夫が重い病・障害を持ち通院する妻への援助 : 発達理論を援用して

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To study beneficial care by nurse for the out-patients and their family, the author interviewed a couple of cases after making full consent with them. Both of the continuous nursing care for the out-patients and the meaningful assistance to their family became evidently important in the clinical field. The client of the first case was a 60 year-old house wife whose husband were severely head-injured by industrial accident. By his mental deterioration, the patient became fully dependent to his wife on ADL. Resuming his social activity could be no more expected. Another client was 65 year-old house wife giving care at home to her husband. He was in his postoperative course of gastric cancer in progressed stage. Since these care givers faced a drastic change of life by decreased income and unexpected reduction of their husband's daily activities, they must have changed their happy life style which had been planned before. As their spouses might represent some personality change after the hospitalization, the wives lost their ideal object as dependency in the marital life. The following condition might also disturb the coping of risk in life by clients themselves: (1) they arrived at their presenile stage of their limited mental and physical activities. (2) No experience to overcome such a crisis in life so far. (3) Their husbands mainly conducted their whole lives before the hospitalization. The clients could not cope the crisis actually. If someone expected them to play a role as a leader and as a care-giver in house, their psychological stress increased much and they stayed in deep sadness. Therefore, the author realized that the assistance to family who gives care at home under stressful situation must be managed by proper step of their developmental stages, and that the nursemust cone their crisis with thoughtful consideration for their deep sadness.
神戸大学の論文

夫が重い病・障害を持ち通院する妻への援助 : 発達理論を援用して

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