医療分野において健康問題を抱える人へ実践されている応援の概念分析

Conceptual Analysis of Ohen as Practiced in the Medical Field for People with Some Health Problems in Japan

要旨

　目的：日本の医療分野で健康問題を抱える人へ実践されている応援の概念分析を行い，定義を明らかにする．

　方法：国内文献29件を対象にRodgersの概念分析を行った．

　結果：前提要件3つ，属性4つ，帰結4つのサブカテゴリーから，各一つの【カテゴリー】が抽出され，医療分野の応援は，生き方の模索が続く健康問題を抱える人への【自分らしくあることの困難性への共感】に基づいて，医療者が【その人が自分らしく生きるために味方になり新たな活動を試みる】ことで【その人の主体性の高まりに医療者としての自分らしさが充実していく】過程であった．味方になるとは，医療情報を分かりやすく伝えること，対象者と願いを共に考え支えること，対象者の思いを代弁し共感を周囲に波及させ仲間を作ることにより，その人らしさを支えることだった．

　結論：医療分野での応援は，対象者のその人らしさを大切にしたい医療者の新たな活動の創出を助ける概念と考えられた．

　Purpose: This study aims to determine a definition for the Ohen, an activity which is practiced in the medical field for people with some health problems in Japan, by conducting a conceptual analysis of Ohen.

　Methods: For 29 articles published in Japan, a concept analysis was conducted based on the Rodgers method.

　Results: One ‘category’ was extracted from each subcategory identified: three for antecedents, four for attributes, and four for consequences. Ohen is a process based on ‘empathy towards difficulty of living in ways preferred by a person' someone who is at a loss for how to live with health problems. In this process, health professionals ‘Mikataninaru (become a supporter for a person) so that the person can live in ways the person likes, and then try new activities', resulting in ‘enriching the own identity as a health professional when seeing the person (patient) living as that person likes'. Mikataninaru here is defined as the activity to help the person live in ways the person likes by communicating medical information in a way that is easily understood, thinking about the wishes of the subject together with him/her, expressing the thoughts of the subject as a spokesperson, spreading empathy to people around the subject, and creating an environment of comradery.

　Conclusions: It is suggested that Ohen in the medical field is a concept that helps health professionals, who think a great deal about the subject of living in the way a person likes, help create new their activities.