家族会に所属する統合失調症者家族がケアラーとして自分らしい生活を再構築するプロセス

The Process by Which Families Who Belong to the Family Association of Individuals With Schizophrenia Rebuild Their Own Individual Life as Carers

要旨

　目的：家族会に所属する統合失調症者家族がケアラーとして自分らしい生活を再構築するプロセスを明らかにする．

　方法：家族会に所属する統合失調症者家族であるケアラー8名にインタビューを実施し，M-GTAを用いて分析した．

　結果：家族会に所属する統合失調症者家族がケアラーとして自分らしい生活を再構築するプロセスは【抱え込むケアからの脱出】を始点とし，【闘病支援への目覚め】，【協力者からの支援受諾】，【自身に内在する偏見受容】，【囚われの認知からの赦し】が相互に影響し合い，徐々に【ほどよいケア方法の形成】に至る．【ほどよいケア方法の形成】をターニングポイントとして，【自己尊重した生活の再始動】が図られ，最終的に【ケアラーとしての新たな自己形成】に至っていた．

　結論：本研究の結果は，ケアラー支援の実践モデルとしてケアラー支援に適応されることが示唆され，今後は実践モデルとして応用しながら検証を行うことで，より洗練されたケアラー支援の実践モデルの構築を目指す．

　Objective: To identify the process by which families who belong to the family association of individuals with schizophrenia rebuild their own individual lives as carers.

　Methods: Interviews were conducted with eight carers belonging to family associations their family with schizophrenia, and the collected data were analyzed using the Modified Grounded Theory Approach(M-GTA).

　Results: The process by which families who belong to the family association of individuals with schizophrenia rebuild their own individual lives as carers begins by "freeing oneself from overburdened caregiving". This is followed by the mutual influences of "recognizing the need for illness support", "accepting assistance from other supporters", "accepting one's own inherent prejudices" , and "liberating oneself from mental entrapment" , gradually leading to the "development of an appropriate care method". With the "development of an appropriate care method" as the turning point, "restarting a life with self-respect" was initiated, ultimately leading to "creating a new self as a carer".

　Conclusion: The results of the present study suggest that they can be adapted to carer supports as a practice model of carer support. In the future, we aim to develop a more sophisticated practice model of carer support by applying and verifying it as a practice model.