Chujo Masami, Okamura Hitoshi
Department of Adult and Elderly Nursing, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
†Department of Psychosocial Rehabilitation, Faculty of Health and Science, Graduate School, Hiroshima University, Hiroshima 734-8553, Japan.
Yonago Acta Med. 2015 Mar;58(1):45-50. Epub 2015 Mar 27.
The purpose of this study was to conduct a psycho-social group intervention consisting of 3 parts, educate patients on methods to cope with stress and solve problems, hold group discussions and practice progressive muscle relaxation (PMR) for cancer patients, and investigate the way that group dynamics work in psycho-social group interventions in Japan.
Three facilitators and 2 sub-facilitators who conducted the group intervention for breast cancer patients were qualitatively and inductively analyzed using a phenomenological approach.
As a result, "hard effort," "harmony of the whole group" and "collaboration between therapists" were extracted as the partnership functions of participants that work on the creation of group dynamics in psycho-social group interventions. There was a structure in which "harmony of the whole group" and "collaboration between therapists" coexisted based on the basic attitude of "hard effort."
It was considered that these 3 intervention forms are involved in group dynamics in which participants can easily hold discussions, and are techniques necessary for group intervention contributing to changes in the psychological distress and the coping of participants.
本研究的目的是开展一项由三个部分组成的心理社会小组干预，即对癌症患者进行应对压力和解决问题方法的教育、组织小组讨论并练习渐进性肌肉松弛（PMR），并探究在日本的心理社会小组干预中群体动力发挥作用的方式。
采用现象学方法对三名主持者和两名协助主持者进行定性和归纳分析，他们对乳腺癌患者进行了小组干预。
结果表明，“努力拼搏”“群体整体和谐”和“治疗师之间的协作”被提炼为参与者的伙伴关系功能，这些功能在心理社会小组干预中对群体动力的形成发挥作用。基于“努力拼搏”的基本态度，存在一种“群体整体和谐”与“治疗师之间的协作”共存的结构。
据认为，这三种干预形式参与到了能让参与者轻松进行讨论的群体动力之中，并且是有助于参与者心理困扰的改变和应对的小组干预所必需的技巧。
