精神障がい者の地域生活におけるセルフケアの概念分析

Concept Analysis of Self-care for People with Mental Disability in Community

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.