<原著>在宅における高齢介護者のコーピング(対処) : 高齢夫婦を対象として

URI http://harp.lib.hiroshima-u.ac.jp/pu-hiroshima/metadata/3449
File
Title
<原著>在宅における高齢介護者のコーピング(対処) : 高齢夫婦を対象として
Title Alternative
<ORIGINAL ARTICLES>Coping at home : Elderly care-giver caring for elderly spouse
Author
氏名 森田 愛子
ヨミ モリタ アイコ
別名 MORITA Aiko
Subject
高齢介護者
介護過程
コーピング
訪問看護
夫婦関係
elderly care giver
care process
coping
home care nursing
husband-wife relationship
Abstract

The purpose of this study is to investigate the coping and related factors in 11 elderly care givers, who had nursed their spouses for over 4 years at home, through interviews. The care process consisted of four phases : the onset of disease, and before, during and after the initiation of home care. At the onset of disease in the husband or wife, the spouse generally felt either strong devotion for or felt pity for the patient, or felt threatened by the disease. Then, before the start of home nursing, the care-giving spouse usually had feelings of devotion, confusion or resignation. During the initiation of care, the healthy spouse fell into two categories : those who took action decisively and those who let things take their course. After nursing had started, the care giver coped with the difficult situation in one of two ways. One, a positive approach, the health spouse regarded nursing as easy and rewarding, felt privileged to be the care giver and tried to improve the situation by continuing to enjoy life. Conversely, some care givers coped in a negative way, viewing the situation as an unfortunate fate, and carried out care-taking mechanically, or by praising himself/herself too much or by behaving with excessive buoyance. The ability to cope was highly affected by the nature of the husband-wife relationship. "Cooperative" couples tended to accept the situation rationally and the role of care giver positively ; however, suddenly losing their motivation to care for their spouse does occur, and, thus, support networks are needed. On the other hand, "dependent" couples were unlikely to easily accept the situation and may require intensive support. "Dysfunctional" couples showed a tendency towards mechanical care taking or quitting altogether, so consideration must be made as to whether home care is appropriate in such situations.

Description

国立情報学研究所で電子化

Journal Title
広島県立保健福祉短期大学紀要
Volume
1
Issue
1
Spage
11
Epage
19
Published Date
1996-03
Publisher
広島県立保健福祉短期大学
ISSN
1342-0070
NCID
AA11318754
Language
jpn
NIIType
Departmental Bulletin Paper
Text Version
出版社版
Sort Key
06
Old URI
Set
pu-hiroshima