働く女性の月経随伴症状のセルフマネジメントの概念分析

A Concept Analysis of Menstrual Symptoms Self-management in Working Women

要旨

　目的：働く女性の月経随伴症状のセルフマネジメントの概念を明らかにし，看護介入における概念活用の有用性を検討することである．

　方法：Rodgers＆Knafl（2000）の概念分析の手法を用いた．

　結果：属性は【月経随伴症状や対処に関するリテラシーの獲得と活用】【問題解決に向けた段階的な行動変容】【職場の資源の活用】【就労生活での取り組みの維持】の4つ，先行要件は4つ，帰結は3つが導き出された．

　結論：本概念は「働く女性が月経随伴症状や仕事および生活の支障を改善するために，ヘルスリテラシーや職場の資源を活用し主体的かつ戦略的な管理により課題に対処する活動であり，その人の問題に対する対処行動が洗練されていくプロセス」と定義した．その上で，働く女性という集団へのセルフマネジメント促進に向けた看護支援の基盤としての活用可能性が示唆された．

　Objective: To clarify the concept of self-management of menstrual symptoms in working women and examine the usefulness of concept utilization in nursing intervention.

　Method: The concept analysis method described by Rodgers ＆ Knafl (2000).

　Results: The following four attributes were identified: "Acquisition and utilization of literacy regarding menstrual-related symptoms and coping behavior", "Step-by-step behavior change for problem solving", "Utilization of workplace resources" and "Maintaining efforts in working life". In addition, four antecedents and three consequences were identified.

　Conclusion: This concept was "activities for working women to address issues through proactive and strategic management using health literacy and workplace resources in order to improve their menstrual symptoms and obstacles to work and life. The process by which a person's problem coping behavior is refined". In addition, it was suggested that it could be used as a basis for nursing support to promote self-management for a group of working women.