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要旨
目的:精神障がい者の地域生活におけるセルフケアの構成概念を導く.
方法:医学中央雑誌Web版,PubMed,CINAHLを用い,「精神障害者」and「セルフケア」or「自己管理 or セルフマネジメント」あるいは“mental illness” or “mental disorder” or “psychiatric illness” or “psychiatric disorder” and “self care” or “self-management”をキーワードとしRodgers & Knafl(2000)の概念分析の手法に従い概念を特定した.
結果:42件を分析した結果,セルフケアは「心身の健康状態の維持・向上,自己概念の変化,社会参加,地域生活の継続によるQOLの向上を導くために,生活の基礎を作り,生活を営み,生活の質を充実させるための行動」と定義された.
結論:本概念は精神障がい者が望む生き方,暮らしを実現するために必要なセルフケアを見極め,支援を講じる際の指標として活用できる.
Aim: This study was conducted to produce a constructive concept of self-care for mentally handicapped persons in a community.
Methods: We identified the concept using concept analysis methods developed by Rodgers & Knafl (2000) as a reference. Three databases were searched: Ichushi Web, MEDLINE, CINAHL Articles. Search terms included: “mental illness” or “mental disorder” or “psychiatric illness” or “psychiatric disorder” and “self care” or “self-management”.
Results: Analysis of 42 reports of the relevant literature revealed a definition of self-care for people with mental disability in a community. It includes actions to build a foundation for life, live it, and improve quality of life (QOL), with maintenance and improvement of mental and physical health, change of self-concept, participation in society, and QOL improvement by continuing community life.
Conclusion: The self-care concept extracted this time is useful as an index to assess self-care and to provide necessary and desired support to realize ways of life and living.
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