東北大医短部紀要 11(1): 57〜64,2002

長期間入退院を繰り返す子どもを持つ家族の
「家族適応」に関する事例分析
―― 二重ABCXモデルを用いた2事例の比較 ――

富 澤 弥 生

東北大学医療技術短期大学部 看護学科


Analysis of “Family Adjustment” to the Long-term and
Repetitive Admission of Child:
Comparison of Two Families Using Double ABCX Model

Yayoi TOMIZAWA

Department of Narsing, College of Medical Sciences, Tohoku University

Key words: 家族適応,危機状態,二重ABCXモデル,子どもの病気


  Family members often face various problems accompanying the long-term and repetitive admission of their child to a hospital. In this study, I analyzed two families using double ABCX model for the family adjustment. The results indicate several nursing principles; 1) the importance of nursing intervention in the early stage before the occurrence of wrong recognition, 2) nursing directed to the familial stress in addition to the children's disease, 3) a need to have a clear grasp requirements to keep a familial function, 4) the preparation of family members for stress by having gratitude, and 5) a need to pay attention to the to much demand by family members. In conclusion, guiding principles in the nursing practice were suggested to avoid familial risks.