知的障害者が医療機関の受診を困難と感じるプロセス〜保護者の意見から〜

Process in which People with Intellectual Disabilities Feel It Difficult to Consult Medical Institutions: Parents' Opinions

要旨

目的：知的障害者が医療機関の受診を困難と感じるプロセスを保護者の意見から明らかにする．

方法：知的障害者の保護者3グループの計14名にフォーカスグループインタビューを行い，M-GTAで分析を行った．

結果：保護者から明らかとなった知的障害者が医療機関の受診を困難と感じるプロセスは〔スムーズな受診への不安とその緩和に対する負担〕に加え〔医療機関での不快体験や失敗体験による受診負担の増加〕があり，〔受診負担解決への無力感〕〔受診への自信喪失〕が生じることで【医療機関を訪れることへの気後れ】となっていた．【保護者・医療機関・社会がそれぞれできる取り組み】は【医療機関を訪れることの気後れ】に影響すると保護者は考えていた．

結論：知的障害者が医療機関の受診を困難と感じるプロセスは【医療機関を訪れることへの気後れ】であり，保護者・医療機関・社会のそれぞれの努力により軽減できる可能性が示された．

Purpose: This study aimed to clarify the process in which people with intellectual disabilities feel it difficult to consult medical institutions on the basis of the parents' opinions.

Methods: Focus group interviews were conducted with three groups of parents (n = 14) of people with intellectual disabilities. For analysis, the Modified Grounded Theory Approach was used.

Results: On the basis of the parents' opinions, the process in which people with intellectual disabilities feel it difficult to consult medical institution included “concerns that it may not proceed smoothly and the burden of relieving the disabilities” and an “increase in the burden of receiving the consultation because of a negative experience at medical institution”. In addition, due to a “sense of helplessness about reducing the burden of consulting medical institution”, as well as a “loss of confidence in receiving it successfully”, people with intellectual disabilities felt [hesitation to visit medical institution]. Parents thought that [actions that each of parents and medical institution and society enables] influenced [hesitation to visit medical institution].

Conclusion: The process in which people with intellectual disabilities feel it difficult to consult medical institutions were [hesitation to visit medical institution].

A possibility that those can be reduced was suggested by the respective each efforts of parents, medical institution and society.