在宅要介護老人の介護者の世間体とサービス利用および介護負担感に関する研究

Study on the Relationship of 'Sekentei' to Utilization of Health, Social and Nursing Services,and Care Burden for Family Caregivers of the Impaired Elderly

　本研究は，在宅要介護老人の介護者の世間体と保健・福祉・看護サービス利用，および介護負担感との関係を検討することを目的として質問紙調査を行い，介護者45名について分析した．その結果以下のことが明らかとなった．

（1）サービス利用に抵抗を感じる介護者は17.8％とその割合は低かったが，抵抗を感じない者より世間体の得点が有意に高く，世間体を気にする傾向がみられた．

（2）入浴サービスを利用している介護者の方が世間体得点が有意に高く，世間体を気にする傾向がみられた．

（3）世間体得点と介護負担感総得点，および介護負担感のカテゴリ得点のうち「痴呆の症状への対応」，「将来の心配」，「精神的健康の問題」とに関連がみられ，介護負担感が大きいほど世間体を気にする傾向がみられた．

　以上のことから，介護者のサービス利用を進め，介護負担を軽減するような看護職の関わりを考察した．

　The purpose of this study was to clarify the relationship of 'sekentei' to utilization of health, social and nursing services, and care burden for family caregivers of the impaired elderly. 'Sekentei' is the level of a person's self-consciousness of others observing one's behavior and endeavoring to meet the perceived norms of behavior. We analyzed 45 caregivers who answered the questionnaires. The results of this study were as follows:

(1) Caregivers who had a higher 'sekentei' score showed a tendency to have a sense of resistance concerning the use of services.

(2) The 'sekentei' score of caregivers who utilized the bathing service was higher compared with caregivers who did not utilize this service.

(3) The 'sekentei' score was related to the total score and category scores for caregiver burden.

　These results indicate that effective nursing intervention for individual and community must be considered to facilitate use of services and alleviate the care burden related to individual consciousness of 'sekentei'.