学位論文 在宅脳血管障害者の「人生を物語ること」による意味ある作業への気づき

竹内, 幸子

pp.1 - 12 , 2015-03-25
内容記述
在宅脳血管障害者自身が,人生の意義や意味ある作業を見出すための心理的援助が必要とされている.今回,在宅脳血管障害者10名に人生を物語ること(ナラティブ・アプローチ)を実施し,意味ある作業への気づき内容をKJ法に準じて分析を行った.結果,対象者が望む意味ある作業のラベル総数は介入後41から57に増加した.介入前は明確な希望がなく自身の病気へ執着していた状態であっが,介入後は人との絆を重視する人との絆を重視する,現実的で実現可能な意味ある作業に変化していた.人生を物語ることで,対象者は具体的な思考や自己への理解が促進され,生きていることや他者への感謝気持ちが芽生えていた.これらは人生への気づきを与え,行動への意欲を育んでいいた.本研究のナラティブ・アプローチによって,対象者が自分身の人生に気づくことより,明確な行動変容が生じ,より人生のなかで有意義な意味ある作業に取り組むきっかけと変化が示された.
The psychological intervention for in-home cerebrovascular disability persons is needed in order to make them find the meaning of life and have more valuable occupations in their life. However, there are not so much studies of the psychological intervention for them. To verify whether narrative approach of the life as psychological intervention is effective, I intervened in 10 in-home cerebrovascular disability persons by narrative approach to get their life story. The contents of notice to the meaningful occupations were analyzed in accordance with KJ method. As principle results, the total number of labels about meaningful occupations they want to do that increased from 41 to 57 after the intervention, then, some of their meaningful occupations were changed. They had no clear hope in the future and obsessed to illness before the intervention, but they began to focus on specific feasible activities and relationships with people after the intervention. Narrative approach of the life caused realistic and concrete thinking, understanding of their features, and made them ambitious to act in exploring their own way of the life. And narrative approach made aware of the feelings of gratitude to family and others and alive. This study suggested that narrative approach of the life caused to act more meaningful occupations in own life by occurring a clear behavior to change with awareness of own life.
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