2．血液透析患者が体験する手術の意味

　本研究の目的は，血液透析患者が体験する手術の意味を明らかにすることである．研究の参加者は，手術を受けた血液透析患者のうち，本研究の主旨を説明し，同意が得られた7名である．退院決定の時期と退院後1か月の時期に個別に非構成的面接を実施し，血液透析患者の手術の体験についてフッサールの現象学を前提にして分析した．その結果，研究参加者は，手術前では〈手術への迷い〉，〈手術にかける思い〉，〈救われる思い〉，〈死が現前する感覚〉を体験していた．また，手術後では〈救われた思い〉，〈身体の快・不快〉，〈透析患者であるという感覚〉，〈人に支えられて生きている〉，〈新しい価値観の気づき〉を体験していた．そして，透析患者であること，手術のこと，手術後のこと，退院後の生活のことなど，参加者の過去志向と未来志向のつながりから，血液透析患者が体験する手術の意味は，【透析患者である自分が，人に迷惑をかけずに自立した状態で生きるために必要なこと】であることが明らかになった．血液透析患者は，人に迷惑をかけずに生きていきたいという希望をもって手術に臨み，手術にかかわるさまざまな苦しかった体験でさえも，透析患者である自分が自立した状態で生きていくために必要なことであったと前向きにとらえていた．

　The purpose of this study was to clarify the meaning of an operations experienced by patients on hemodialysis, as assessed by the patients themselves. Seven such patients who had undergone an operation participated in the study after submitting their informed consent. Unstructured interviews were individually held when their discharge was arranged and 1 month after discharge to analyze their experience of the operation on the premise of Husserl's phenomenology. Consequently, it was found that the patients had “anxiety about the operation”, “motivation for the operation”, “a feeling of being saved”, and “a sense of facing their own death”before the operation, as well as“a feeling of having been saved”, “physical comfort/discomfort”, “a sense of being a dialysis patient”, “a sense of being supported by others”, and “recognition of new values”after the operation. A comparison between the patients' attitudes toward the past and those toward the future in regard to being a dialysis patient, the operation, what would occur following the operation, and their lives after discharge indicated that an operation experienced by patients on hemodialysis meant “something necessary for them to independently live without causing trouble to others”. In other words, they confronted the operation expecting to live without troubling others, and even accepted various painful experiences associated with the operation as something necessary for them to independently live as a dialysis patient.