SEKINE Tsuyoshi Oita University, nursing and sciences, Lecturer, 講師 (90290452)
TUJI Keiko Nagasaki University, School of Medicine Department of Health Sciences, Lecturer, 医学部, 講師 (60336188)
MASE Yuki Kanagawa University, School of Human Services, Department of Health Sciences, Lecturer, 保健福祉学部, 講師 (60256451)
鷹居 樹八子 長崎大学, 医学部, 講師 (40325676)
|Budget Amount *help
¥4,000,000 (Direct Cost : ¥4,000,000)
Fiscal Year 2003 : ¥1,200,000 (Direct Cost : ¥1,200,000)
Fiscal Year 2002 : ¥1,400,000 (Direct Cost : ¥1,400,000)
Fiscal Year 2001 : ¥1,400,000 (Direct Cost : ¥1,400,000)
In 710 members of self-help groups (SHG) for alaryngeal voice. rehabilitation in laryngectomized members, we evaluated the promotion of self-efficacy and the process of enpowerment by participating in the SHG.
1.Questionnaire survey (fiscal 2001 and 2002)
Responses were obtained from 2611 members (recovery rate, 36.7%). Effective responses were evaluated by principle component analysis and two-way analysis of variance, and the following results were obtained.
(1)From the SHG, the members received [support for the acquisition of positiveness] such as the will to participate and elimination of loneliness, [support for the acquisition of concrete abilities] for the acquisition of alaryngeal voice, and [emotional support] such as sharing of experience and feelings. These were elements of enpowerment.
(2)The above 3 factors were associated with the acquisition state of esophageal phonation, stress-coping pattern, and the feeling of the burden of daily life. As stress coping, [problem-solving co
ping] and [personal relation-based emotional coping] were observed, and the feeling of support from the SHG was more marked with higher scores for these coping methods.
(3)In the beginner class for fundamental tone phonation training, the scores for problem-solving coping and personal relation-based coping were low. When the feeling of the burden of daily life was marked, the members. had a slight supported, showed a low participation rate, aild tended to discontinue feeling of being participating in the class.
2.Interview survey (fiscal 2002,2003)
The above questionnaire survey showed that the members in the beginner class do not feel [emotional support] widely provided, Therefore, an interview survey was performed in 40 members in the beginner class to qualitatively and inductively analyze their life experience from the preoperative period to the period after discharge. A total of 238 codes, were extracted, and 55 subcategories and 20 categories were formed. The beginners experienced a powerless state due to both aphonia as, a disability and loss of social roles, but established [the meaning of being aphonic] and [methods of coping with life] : by participating in the SHG, and made a self-decision about the continuation of training while gradually achieving [awareness of the necessity for the acquisition of esophageal phonation] and [re-organization of lifestyle]. Less