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Japanese

Title 在宅重症心身障害児を養育する家族の家族機能
Subtitle 研究報告
Authors 宮原真二1)2), 平谷優子2), 田中勝治3)
Authors (kana)
Organization 1)四天王寺大学看護学部, 2)大阪公立大学大学院看護学研究科子ども・家族ケア科学分野, 3)西宮すなご医療福祉センター小児科
Journal 家族看護学研究
Volume 30
Number
Page 62-75
Year/Month 2025 /
Article 報告
Publisher 日本家族看護学会
Abstract 「要旨」重症心身障害児(以下, 重症児)との生活は, 家族全体の生活に大きな変化をもたらすため, 看護師は家族の家族機能を理解したうえで, 家族支援を行うことが重要である. 本研究は, 在宅重症児を養育する家族の家族機能を明らかにすることを目的とし, 訪問看護ステーションを利用している重症児を養育する10家族を対象に, 半構造化面接を行った. 質的帰納的内容分析の結果, 在宅重症児を養育する家族の家族機能として, 【母親を中心に家族で行う重症児へのケア】【母親を中心に夫婦で行う家事の実施】【母親を中心に夫婦で行うきょうだい児を含む子育ての実施】【父親を中心とした経済的基盤の維持】【重要他者からの家族ニーズ充足のための支援の取り入れ】【家族の負担軽減のための社会資源の活用】【母親による周囲との調整】【家族の余暇・娯楽ニーズの充足】【家族間の情緒的絆の強化】【夫婦で行う家族の未来に向けた取り組み】の10カテゴリー, 38サブカテゴリーが抽出された. 対象家族には, 重症児のケア提供に伴う家族の負担がある一方で, 家族の絆が強固になるなど強化された家族機能も確認できた. 看護師は, 家族の負担軽減を支援するだけではなく, 家族の余暇・娯楽ニーズの充足を支援するなど, 在宅生活を継続するモチベーションの維持を支援することが重要である.
Practice 看護学
Keywords 重症心身障害児, 家族機能, 家族支援, 在宅療養, children with severe motor and intellectual disabilities, family functioning, family support, home care

English

Title Family Functioning of Families Rearing Children with Severe Motor and Intellectual Disabilities at Home
Subtitle
Authors Shinji Miyahara1)2), Yuko Hiratani2), Katsuji Tanaka3)
Authors (kana)
Organization 1)Faculty of Nursing, Shitennoji University, 2)Department of Child and Family Health Care Nursing, Graduate School of Nursing, Osaka Metropolitan University, 3)Department of Pediatrics, Nishinomiya-Sunago Medical and Welfare Center for Children with Severe Motor and Intellectual Disabilities
Journal Japanese Journal of Research in Family Nursing
Volume 30
Number
Page 62-75
Year/Month 2025 /
Article Report
Publisher Japanese Association for Research in Family Nursing, JARFN
Abstract Living with children who have severe motor and intellectual disabilities (SMID) significantly changes the lives of all family members; thus, it is important for nurses to understand family functioning prior to providing support. In this study, semi-structured interviews focusing on family functioning were conducted with 10 families who were rearing children with SMID at home who used a home-visit nursing station. Qualitative inductive content analysis identified 10 categories and 38 subcategories associated with family functioning of families rearing for children with SMID at home: [Provision of care to children with SMID by the family, mainly by the mother], [Housework by the parents, mainly by the mother], [Parenting including siblings by the parents, mainly by the mother], [Maintenance of economic foundation, mainly by the father], [Incorporating support from significant others to meet family needs], [Use of social resources to reduce family burdens], [Coordination by mothers with others], [Fulfillment of family leisure and recreational needs], [Strengthening emotional bonds between family members], [Family initiatives planning for the future taken by the parents]. While the target families experienced family burdens associated with providing care for children with SMID, identification of strengthened family functioning, such as stronger family bonds, were noted. It is important for nurses to support reduction of family burdens as well as maintaining motivation to continue living at home by fulfilling the leisure and recreational needs of family members.
Practice Nursing
Keywords children with severe motor and intellectual disabilities, family functioning, family support, home care
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