造血器腫瘍のために通院しながら社会生活を送っている20代・30代の人々の希望について

Hopes of People in Their Twenties and Thirties Living with Leukemia/Lymphoma

要旨

　本研究の目的は，造血器腫瘍のために通院しながら社会生活を送っている病名告知を受けた20代・30代の人々の希望と希望の維持に関連する要因について明らかにすることである．希望を「生きる力をもたらす未来に対する可能性の感覚」と定義し，大学病院の血液内科外来に通院中の4名の患者に対し，半構成的面接調査を実施した．得られたデータは質的帰納的に分析をした．その結果，対象者の希望として，【生命の存続に関する希望】，【病気からの解放に関する希望】，【自分の将来の生活や夢が思い描ける状態】，【自分というものの維持に関する希望】，【他者を通して感じる希望】の5つが，希望の維持に関連する要因として，《未来についての望みの存在》，《希望の障壁》，《性格特性・価値観》，《希望の障壁を乗り越えるための方略》，《希望を支える環境要因》の5つが導き出された．これらの結果は，看護職をはじめ患者の周りにいる人々が，患者の希望を支えるための関わりを考えるうえで参考にできる一視点となると考える．

Abstract

　The purpose of this study was to identify the hopes and factors related in maintaining hope in people in their twenties and thirties who are living with leukemia／lymphoma.Hope was defined as “the possibility of feeling for producing the power to live in the future”. Data were collected from semi-structured interviews with four patients, who were informed of their own disease at the hematology outpatient ward in a university hospital. Inductive and qualitative analysis were employed for analyzing data. As a result, five hopes and five related factors in maintaining hope were identified. The five hopes were：(1)staying alive, (2)relief from disease, (3)visualizing future life and dreams, (4)being oneself, and (5)experience with other people's development. The five related factors in maintaining hope were：(1)having desires for the future, (2)barriers against hope,(3)personality characteristics or sense of worth,(4)strategies to overcome barriers against hope, and (5)environmental factors for supporting hope.We think that these results will prove useful when nurses or those who are with patients select a way to interact with patients by making it possible for them to support the patient's hope.