@article{oai:air.repo.nii.ac.jp:00005533,
 author = {喜多, 尚子 and 中村, 順子 and Kita, Naoko and Nakamura, Yoriko},
 issue = {2},
 journal = {秋田大学大学院医学系研究科保健学専攻紀要},
 month = {Nov},
 note = {目的：在宅で看取りを選択し実現した家族の思いを，実現に至るまでに家族に起きた出来事や，そこにまつわる思いを通じて明らかにする．方法：在宅療養を経て在宅で看取りを行う際に中心的に関わった家族（主たる介護者）で，在宅で看取りの後，１年を経過している方に半構造的面接を行い，データを質的帰納的に分析した．結果：7ケース８名の面接から，１つの中核カテゴリー，５つのカテゴリーが抽出された．在宅で看取りの実現に至った家族の思いは，本人と家族が共に過ごした時間やそれまでに培ってきた歴史，関係性の全てが看取りという局面に向かって，家族として紡ぎ出した集大成の表れであったことから，中核カテゴリーは【家族が織りなした看取りだった】とした．結論：在宅で看取りの実現に至った参加者の意思決定の背景には，本人らしく生きてもらう療養の場として，家族にとっては最期の時までを共に暮らし生きる場としての在宅が選択されていることが示唆された．, Objective: To ascertain the thoughts of families that chose and realized end-of-life care at home based on events that occurred to the families until the realization of such care and thoughts related to such events. 　　Methods: We conducted semi-structured interviews of family members (primary caregivers) who had played a central role in end-of-life care at home after the cessation of home care for the patient and lost the patient one year before the interview. We then analyzed the data qualitatively and inductively. 　　Results: On interviewing eight family members involved in seven cases, one core category and five other categories were identified. The thoughts of the families that realized end-of-life care at home represented a culmination reflecting family members' thoughts with regard to the end-of-life care, the time that the family had spent together with the patient, the history built together, and the bond between the patient and family members. Thus, the core category was “end-of-life care was possible because the family worked together.” 　　Conclusion: The results suggest that the participants decided to select the patient's home as the place for end-oflife care because they believed that it was the appropriate place for the patient to receive medical care while helping him/her live his/her life as he/she wishes and for the family members to spend time together with the patient until the patient's final moments.},
 pages = {1--12},
 title = {在宅で看取りの実現に至った家族の思い ―意思決定の背景に焦点をあてて―},
 volume = {29},
 year = {2021}
}