身体の心地よさに働きかける看護援助―糖尿病患者に対するマッサージを介したセルフケア援助をとおして得られた患者の反応より

The nursing intervention which produces their bodies' comfort: The patients' reaction on self-care support via having massage for the patient with diabetes mellitus

　本研究の目的は，糖尿病患者に身体の心地よさに働きかける看護援助を行い，セルフケアを視点とした自己を取り巻く生活や身体に対する認識や思いを中心に，どのような反応が得られるのかを明らかにし，本看護援助の意義について考察することである．

　セルフケアに向き合えないでいると捉えられる外来通院中の成人糖尿病患者6名を対象に，看護援助を行いつつ対象者の言動をデータ収集し質的に分析した．

　その結果，【マッサージの場による研究者との居心地の良い距離感】【自分の身体や病気に掛り合う家族支援や自分なりの尽力】【病気がもたらすやるせなさ】【自分の身体を巡る探究】【身体に重きを置いていない生活の省察】【心身が癒されるマッサージの場によって，自らを癒す力が引き出される】の6つの反応が明らかとなった．

　以上より，身体を接点にマッサージを介して「心地よさ」に働きかけた看護援助の場は，あるがままの自己の吐露から自己の身体の探究・省察へ，そして自らを癒す力が引き出されていたと考えられ，患者自身が自分の身体に対する応答性を高めていくかかわりとして，糖尿病患者のセルフケアへの援助の一環として位置づけられることが示唆された．

　The purpose of this study is to clarify how the patients' perception and emotion to their living surrounding themselves from the viewpoint of self-care and body are expressed and to consider the significance of this intervention by giving the nursing intervention which produces their bodies' comfort for the patients with diabetes mellitus. 　The subjects are 6 adult out-patients who are thought to avoid their self-care. We collected and analyzed qualitatively the data of their reactions with our interventions. 　As a result, the data was integrated into following six reactions.;【their family' s supporting their bodies and their diseases, and their endeavor to cope with the recommended regimen for themselves】【disconsolation caused by their diseases】【a sense of comfortable distance between the patients and researcher brought about by the place where she gives massage】【inquiring their bodies all over】【thinking back to their living they hadn't taken good care of their bodies】【healing their mind and their bodies in the place where she gives massage, furthermore being brought out their power of healing themselves】 　We supposed that the patients poured out them as they are, besides they searched and thought back to their bodies, and moreover they were brought out power of healing themselves. The result suggested that it is formed a part of self-care support as aid that the patient is more responsive to their own bodies.