終末期ケアにおいて家族介護者の感情的ストレスの要因「意図せず、滲み出てくる作業」とは?

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2025-05-08 東京科学大学

東京科学大学の研究チームは、終末期ケアにおいて家族介護者が意図せず担う作業や役割を「Unintended, Percolated Work(UPW)」と定義し、その実態を調査した。インタビューからUPWは「過剰な仕事」「見落とされた仕事」「越権的な仕事」の3分類に整理され、介護者の感情的ストレスや負担の背景が明らかになった。これは家族と医療従事者の関係や支援体制の見直しに新たな視点を提供する成果であり、国際会議CHI’25で発表された。

終末期ケアにおいて家族介護者の感情的ストレスの要因「意図せず、滲み出てくる作業」とは?図1. 「意図せず、滲み出てくる作業」のプロセス

<関連情報>

意図せず浸透した仕事: 終末期ケアプロセスにおけるインフォーマルな介護者と医療従事者の協力の見落としがちな機会 Unintended, Percolated Work: Overlooked Opportunities for Collaboration Between Informal Caregivers and Healthcare Professionals During the End-Of-Life Care Process

Shun Saito, Taro Sugihara
CHI ’25: Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems  Published: 25 April 2025
DOI:https://doi.org/10.1145/3706598.3713552

Abstract

Bereavement often places a psychological burden on families and should be addressed appropriately. Although end-of-life care is a collaborative activity with interaction between family caregivers and medical professionals, further research is needed to explore family caregivers’ support needs as collaborative workers and the challenges they face. This study examined the collaboration during the end-of-life process between family caregivers and medical professionals to understand the cooperative activities and factors surrounding them based on unrealized or regrettable experiences during end-of-life care. Semi-structured interviews with bereaved family caregivers who provided end-of-life care and medical professionals who provided support revealed that family caregivers’ aspirations and medical professionals’ support for family caregivers crossed paths, steering end-of-life caregiving in an unintended direction. Characteristic work carried out by each actor in this situation is defined as “unintended, percolated work” and considered an overlooked collaboration opportunity, proposing support suggestions for handling family caregivers’ original intentions and needs.

医療・健康
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