重症心身障害児（者）の施設入所に関する母親の心理的プロセス

Exploration of the Psychological Processes of Mothers Regarding the Institutionalization of Children (Patients) With Severe Motor and Intellectual Disabilities

要旨

　目的：重症心身障害児（者）の母親が，わが子の施設入所を考え始めてから入所中の現在に至るまでの心理的プロセスを明らかにする．

　方法：施設入所している重症心身障害児（者）の母親26名に半構造化面接を実施し，グラウンデッド・セオリー・アプローチを参考に分析した．

　結果：施設に託しても《わが子を守る母親としての責任はかわらない》というプロセスだった．【わが子を守る母親としての責任】を根底に【わが子を守れない不安】【わが子を施設に託すかどうかを考える】【施設のことは考えてもいなかった】【わが子を施設に託さざるを得なかった】等の11のカテゴリから形成された．またプロセスには，わが子を施設に託すことの葛藤や苦悩が存在していた．

　結論：母親が現在プロセスの中のどの様な心理状態であるのか理解しながら母親の思いに耳を傾け，ありのまま受け止めることが重要であることが示唆された．

　Objective: To clarify the psychological process experienced by mothers of children (patients) with severe motor and intellectual disabilities, in institutions from the time they began to consider institutionalization for their child up until the present day.

　Methods: Semi-structured interviews were conducted with 26 mothers of children (patients) with severe motor and intellectual disabilities currently institutionalized, and analysis was conducted referring to a grounded theory approach.

　Results: The process of entrusting their children to an institution "did not change their responsibility as mothers to protect their children." Based on "the responsibility as mothers to protect their children," 11 categories were formed, including "anxiety about not being able to protect their children," "thinking about whether to entrust their child to an institution," "not even considering institutionalization," and "having no choice but to entrust their children to an institution." In addition, conflict and anguish regarding entrusting their children to an institution were also present in this process.

　Conclusion: The results suggested that it is important to listen to the mothers' thoughts and accept them as they are, while at the same time, understanding the current nature of the psychological state of the mothers in the process.