@article{oai:sapmed.repo.nii.ac.jp:00016251, author = {木原, キヨ子 and 丸山, 知子 and 今野, 美紀 and 杉山, 厚子 and 石塚, 百合子 and 吉田, 安子}, journal = {札幌医科大学保健医療学部紀要 = Bulletin of School of Health Sciences Sapporo Medical University, Bulletin of School of Health Sciences Sapporo Medical University}, month = {Mar}, note = {本研究は、慢性疾患で在宅療養を要する子どもをもつ家族支援体制を組織することを目的に行った。支援体制の組織化には、レスパイトケアモデルの概念を基に検討し、有資格の看護職者によるボランティア活動が有効と考えた。その考えに基づきボランティア育成プログラムを作成し、学習会を開催した。この学習会の内容は、在宅療養中の子どもの日常生活の援助、医療的ケアを提供する直接的支援について特に、養育者である母親の利益につながるレスパイトケアの意義を強調した。そして、学習プログラムの一環としてボランティア活動を実践した。ボランティア利用ケースの反応は、ボランティアが看護師なので子どもの症状の把握と対応は安心してまかせられる、今後も利用を希望するという肯定的な意見が多かった。ボランティア体験後の看護師は、専門性が求められる重要な活動であると認識できた等、ボランティアの試行によりレスパイトケアの意義と継続の必要性が示唆された。今後、本研究のボランティア活動は、子育て支援グループや他のボランティア活動とのネットワークづくりを行うことによって発展させてゆきたいと考える。This study was conducted to organize a support system for the family with a child who needed home care due to his/her chronic disease. We studied the possibility of applying the concept of a respite care model for organizing the support system and considered that volunteer activity by qualified nurses might be effective. Based upon the idea, we prepared a volunteer development program and held a seminar. The seminar focused upon support to the activities of daily living and direct support in which medical care would be provided to a child who was cared at home. Particularly, it emphasized the significance of respite care that would be to the benefit of his/her mother who was the primary care provider. As part of the studying program, its participants practiced volunteer activity. Responses from people who used the service of volunteer activity were mostly positive. That is, they wanted to receive the service because they felt that they were able to leave their children in the care of the volunteer with a sense of security in that the volunteer was a nurse who understood the child’s symptoms and could provide proper care. The nurse, after having experienced the volunteer activity, mentioned that she/he recognized that the activity, which required professional knowledge and skills, was indeed important. Thus, this trial indicated the significance and necessity of respite care. We intend to develop the volunteer activity tried in this study in the future through buildinga network with childcare support groups and other volunteer activities.}, pages = {79--86}, title = {在宅療養中の子どもをもつ家族へのボランティア活動によるレスパイトケア}, volume = {6}, year = {2003} }