日常生活を通してみる脳卒中後のしびれの体験とその意味

The Experiences of the People Who Suffered from Post Apoplectic Numbness as Viewed through Their Daily Lives and Its Meanings

要旨

　脳卒中後遺症でしびれを患った人々がどのような体験をしているのか，またその体験にはどのような意味があるのかを，日常生活での体験を記述することで明らかにすることを目的とし，半構成的面接を行い質的記述的に分析した．

　分析の結果，以下のことが明らかになった．参加者はしびれのため生活動作が不確かなものとなり，加えてからだによって無意識に行われていた生活空間の把握にも困難さがみられた．そしてこのような生活を積み重ねることは，自己を支える基盤を揺るがせる可能性を孕んでいることが示唆された．また，しびれ特有の認識様式として，しびれがあることや動作が以前のようにはできないことをその都度認識させられるという特徴がみられた．さらに，注目すべきことは，「慣れる」というプロセスが当事者の視点から明らかになったことである．それは，動作に応じた工夫を日々繰り返すことで再びからだが覚えていくことであり，からだが自然に覚えていく，つまり身体化されるがゆえに慣れたことを自覚しにくいという特徴がみられた．この身体化により，しびれ自体の症状改善が難しくとも，できない動作が減ることで生活の中で感じていた苦痛が軽減されることが示唆された．

Abstract

　The purpose of the study was to describe how the patients who suffered from post apoplectic numbness experienced their daily lives and also the meanings of those experiences. The study conducted unstructured interviews and analyzed all data by qualitative methods. After the analyzed, the following results were found.

　Because of the numbness, the movements were uncertain；the understanding of the living space that performed unconsciously became difficult, too. If this daily lives continued, there was a potential that the self-support foundation and the patients self-esteem might be unstable.Also, the following results were particularly recognized：the patients were stressed because of the numbness and their decreasing body-control whenever they attempted to move their muscles for ordinary actions, which reminded them of their disorder. This can be said that, for the patients, this was the manifestation of the phantasmagoric of the numbness. Moreover, the notable point is,after they repeatedly adapted their new movement and found improvement；they will become “familiar”with the new movement. By this process, even if they were not completely recovered from their numbness, the patients could gradually reduce their stresses.