就労介護者の仕事と家庭役割間の葛藤とケアマネジャーによる就労継続支援の判断，就労介護者の特性との関連

Relations of Working Caregiver Work-family Conflicts to Assessment of Care Manager Support for Continued Employment and to Working Caregiver Characteristics

要旨

　目的：就労介護者の仕事と家庭役割間との葛藤とケアマネジャーによる就労継続支援の判断および就労介護者の特性との関連を明らかにする．

　方法：対象者は，全国の居宅介護支援事業所を利用する就労介護者とその担当ケアマネジャー各3,000名とした．郵送で無記名自記式調査を実施し，各対象者696 名（有効回答率23.2％）を分析対象とした．就労介護者から，ワーク・ファミリー・コンフリクト（WIF・FIW）等を把握し，ケアマネジャーから，介護者の就労継続のための支援の判断等を把握した．

　結果：就労介護者の平均年齢は57.2（SD8.8）歳で女性が79.3％であった．ロジスティク回帰分析の結果，ケアマネジャーが心理的支援の必要性が高いと判断している就労介護者はWIFが高かった．

　結論：ケアマネジャーが心理的支援の必要性があると判断する就労介護者は，就労により家庭役割を遂行する上で葛藤を抱えていることが明らかになった．

　Aim: This study was conducted to clarify relations of work-family conflicts of working caregivers to assessment of care manager support for continued employment and to the working caregiver characteristics.

　Method: Study participants were 3,000 working caregivers nationwide who administer home care services, and their 3,000 care managers. An anonymous self-administered survey conducted by mail elicited data from 696 respondents (23.2% valid response rate). Survey questions for working caregivers included inquiries related to their sociodemographic characteristics and work-family conflicts as measured by the Work-Family Conflict Scales Japanese version. Regarding care managers, their sociodemographic characteristics and judgment of support for the caregiver to continue working were obtained.

　Results: The mean age of these working caregivers, 79.3% of whom were women, was 57.2 years ± 8.8 years. Logistic regression analysis results indicated that working caregivers who were having psychological care needs assessed by their care managers tended to report worse living, longer working hours, worse subjective health, and a higher degree of conflict in working interference family issues (WIF).

　Conclusions: Results indicated that working caregivers have psychological care needs and employment-related conflicts associated with fulfillment of their domestic roles.