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International Journal of Nursing & Clinical Practices Volume 3 (2016), Article ID 3:IJNCP-172, 10 pages
http://dx.doi.org/10.15344/2394-4978/2016/172
Research Article
The Meaning of Relocation among Aging Hansen's Disease Survivors in Japan

Mikuni Oyabu1, Hitomi Yamada1, Rie Nishimoto1, Maki Sanada1, Kyoko Tsukimori1 and Makiko Kondo2*

1National Sanatorium Oshima Seisho-en
2Graduate School of Health Sciences, Okayama University, 2-5-1 Shikata, Kita-ku, Okayama 700-8558, Japan
Dr. Makiko Kondo, Graduate School of Health Sciences, Okayama University, 2-5-1 Shikata, Kita-ku, Okayama 700-8558, Japan, Tel: +81-86-235-6890; E-mail: mkondo@cc.okayama-u.ac.jp
04 January 2016; 02 March 2016; 04 March 2016
Oyabu M, Yamada H, Nishimoto R, Sanada M, Tsukimori K, et al. (2016) The Meaning of Relocation among Aging Hansen's Disease Survivors in Japan. Int J Nurs Clin Pract 3: 172. doi: http://dx.doi.org/10.15344/2394-4978/2016/172
This work was supported by JSPS KAKENHI Grant Number 15K15797.

Abstract

Purpose: To clarify the meaning of relocation among aging Hansen’s disease survivors; to discuss care aiming to manage the negative effects of relocation and promote adaptation to new dwellings.
Methods: 1) Participants: Hansen’s disease survivors who intended to move house within B sanatorium in Japan. 2) Data collection methods: Semi-structured interviews. 3) Data analysis: Qualitative and inductive analysis.
Results: Five categories of meaning regarding relocation were extracted from survivors’ responses: 1. The burden of relocation after the community’s power of mutual aid and mobility had failed due to aging; 2. The burden of creating new strategies to live with multiple severe sequelae in a new environment; 3. Displeasure at the disruption of routines; 4. Dissatisfaction with the decision-making process regarding structuring the building and rooms’ layout; 5. Thinking positively to accept moving house and enjoying the new environment.
Conclusion: The following points are important: 1) Patients’ living environment can affect both the occurrence and management of Hansen’s disease sequelae; 2) Hansen’s disease survivors have multiple requirements of their living environment in order to manage multiple severe sequelae; 3) Patients who have lost their sight create mental maps of their living environment; relocation entails the loss of these maps.