山梨医科大学紀要　第15巻，058-064(1998)

家族介護者が訪問看護婦に抱く期待
―在宅ケア導入期の経時的変化に視点を当てて―

伊達久美子

　本研究の目的は，家族介護者が訪問看護婦に抱く期待を調査し，在宅ケア導入期の経時的変化に視点を当て，訪問看護婦の家族介護者に対する援助のあり方を検討することである。都内の老人専門病院を退院後，その病院の訪問看護を利用している家族介護者１６名に対し，退院直後から退院後６カ月の間の４つの時期（退院直後，退院後１カ月目，３カ月目，６カ月目）に半構成的な面接調査を実施した。分析はＫＪ法を用いて質的に行い，その結果，家族介護者が訪問看護婦に抱く期待は，各時期に特有な傾向を示し，経時的に変化することがわかった。各時期ごとにみられる特有な期待に訪問看護婦が応じることができた場合，家族介護者は訪問看護婦に対して信頼を寄せていた。訪問看護婦が家族介護者から信頼を得るには，家族介護者が抱く期待に応えたか否かが問題であり，期待に応えることは信頼関係を築くことの基盤の一つであることが示唆された。

キーワード：家族介護者，訪問看護婦，在宅ケア導入期，期待，看護



Family Caregivers・Expectations to Visiting Nurses at the Induction Stage of Home Care

Kumiko DATE

The purpose of this study was to examine the family caregivers' expectations to visiting nurses at the induction stage of home care. The research focused on their expectations varying withti mei nthei nducti onstage. The goal was to find more effective home nursing care.
The subjects of this study were 16 family caregivers who used home nursing at an elderly hospital in Tokyo. They were interviewed at home using the semi-structured-interview guide. The data were collected in one-week, one-month, three-month and six-month intervals after discharge, and were analyzed by using KJ-method.
The following results were obtained.The family caregivers' expectations showed a specific tendency at every point, and changed at each point. When a visiting nurse could respond to their expectations, the family caregivers confided in her.
These results suggest that to gain a family caregiver' s confidence, visiting nurses should respond to their expectations. Thus, responses to their expectations were one of the bases of the trusting relations between a caregiver and a nurse.



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