小児がん患児のきょうだいの変化ときょうだい関係に関する研究

Effects of Cancer Children on Siblings and their Siblingships

はじめに

　子どもががんと診断されたことで，患児自身や親が受ける診断時のショックや生活の変化といった社会的・心理的影響については近年徐々に明らかになってきている。

　杉本（1988）は，自分の子どもががんと診断されたとき，その親は「信じられない」とその事実を否定したり，自分のせいではないかという罪悪感，やり場のない怒りなどの反応を示す，と述べている。また，黒田（1988）も，入院治療中の親の心身の疲労や，退院後通院治療になってからの再発の不安，抗癌剤での治療のつらさについて述べている。

　The purpose of this study was to describe the relationships between children with cancer and their siblings. Eighteen children with cancer and twenty-two their siblings completed the questionnaire which included the 22 items related to the siblingship. Eighteen mothers answered the semistructure interview, which asked the mother's recognitions of their family life during staying in hospital, the siblingships between patients and siblings, and the effects of childhood cancer on siblings.

　To determine their siblingship, responses of patients and siblings were compared with the criterion data using means and standard deviations of each item. In addition each item of mothers' data was calculated percentages to determine the effects on siblingships.

　It was suggested that the siblingships between patients and their siblings were similar to siblingship between healthy children. However, both children with cancer and their siblings had more positive feelings and less negative feelings each other. On the other hand, it was suggested that the effects of changes of their family life due to staying in hospital on siblings were severe.