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要旨
本研究は,質的研究法のグランデッドセオリーアプローチを用いて,脳疾患患者の障害認識変容過程と,その過程に影響を及ぼす要因を明らかにすることを目的とした.対象者は,コミュニケーションが可能な脳疾患患者8名で,障害や現在の生活に対する認識を半構成的インタビューで調査した.その結果をラベル化,カテゴリー化しながら分析し,従来の段階的障害受容論と比較した.その結果は以下のようである.
1)脳疾患患者の障害認識変容プロセスは,従来の段階的な障害受容論と異なり,“落ち込み現象”の時期が違う3種類のパターンが認められた.
2)患者の認識変容に影響を及ぼした要因として,落ち込みから回復させる“SupportImprinting体験”が存在した.
3)多くの患者が,許可なしに行動する危険行動を体験していた.そして,その行動には,障害を認識してゆくための“障害たしかめ体験”の意味も存在した.
Abstract
The purpose of this study was to describe how Cerebral Disease patients recognize their disabilities and what influences them. The data were analysed by using a grounded theory approach and were then compared with previous findings from stage theory. Eight individual patients were interviewed during their rehabilitation phase. The results are as follows:
1) The process of Cerebral Disease patients' recognition was not uniform in the same way as in the case of stage theory but was characterized by a three-type pattern of depression.
2) Each type of depression was found to improve after “Support imprinting experience”.
3) Many patients suffered physical injuries through trying to achieve too much in too short a time.
This was a means, however, for recognizing the extent of their capabilities.
Copyright © 1997, Japan Academy of Nursing Science. All rights reserved.