A study on the interaction for patients whose body image has been altered by surgery, and their families

因手术改变身体形象的患者及其家人的互动研究

• 批准号: 09672376
• 负责人: ARAI Mitiko
• 金额: $ 1.02万
• 依托单位: GUNMA UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1997
• 资助国家: 日本
• 起止时间: 1997 至 1998
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09672376/
• 关键词: STOMA; BODY IMAGY; FAMILY STORES; INTERVENTION OF FAMILY; ボディイメージ; ストーマケア; 家族相互作用

Stomas, which are associated with surgically created changes in the excretory system and patients' appearance can become a cause of stress for patients and their families. The family is a system of several individuals held together by mutual binding. If one member of a family has a problem, it may become a problem for the entire family and may create a crisis, To elucidate differences in the perception of the stoma by stoma bearers and their families, and to investigate the influence of stomas on family relationships, we sent questionnaires to a total of 114 subjects, consisting of 57 patients who had permanent stomas created within the preceding 3 years (stoma bearers) and 57 family members.1. A difference was noted in the perception of the stoma bearers and their spouses concerning their conjugal relationship. The stoma bearers were found to feel that they could not fulfill their sexual role adequately, and to have a sense of resignation regarding their relationship with their family … More . Family members in the younger generation were found to feel antipathy toward their conjugal relationship. Those in the older generation were found to be satisfied despite the lack of sexual relations, and to have a sense of resignation.2. Negative images held by the stoma bearers were associated with psychological pain when they looked at the stoma, disappointment about having a stoma, a desire to keep the stoma a secret, the sense of burden of having to manage the stoma, and a sense of failure to appropriately respond to their spouse's love, On the other hand, negative images held by family members included anxiety about how to go about their daily lives, a desire to keep the stoma a secret, feelings of inferiority, feelings of alienation, feelings that their daily life was restricted, antipathy toward their conjugal relationship, and dissatisfaction with their conjugal relationship. Reactions to the stoma were found to differ between the stoma bearers and their families. While the stoma bearers responded to their stomas, the reactions of family members tended to focus on the family relationship and daily living.3. A review of the actions the stoma bearers and their families took in order to cope with the stoma revealed that half of the respondents coped with the problem within their family, while a half of the respondents sought measures to cope with the problem outside of their family. The actions they took were found to be similar. Less

造口与手术造成的排泄系统和患者外观的变化有关，可能成为患者及其家人压力的原因。家庭是由几个人通过相互约束而结合在一起的系统。如果一个家庭的一个成员有问题，它可能成为整个家庭的问题，并可能产生危机，为了阐明造口者和他们的家庭对造口的看法的差异，并调查造口对家庭关系的影响，我们向总共114名受试者发送了问卷，由57名在前3年内创建永久造口的患者（造口承载者）和57名家庭成员组成。注意到造口者及其配偶对婚姻关系的看法存在差异。研究发现造口者感到他们不能充分地完成他们的性角色，并且对他们与家庭的关系有一种听天由命的感觉 ...更多信息 .年轻一代的家庭成员被发现对他们的婚姻关系感到反感。老一辈的人发现，尽管缺乏性关系，但他们仍然感到满意，并有一种辞职的感觉。造口携带者持有的负面形象与他们看到造口时的心理痛苦，对造口的失望，希望保守造口的秘密，必须管理造口的负担感以及未能适当回应配偶的爱的感觉有关。另一方面，家庭成员持有的负面形象包括对如何进行日常生活的焦虑，欲隐瞒造口，自卑感，疏离感，日常生活受限感，对夫妻关系的反感，对夫妻关系的不满。对造口的反应被发现在造口承载者和他们的家庭之间是不同的。气孔携带者对气孔的反应主要集中在家庭关系和日常生活方面.对造口者及其家庭为科普造口而采取的行动进行的审查表明，一半的答复者在家庭内部应对这一问题，而一半的答复者寻求在家庭之外科普这一问题的措施。他们采取的行动被发现是相似的。少

项目成果

新井治子: "切除により身体イメージが変化した患者と家族の相互作用に関する研究-ストーマ保有者と家族のストーマに対する知覚-" 第18回日本看護科学学会学術集会講演集. 168-169 (1998)

荒井晴子：“因手术切除而身体形象发生改变的患者与其家人之间的互动研究——造口所有者及其家人对造口的看法——”日本护理学会第18届年会论文集168-。 169（1998）

"A study on the interaction for patients whose body image has been altered by surgery, and their families" PROCEEDING OF THE 18 ACADEMIC CONFERENCE JAPAN ACADEMY OF NURSING SCIENCE. 168-169 (1998)

日本护理学会第18届学术会议论文集《关于因手术而改变身体形象的患者与其家人的互动的研究》