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中高年女性うつ病患者の退院後の家族支援に関する実証研究

中老年女性抑郁症患者出院后家庭支持的实证研究

基本信息

批准号：
18659675
负责人：
齋二美子
金额：
$ 1.73万
依托单位：
Tohoku University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Exploratory Research
财政年份：
2006
资助国家：
日本
起止时间：
2006 至 2008
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-18659675/
关键词：
中高年女性うつ病退院後家族支援

项目摘要

H20年度は, 引き続き, 自作「うつ病で治療されておられる中高年女性の方・ご家族の皆様へ」のパンフレットを活用し, 退院間じかな患者に対する60分程度の「個別心理教育」を行った。パンフレットを活用した個別心理教育の概要は, (1)理論的根拠 ; ストレス脆弱性モデルと感情表出モデル、(2)目的 ; 症状や経過の中で悪循環に陥っている本来自己が回復し、対象者のQOL向上を目指す、(3)介入方法 ; 対象者の心情や疑問などについて、安心して語れることを重視した個別面談。(4)パンフレットの内容 ; [〇!ア]うつ病の知識や情報の提供, [〇!イ]薬物の作用や副作用の情報の提供, [〇!ウ]退院後の生活の仕方の検討, [〇!ウ]視点の転換, [〇!オ]自分を大切にして楽しい時を過ごす, [〇!カ]リラクゼーションの実施, [〇!キ]心の健康自己チェック。H20年夏まで, 計5人の患者に個別心理教育を行い, その有効性について, (1)WHO-QOL26を心理教育前後に調査, (2)患者にとっての心理教育の意味について心理教育最終日に半構成的インタビューを行い, 分析した。その結果, (1)退院後のQOLでは, 有意差がなかったが, 個別心理教育後に特に高い傾向が見られた項目は<余暇を楽しむ><家の周囲への外出><毎日の活動への遂行能力満足感><友人の支えへの満足感><家と周囲環境への満足感>の5項目, 特に低い傾向が見られた項目は<体の痛みや不快感による活動制限><治療の必要度><生活の意味感><社会資源の利用満足感><交通機関への満足感>の5項目であった。(2)パンフレットを活用した個別心理教育は, 患者が【社会に踏み出す自信を取り戻す】ために, 《きっかけをつかむ》《手掛かりをつかむ》《新たな力をつかむ》ことを意味していた。本研究から, パンフレットを活用した個別心理教育は, 患者が自信を取り戻し, 社会生活を維持することにつながり, 退院支援のみならず, 外来看護や地域看護に活用でき, 退院後の家族全体のQOL向上に向け, 看護の質向上に貢献できることが示唆された。

In the year of H20, he introduced a doctor, and made a self-made "treatment of illness, treatment, treatment This is a summary of the psychological education experience of a particular individual, (1) the root of the theory, the vulnerability of the disease, the expression of emotion, (2) the purpose of the symptoms, the response of the symptoms, the upward direction of the QOL, and the intervention method. The elephant is in a mood of suspicion and peace of mind. He attaches great importance to others. (4) check the content of the content; [0! Knowledge of illness and illness is provided. [0! The side effects and side effects are provided, [0! [] after leaving the hospital, I will live a good life, [0! Click here, [0! ] self-divided big cut time limit, [0! I don't know what to do, [0! The heart is healthy and you are healthy. In the summer of H20, a total of 5 patients were enrolled in the psychological education program, and there were some sexual problems. (1) WHO-QOL26 psychological education was carried out before and after the psychological education. (2) the psychological education of the patients meant that the psychological education was the most important part of the psychological education. The results are as follows: (1) after leaving the hospital, QOL is suffering from illness and intentionally suffering from poor health, especially after psychological education, especially after psychological education, especially to the training program & lt; spare time training & gt;< family going out on weekends & the ability to perform daily activities of gt;< & the sense of satisfaction of gt;< friends' support support & the sense of environmental satisfaction of gt;< family week & gt Special attention is paid to the activities of lt;, the necessity of gt;<, the meaning of gt;<, the use of social resources, the sense of satisfaction, the satisfaction of gt;<, the satisfaction of gt;<, and the satisfaction of 5 projects. (2) if you use a special psychological education program, the patient will learn how to do it in a confident way in the society, and that the patient will be sick because of her health. In this study, patients were treated with psychological education, patients were confident in taking care of their parents, social life was in support of health care, and outsiders were in charge of health care. After discharge, the whole family QOL went up to the hospital, and the family members were encouraged to show their gratitude.