Grant-in-Aid for Scientific Research (B)
|Research Institution||KOBE UNIVERSITY|
MURATA Keiko KOBE UNIVERSITY・SCHOOL of MEDICINE,PROFESSOR, 医学部, 教授 (90105172)
松村 美奈子 神戸大学, 医学部, 助手 (60273794)
TSUDA Noriko KOBE UNIVERSITY・SCHOOL of MEDICINE,ASSOCIATE PROFESSOR, 医学部, 助教授 (80172021)
KUSABA Hifumi KOBE UNIVERSITY・SCHOOL of MEDICINE,ASSOCIATE PROFESSOR, 医学部, 助教授 (30153282)
YADA Mamiko KOBE UNIVERSITY・SCHOOL of MEDICINE,ASSOCIATE PROFESSOR, 医学部, 助教授 (10239783)
川口 優子 神戸大学, 医学部, 助教授 (90152941)
OKUBO Noriko KOBE UNIVERSITY・SCHOOL of MEDICINE,ASSOCIATE PROFESSOR, 医学部, 助教授 (20194102)
MATSUDA Nobuko KOBE UNIVERSITY・SCHOOL of MEDICINE,ASSOCIATE PROFESSOR, 医学部, 助教授 (10157323)
|Project Fiscal Year
1996 – 1998
Completed(Fiscal Year 1998)
|Budget Amount *help
¥3,200,000 (Direct Cost : ¥3,200,000)
Fiscal Year 1998 : ¥500,000 (Direct Cost : ¥500,000)
Fiscal Year 1997 : ¥1,100,000 (Direct Cost : ¥1,100,000)
Fiscal Year 1996 : ¥1,600,000 (Direct Cost : ¥1,600,000)
|Keywords||Long-term family care model / Child rearing family / Family functioning / Family coping / Family stress / Family strength / Chronic illness / Nursing / 慢性的な健康障害 / 養育期家族 / 家族長期ケアモデル / 家族ストレス / 家族対処 / 家族機能レベル / 家族看護 / 慢性疾患 / 家族機能 / ストレス / ケアニード / コーピング(対処) / 長期ケア / モデル / 養育期 / 家族 / 対処|
The purpose of this study was to identify the impacts from and factors related to chronic conditions on affected child rearing families, and to develop a Long-Term Family Care Model that can be adapted by such families. The conceptual model underlying this study was developed on the basis of Hymovich's Contingency Model of Long-Term Care (Hymovich, 1992). Subsequently, multidimensional assessment scale questionnaires were developed. The subjects consisted of 130 families with chronically ill children and 27 families with chronically ill parents. The data were collected by interview and mail from outpatients at a university hospital.
1. The formulation of assumed conceptual model : The components consisted of system, time, mediate variables (stress, briefs about illness, coping, strength, resources, needs), and the level of family functioning for assumed outcome variables.
2. Assessment Scales : Measurements were developed to assess the components of the model. The internal consistency re
liability for the various scales was set at Cronbach's alpha coefficient of approximately 90.
3. Relationships among components of the model : 1) The complicate relationships among components were identified. 2) There was a negative correlation between the level of family functioning as an outcome variable and difficulties concerning a healthy life and stress and a positive correlation between the level of family functioning and coping, strength, and resources. Multiple regression analysis indicated that best fit variables for predicting the level of family functioning were stress, coping, strength, and resources (R^2=0.64).
4. The proposal for "Long-Term Family Care Model" : The validity of the conceptual model was generally supported by the above results. We propose the revised "Long-Term Family Care Model" as a model for systematic approach to the assessment and nursing intervention for child rearing families.
5. Clinical application : We used "Long-Term Family Care Model" for family consultation at a pediatric outpatient unit. Less