紀要論文 農村地域で暮らす統合失調症患者への支援の検討 : 地域生活継続の促進要因と阻害要因の視点から
Examination of the support to a schizophrenia patient living in farm village area : From the viewpoint of a promotion factor and the disincentive of the local life continuation

関井, 愛紀子  ,  飯田, 亘  ,  五十嵐, 正徳  ,  川野, 雅資  ,  Sekii, Akiko  ,  Iida, Wataru  ,  Ikarashi, Masanori  ,  Kawano, Masashi

12 ( 1 )  , pp.1 - 9 , 2015-09 , 新潟大学医学部保健学科
ISSN:2188-4617
NII書誌ID(NCID):AA12680484
内容記述
本研究は,農村地域で暮らす統合失調症患者に対して,地域生活継続の促進要因と阻害要因を分析し,精神障害者が農村地域で継続して生活するための支援を明らかにすることを目的とした.対象は男性の統合失調症患者4名.地域生活継続の促進要因は【実感した病気の治癒】【焦りに気づき変化した就労への思い】【障害者年金が支援】【信仰の存在で安定】【地域の風土から生まれた支援】【将来への希望】【良好な家族関係】の7カテゴリ,阻害要因は【気になる世間の目】【仕事に対する将来的な問題】【外で働けないことによる不満足感】【治療継続への気がかり】の4カテゴリが抽出された.精神障害者が安定した生活を送るには,家族を中心にした支援者の存在と病気を話題にされない安心できる関係性の構築が不可欠である.地域住民には精神障害の知識と精神障害者の理解を目的とした公開講座,家族には家族会への参加を図る必要がある.地域住民の反応を気にする家族からの職探しの禁止,仕事の制限があり精神障害者が希望する地域生活継続を阻害していた.家族も支援の対象であると認識し,家族の気持ちを聴く姿勢で関わることが重要である.農村地域は相互扶助機能を有し「集落機能」が発揮されている.この地域の特徴を踏まえ,精神障害者を支える組織を作り広げることも可能になる.精神障害者とその親世代を中心とした家族を支援の対象として捉え関わることが農村地域で暮らす精神障害者への支援となる.
This study analyzed a promotion factor and a disincentive of the local life continuation for patients with schizophrenia to live in farm village area, and it was intended to determine support a mental patient continued it in a farm village area, and to live a life. The subject is four patients with schizophrenia of men. As for the promotion factor of the local life continuation, as for 7 categories of [a good family relationship], disincentive, 4 categories of [the non-feeling of satisfaction by not working] [anxiety to treatment continuation] were extracted [eyes of the world becoming the mind] [a future problem for the work] [support born from the local climate] [hope to the future] [an invalidity pension supports it] [it becomes stable in presence of the faith] [the healing that we realized of illness] [thought to the working that we noticed a fret, and changed]. The construction of the relationship that can be relieved that it is not made presence and the disease of the supporter whom we worked as led by a family a topic is essential so that a mental patient lives a stable life. It is necessary to plan participation in family society to knowledge of the psychic disturbance and an open lecture for the purpose of the understanding of the mental patient, a family to local inhabitants. We inhibited the area life continuation that there were prohibition of the job hunting from the family who minded the response of local inhabitants, a limit of the work, and a mental patient hoped for. The family recognizes that it is a subject of the support, and what we are associated with posture to hear the feeling of the family is important. In the farm village area, a village function is shown having a mutual aid function. We make tissue supporting a mental patient and, based on this local characteristic, can open it. It is with the support to the mental patient whom it lives for in a farm village area we arrest a family led by the parental generation as a subject of the support, and to associate with a mental patient.
本文を読む

http://dspace.lib.niigata-u.ac.jp/dspace/bitstream/10191/38956/1/12(1)_1-9.pdf

このアイテムのアクセス数:  回

その他の情報