@article{oai:nayoro.repo.nii.ac.jp:00000252,
 author = {Keiko,FUKAZAWA and Wakako,NEMOTO and 深澤, 圭子 and 根本, 和加子},
 journal = {市立名寄短期大学紀要},
 month = {Mar},
 note = {110007150359, 戦後60年を迎えた今年,高度医療の技術などの進展によって,わが国は世界一長寿国となった。その一方で高齢者の介護問題が大きな課題となっている。その背景には,核家族の問題,つまり家族機能の外部化と家族の個人化へとなった。従来家庭内で出産や死亡という人間の基本的営みが家庭の中で行われていたが,ほとんど病院や施設で行われるようになっている。このような社会情勢の中で,多くの高齢者は最期の棲家を自宅で過ごしたいという願望が90%いる。しかし,現実には在宅死が20%である。特に北海道では8%である。そこで,道内の2町の農村地域で嫁が自宅で看取りをした9例を対象とした。 データ収集は自記式アンケートを作成し,面接聞き取り調査を行った。分析は,データから,自宅で看取りを可能とした資源を,介護者自身の資源,家族資源,社会的資源にさらに,嫁の看取り後の反応を分析した。その結果,生前から高齢者との人間関係が良好である。そして高齢者を看取りたいという意識が9例全員にあり,高齢者の希望を尊重したことも自宅で看取りを可能にしていた。同居者がおり,家業が農業8例,自営業1例という環境から家庭内での介護力があったこと。医師の往診を定期的・必要時受けて,高齢者の健康管理をしていた。また2例が訪問看護も利用していた。主介護者の嫁は,高齢者を自宅で介護をしていく過程で様々な葛藤が生じ,また介護経験から老いや死について考える機会を得ていた。, ln the 60th year after the end of world war 2, Japan now has the world's highest longevity rate thanks to the progress of advanced medical technology. However, at the same time, nursing care for the aged is becoming a serious problem. This situation stems from problems with nuclear families, that is, the outsourcing of family functions and individualization of family members. Births, deaths and other basic human activities that formerly took place at home, are now generally taking place in hospitals and other facilities. Despite these social circumstances, 90% of elderly persons hope to spend their last days at home. ln reality, however, the rate of people who die at home is 20% in across Japan and only 8% in Hokkaido. With these conditions in mind, we chose to study nine cases in which daughters-in-law provided in-home hospice and palliative care for the parents of their spouses in two rural Hokkaido towns.To collect the data, self-entry-style questionnaires and interview surveys were conducted. From the data, resources that made caring at home possible were classified as resources of the care-givers themselves, family members and society. ln addition, the reactions of daughters-in-laws after deaths of the elderly persons were analyzed. Through this study, we were able to determine that,for the nine study subjects, their personal relationships, with the elderly persons were good before their deaths. The fact that all nine daughters-in-law were willing to take care of their elderly parents-in-law and respected their wishes helped to make these specific instances of homecare possible.They were also capable of caring for their parents-in-law at home because of their family structure, the number of family members family business (8 in farming and l in a family-operated business) and other conditions. The health and well-being of the elderly persons was managed by doctors who visited regularly or whenever necessary.Home-visit nursing care service was also used in two cases. As the main caregivers, the daughters-in-law faced a variety of difficulties in taking care of their parents-in-law at home and had opportunities to think about aging and death as a result of their nursing experiences.},
 pages = {37--41},
 title = {嫁が高齢者を自宅で看取る意味},
 volume = {39},
 year = {2006},
 yomi = {フカザワ, ケイコ and ネモト, ワカコ}
}