Process of self-determination of discharge after long-term hospitalization in patients with schizophrenia Akemi KOYAMA 1 1Jiundo-Naika Hospital Keyword: 自己決定 , 統合失調症 , 退院 , 長期入院 , self-determination , schizophrenia , discharge , long-term hospitalization pp.40-45
Published Date 2013/3/15
DOI https://doi.org/10.11477/mf.7001100081
  • Abstract
  • Reference

 The purpose of this study was to clarify the process of self-determination that led to the discharge of patients with schizophrenia after long-term hospitalization. Nine patients with schizophrenia underwent semi-structured interviews after hospital discharge. The interviews were qualitatively analyzed, and each patient's responses were analyzed in relation to their medical records. Patients with schizophrenia found it difficult to adopt a suitable self-determination process in an administrative environment because of long-term hospitalization. Instead, they entrusted this responsibility to the person in charge of their medical care. Patients with intentions of being discharged recognized “self-determination” and “decision of others” as factors that influenced the decision-making process. Patients were classified on the basis of participation in a discharge meeting. Patients who had no such intentions regarded “self-determination,” “codetermination,” and “decision of others” as factors. Patients were classified according to the extent of participation in the decision-making process and the discharge support they received. The results also showed that nurse.patient relationships influenced the decision of patient discharge. A total of 8 roles played by nurses in the process of supporting patient decisions were identified.

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電子版ISSN 印刷版ISSN 1883-244X 日本看護倫理学会