ストーマをもつ既婚女性の日常生活における困難の捉え方と対処

Recognizing and Coping with Troubles Married Women with Stoma Face in Everyday Life

要旨

　目的：本研究は，ストーマをもつ既婚女性たちが，日常生活の困難をどのように捉え，どのように対処したかを記述し，看護支援の示唆を得ることを目的とした．

　方法：消化管ストーマ造設後5年以上経過し，日常生活を行っている既婚女性5名に，半構成的面接でデータを収集し，質的帰納的に分析した．

　結果：ストーマをもつ既婚女性は《ストーマをもって生きる上での困難に苦悩する》と捉えて，《ストーマをもつ自分を意味づける》《ストーマをもって普通に生活するための方略を用いる》《ストーマをもつ新たな安定した自己を形成する》対処を行っていることが明らかになった．

　結論：看護の支援として，世間の目への対処や夫の存在を重要視した支援，個々の価値観に応じた支援，長期にわたる支援の重要性が示唆された．

Abstract

　Objectives：The purpose of this study was to ascertain what sorts of troubles married women living with stoma face in everyday life as well as the ways in which they cope with those troubles with the goal being to gain better insight so as to provide a higher level of nursing support.

　Method：Five 5-year post-operative married women subjects with gastrointestinal stoma leading everyday lives,were interviewed using a semi-structured format,and performed analyses based on qualitative induction.

　Result：Married women having stoma have become clear that the difficulties in everyday life are being viewed.“The trouble and distress caused by stoma in daily life”while countermeasures are seen as “making sense of oneself with stoma,”“creating strategies for helping to lead an ordinary life,”and “achieving a stable renewed sense of oneself living with stoma in everyday life.”

　Conclusion：The results suggest, as an aid for nursing care, it is vital to provide assistance that focus on helping women in their relationship with their husband and face the public eye, it is also necessary to provide help that accommodates to each individual's sense of value, the importance of an ongoing long-term support.