Development of Family Nursing Model through Analysis of Nursing Care for Difficult Family

困难家庭护理分析探析家庭护理模式

• 批准号: 04451125
• 负责人: NOJIMA Sayumi
• 金额: $ 1.66万
• 依托单位: Kochi Women's University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for General Scientific Research (B)
• 财政年份: 1992
• 资助国家: 日本
• 起止时间: 1992 至 1993
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-04451125/
• 关键词: Family Nursing; Difficult Families; Nurses' Emotional Reaction; Family Assessment; Nursing Intevetions; Quality of Family life; Family of Self-Care; 家族; 対応困難; 家族セルフケア; 葛藤; 看護介入

1) Family Assessment and Nursing Intervention : The data was collected from 85 nurses to identify what kind of family information and approach nurses had. Nurses collected the family information through daily activities. Nurses developed skills of family assessment and 10 strategies of nursing intervention.2) Nurese reactions toward difficult families : Subjects were 30 nurses who had more than four years experiences. Data were collected through semistructured interview. As the result, 18 types of difficult families were extracted. Each type has specific characteristics, such as overpowering Families' 'Firm Boundary Families' 'Disturbing Patient Families' 'Spiritless Families' and so on. The reasons why nurses experienced those difficulties were mostly threatened the professional identity, and then felt helplessness. Nurses reacted and got over 5 stages ; 'emotional confusion stage' 'mutual withdraw stage' 'insight stage' 'problem-solving' and 'reframing stage'.3) Developemnt of Instruments : This research also developed "the questionnaire of quality of family life" and "the questionnaire of family self-care". The internal consistency reliability of two instruments were demonstrated. The total score of the quality of family life and family self-care were negatively related to the level of family stress and positively related to the level of physical health among the family members.

1)家庭评估及护理干预：收集85名护士的资料，了解护士掌握的家庭信息和方法。护士通过日常活动收集家庭信息。护理人员发展家庭评估技巧及护理干预的10项策略。2)困难家庭的护理反应：受试者为30名有四年以上工作经验的护士。采用半结构化访谈的方法收集数据。结果提炼出18类困难家庭。每种类型都有特定的特点，如压倒家庭、坚定的边界家庭、扰乱患者家庭、软弱的家庭等。护士经历这些困难的原因主要是职业认同受到威胁，进而感到无助。护士的反应超过5个阶段，分别为情绪困惑阶段、相互退缩阶段、洞察阶段、问题解决阶段和重组阶段。3)工具的开发：本研究还编制了《家庭生活质量问卷》和《家庭自我护理问卷》。验证了两种仪器的内部一致性可靠性。家庭生活质量总分、家庭自理能力总分与家庭压力水平呈负相关，与家庭成员身体健康水平呈正相关。