脳卒中後疲労のセルフマネジメントの概念分析

Conceptual Analysis of Self-Management of Post-stroke Fatigue

要旨

　目的：「脳卒中後疲労のセルフマネジメント」の概念を明らかにした．

　方法：PubMed，CINAHL，APA PsycINFO，医学中央雑誌から抽出した24文献をRodgers（2000）の概念分析法で分析した．

　結果：脳卒中後疲労のセルフマネジメントとは，脳卒中後疲労への適応，改善を果たすために【知識の獲得】【脳卒中後疲労の受け入れ】【ライフスタイル・価値観の変更】【セルフモニタリング】【エネルギーの消耗抑制】【活動意欲の保持】【活動予定の立案と柔軟な調整】【適正な生活習慣】【活動・休息バランスの保持】【生活環境調整】【他者からの理解・支援の要請】【教育・専門家支援の要請】という対処法を用いて，脳卒中後疲労に対処する【主体的な問題解決】のプロセスであった．

　結論：脳卒中後疲労のセルフマネジメントは，脳卒中後疲労に対処する主体的な問題解決のプロセスであり，それを支援する介入の開発が期待される．

　Aim: This study aimed to clarify the concept of "self-management of post-stroke fatigue."

　Methods: Search targets were publications recorded in PubMed, CINAHL, APA PsycINFO, and Igaku Chuo Zasshi. All 24 extracted publications were subjected to conceptual analysis as described by Rodgers (2000).

　Findings: "Self-management of post-stroke fatigue" was a [proactive problem-solving] process to deal with post-stroke fatigue that involved measures such as [gain knowledge], [accept poststroke fatigue], [change lifestyle/values], [self-monitoring], [reduce energy consumption], [maintain motivation for activities], [set activity plans and make adjustments flexibly], [maintain appropriate lifestyle habits], [maintain activity/rest balance], [adjust living environment], [request support/understanding from others], and [request education/support from specialist].

　Conclusion: Self-management of post-stroke fatigue is a proactive problem-solving process to deal with post-stroke fatigue. The development of interventions to support problem-solving is expected.