老人保健施設への入所にかかわる老人の自己決定に関する研究

The self-determination process of elderly persons regarding admission to a health services facility for the elderly

　本研究は，老人保健施設への入所にかかわる老人の自己決定プロセスを明らかにするために，32名の老人とその家族に半構成の面接を行った．その結果，以下の7つのタイプの《入所に関する自己決定プロセス》を見いだした.（1）入所を主体的に決定できた【主体的に決定】，（2）与えてもらった選択肢に肯定的に順応し，入所を決定した【与えられた選択肢に順応】，（3）家族が決めてくれたことを信頼し，委ねるという決定をした【家族の決定に委託】，（4）あきらめたり，我慢して家族の決定に従うという決定をした【家族の決定に忍従】，（5）自分にとって合理的に問題を処理し，家族のした決定に譲り従う決定をした【家族の決定に譲歩】，（6）家族に言われるまま，決断することができないまま施設に入所してしまった【決定不能】，（7）決定に全くかかわることができずに，施設に入所してしまった【決定に関与させてもらえない（自己決定プロセスなし/全くの他者決定）】．

　The purpose of this study is to clarify the facts concerning the self-determination process of elderly persons regarding admission to a health services facility for the elderly. Semi-structured interviews was conducted with 32 elderly persons and their families. The findings provided seven types of "self-determination processes regarding admission".

(1) by one's own decision 【independent decision】,

(2) by affirmative agreeing to the given choice 【adapt to the given choice】,

(3) by trusting the decision made by the family and following that decision 【entrust to the family's decision】,

(4) by abandoning one's own wishes and obeying the family's decision 【submit to the family's decision】,

(5) by processing the matter rationally by oneself and deciding to concede to the family's decision 【yield to the family's decision】,

(6) by being unable to come to one's own decision and doing as the family decided 【unable to decide】,

(7) without having any chance to participate in the decision making process 【not consulted regarding the decision (no self-determination process/completely decided someone else)】.