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10巻1号 >
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| 種類: | Journal Article |
| タイトル: | 看護実践における"Comfort"の概念分析 |
| タイトル別表記: | Concept Analysis of "Comfort" in Clinical Nursing. |
| 著者: | 縄秀志 |
| キーワード: | comfort
看護実践
概念分析 |
| 掲載誌: | 聖路加看護学会誌 |
| 巻: | 10 |
| 号: | 1 |
| 開始ページ: | 11 |
| 終了ページ: | 22 |
| 発行年月日: | 20-Jun-2006 |
| ISSN: | 13441922 |
| 抄録: | 看護ケアによって｢ああ気持ちいい｣と感じる患者の状態は,どのようなものなのか,また,患者が｢気
持ちいい｣と感じる看護ケアはどのようなものなのだろうか｡看護実践で使用される"comfort''および
"comfort care"の概念を明らかにし,患者が｢気持ちいい｣と感じる看護ケアのエビデンスを構築するた
めの研究基盤を明確にすることを目的に,Rogersの方法を用いて"comfort"の概念分析に取り組んだ｡
看護実践におけるcomfortに焦点を当てるためにCINAHL(Cumulative Index to Nursing & Allied
Health Literature)を利用し,1982~2003年の期間で,キーワードを"comfort''"comfort care''とし
て検索を行った｡787件のなかで要約がある英語文献113件から最終的に66文献および頻繁に引用される
文献4件の計70文献を分析対象とした｡
属性として,｢comfortは状態でありレベルがある｣｢comfortはプロセスである｣｢comfortは看護(ケ
ア)のゴール,アウトカムである｣の3つが抽出された｡｢状態でありレベルがある｣には,12のテーマ,
｢(さまざまな看護用品や用具の)使い心地のよさ｣｢discomfortが除去される｣｢安らかである｣｢安全であ
る｣｢well-being」｢強くなる｣｢愛情を感じる｣｢家族･友人とのつながりが保たれる｣｢適応している｣｢コ
ントロール感覚がある｣｢自尊心が保たれる｣｢意思決定ができる｣で構成された｡
先行要件としては,discomfortな状態がなくなるだけではなくcomfortレベルが高くなることへの
｢comfort needs｣と｢caring」｢holistic care」｢患者を擁護する｣｢身体ケア･生活ケア｣｢コミュニケーショ
ン｣｢情報収集･アセスメント｣の6つから構成されるcomfort careが抽出された｡
帰結としては,｢病気や治療を受け入れる｣｢病気の体験の意味を見出す｣｢生活を再構築する｣｢耐える力
をもたらす｣｢意思決定ができる｣｢自分自身を取り戻す｣｢回復がもたらされる｣が抽出された｡
概念分析の結果よりcomfort(care)モデルが措かれた｡今後はこのモデルの妥当性を検証する介入研究
が課題となってくる｡ |
| 抄録別表記: | The main research questions of this study were: Under what circumstances dose a patient feel good
or comfortable? What kind of nursing care can make patients feel good or comfortable? The purpose
of this study is to clarify the meaning of "comfort" and "comfort care" by employing the systematic
approach of an evolutionary concept-analysis method proposed by Rogers (2000) .
Literature searches were performed using an online computer database (CINAHL) by setting "comfort"
and "comfort care" as keywords. 70 articles were analyzed.
Attributes of "comfort": 1) Comfort is a condition and has different levels including following 12
categories: a good feeling when using a tool, being relieved from discomfort, peaceful, safety, wellbeing,
becoming stronger, feeling affection from others, maintaining a relationship with family or
friends, adaptation, self-control, self-esteem and decision-making. 2) Comfort is a process created by a
nurse and a patient. 3) Comfort is the outcome or goal of nursing.
Antecedents of "comfort": 1) Comfort needs for better comfort levels. 2) Comfort care including
following 6 categories: caring, holistic care, advocacy, physical care / living care, communication, and
collecting an information / assessment.
Consequences of "comfort": 1) To accept an illness or treatment. 2) To discover meaning of
experience in an illness. 3) To reconstruct one's life. 4) To endure. 5) To decide by themselves. 6) To
regain themselves. 7) To recover.
The comfort (care) model was established by the results of the concept analysis. The problem in the
future is to verify this model by the interventional researches. |
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| 権利情報: | このPDFファイルは国立情報学研究所で電子化されたものです。 |
| リンクURL: | http://hdl.handle.net/10285/752 |
| 出現コレクション: | 10巻1号
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この研究成果の引用には次のURIを利用してください。:
http://hdl.handle.net/10285/752
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