障がいのある人の親の向老期・高齢期の生活：スコーピングレビュー

Life of Japanese Older Parents of Persons With Disabilities: A Scoping Review

要旨

　目的：わが国における障がいのある人の親の向老期・高齢期の生活に関する研究を概観し，これらの親の生活の現状を明らかにし，今後の研究上の課題を検討する．

　方法：Arksey ＆ O'malleyが提示するスコーピングレビューを実施した．医学中央雑誌Web版とCiNii Researchを用いて，2000年以降の障がいのある人の向老期・高齢期の親の生活に関する文献を選定し，PRISMA-ScRに基づき報告した．

　結果：21論文を分析した結果，これらの親は向老期・高齢期の生活において，わが子のケアを担い続けており，その中でわが子のケア・生活場所の移行の困難を経験し，自身の生活と健康への影響を受けていた．またわが子の将来の不安に加え，自身や配偶者の高齢化や健康障害が重なり合う複合的な不安を抱えていた．

　結論：親の生活と健康への支援が必要であり，わが子へのケアの移行を含めた親自身の生活と健康に関する研究の蓄積が課題であることが示唆された．

　Objective: This study conducts a comprehensive review of the living conditions and experiences of older parents of people with disabilities in Japan to better understand their lives.

　Methods: Following Arksey ＆ O'Malley(2005), this study conducted a scoping review based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews(PRISMA-ScR) guidelines using the following keywords: children or persons with disabilities, family, parents, mothers, fathers, and life. Literature on the living conditions of parents of persons with disabilities, published starting in 2000, was selected using the Ichushi Web and CiNii Research.

　Results: A total of 21 articles were included in the review. The results showed that older parents of persons with disabilities continue to take on a caring role for their children, even if their children live in different places, such as institutions, impacting their lives and health. Parents also had psychological difficulties associated with the transition of their children's care and living arrangements. In addition, these parents experienced anxiety about their children's future, which was compounded by their own experiences of aging and overlapping health problems and family issues.

　Conclusion: The results suggest the need for increased support for older parents of persons with disabilities to improve their lives and health.