就労介護者のインタビュー結果からみた就労を阻害する要因と継続する要因

Obstructive and Continuation Factors at Work in Working Caregivers Identified from Their Interviews

要旨

　目的：就労介護者の就労阻害要因と継続要因を明らかにする．

　方法：高齢近親者の介護を担う就労介護者に半構造化インタビューを行い，就労阻害要因と就労継続要因を抽出した．

　結果：主介護者9名を対象とし，質的帰納的に分析した結果，就労阻害要因は，【介護に時間がとられる】【介護量が増加しても仕事量の調整が難しい】【同僚への気兼ね】【介護者の生活と健康への脅かし】【介護に必要な情報の不足】などの15カテゴリーが抽出された．また，就労継続要因は，【仕事継続を後押しする家族・仲間の理解と支え】【仕事と介護が両立できる職場の体制とゆとり】などの8カテゴリーが抽出された．

　結論：就労を継続するには，介護者が【気負わない介護】を実施し，健康状態も良好であることが重要である．そのためには，介護者が一人で介護を抱え込まないように，家族や職場，制度・サービスなどのサポートが必要である．

　Purpose: To identify obstructive and continuation factors at work in working caregivers.

　Methods: Semi-structured interview was conducted to working caregivers who were taking care of their elderly closest family members. We assessed obstructive and continuation factors at work from the interview.

　Results: We performed a qualitative and inductive analysis from 9 principal caregivers, and 15 categories were identified as obstructive factors at work, which include [time-consuming caregiving]; [difficult time allocation for work against increased demand of caregiving]; [feeling guilty about caregiving to colleagues at workplace]; [anxiety about life and health of caregivers themselves]; and [shortage of required information on caregiving]. For continuation factors, 8 categories were identified including [understanding of caregiving and support from family and colleagues]; and [working place environment supportive to both work and caregiving].

　Conclusion: Results suggest that working caregivers should not wish perfect caregiving but maintain healthy condition for continuation of caregiving. Supports from family members and colleagues at workplace, and use of public services for caregiving are important to avoid isolation of working caregivers.