念分析の方法を用いた．

　結果：4つの属性【病気に対するコントロール感】【周囲との相互関係性の再構築】【新たな自分らしさ】【新たな価値の創造】と，6つの先行要件，3つの結果が抽出された．

　結論：本概念を「慢性疾患とともに生きる患者が，主体的・積極的に周囲との関係性を通して自己に適した管理や調整を図り，病気の限界を受け入れ，病気をコントロールしている感覚をもち，新たな価値や自分らしさを見いだしていること」と定義した．

　Objectives: To perform the concept analysis of "Positive living" for patients living with chronic illness and clarify its definition.

　Methods: The Walker ＆ Avant method of concept analysis was employed on 45 papers.

　Results: Four attributes, namely "sense of control over illnesses," "reconstruction of interrelationships with the surrounding," "new sense of oneself," and "creation of new values," six prerequisites, and three consequences were extracted.

　Conclusion: This concept was defined as "Patients living with chronic illness proactively and positively manage and adjust fitting oneself via relationships with the surrounding, accept the limitations of their illness, have the feeling of controlling illness, and find new values and sense of oneself."