A study on adversity growth support for mothers with a view to the future of children with severe motor and intellectual disabilities and their parents

Research Project

Project/Area Number	16K12119
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Lifelong developmental nursing
Research Institution	Nihon Fukushi University
Principal Investigator	Nishihara Miyuki 日本福祉大学, 看護学部, 講師 (40582606)
Co-Investigator(Kenkyū-buntansha)	山崎喜比古日本福祉大学, 社会福祉学部, 教授 (10174666)
Project Period (FY)	2016-04-01 – 2020-03-31
Project Status	Completed (Fiscal Year 2019)
Budget Amount *help	¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000) Fiscal Year 2018: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000) Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000) Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords	QOL / 逆境下成長 / 社会のまなざし / スティグマ / 重症心身障がい児(者) / 家族 / 母親 / 社会 / まなざし / 重症心身障害児(者)の家族 / 主観的QOL / 重症心身障害児(者)の母親 / 人生行路 / 重症心身障がい児者 / 医療・福祉
Outline of Final Research Achievements	The purpose of this study was to obtain a support policy for the recovery and improvement of the mother's subjective QOL, targeting mothers who live together with children with severe motor and intellectual disabilities at home. It mainly consists of two stages. In the first step, a qualitative survey clarified the factors that lower and restore the subjective QOL of the mother with the life stage of the child, and obtained support suggestions for the mother to overcome difficult events. In the second stage, focusing on the "exclusion feeling from society" and "isolation from society" extracted as the main factors of the mother's subjective QOL decline, we analyzed the contents and characteristics of "social gaze" and stigma felt by the mother. Qualitative survey revealed. As a result, we obtained expectations for society and suggestions for building a society for its dissemination.
Academic Significance and Societal Importance of the Research Achievements	①母親の主観的QOLの回復、向上につながる社会の条件や要素を見出した。今後、重症心身障がい児(者)とその家族が生きやすい社会づくりのための基礎的資料となることが期待できる。②これまで母親が言葉で表明しきれなかった社会支援に対する思いを母親が感じる「社会のまなざし」の観点から把握できたことで、母親と専門職者、地域住民間の相互理解を促すための資料が得られた。③学術的には、逆境下成長の下位概念である「関係性の強化」、「自分自身の見方、考え方の変化」、「人生観の変化」の３つの側面について、母親が暮らしのなかでどのような経験をしたり、社会的条件がそろうことで、これらの変化が生みだされるのかを実証できた。