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心疾患患者の退院後におけるQOLに影響する要因の検討
島田, 詩絵奈;小野, 加奈;佐藤, 三穂
Permalink : http://hdl.handle.net/2115/72186
JaLCDOI : 10.14943/86526
KEYWORDS : 心疾患;QOL;MacNew;自己管理行動;縦断調査;heart disease;quality of life;self-management;longitudinal study
Abstract
本研究は心疾患患者のQOLに影響する要因について明らかにすることを目的とした。札幌市内A病院に入院している心疾患患者59名を対象とした。退院時と退院後２週間を目安に無記名自記式質問紙を配布し、28部の有効回答を得た（回収率47.5％）。調査票及び診療録より、基本属性、疾患特性、退院時における心配事、セルフケア実施状況、QOLを調査した。分析は、単純集計後、QOLを従属変数としてMann-WhitneyのU検定を行った。対象集団は男性23名、女性５名、平均年齢67.9歳であった。QOLは、性別や年齢により差はなかった。またQOLとセルフケアには関連はみられなかった。しかし、同居者の有無でQOLの得点に有意差がみられた。また、退院時における心配事のうち【心臓疾患の再発・悪化】において心配事がある群がQOLの総得点、身体面、社会面の得点が有意に高かった。今後これらがQOLに関連を与えるメカニズムを明らかにしていくことが必要である。
The purpose of this study is to clarify the influence factor to the QOL of the heart disease patients. We carried out anonymous self-reported questionnaire survey on 2 occasions, at the time of discharge and at the first outpatient appointment at approximately two weeks after discharge. In the first survey, we asked patients what kind of concerns about daily life after discharge and we also collected patient's background from medical record. In the second survey, we asked the self-care behaviors as well as QOL using "MacNew Heart Disease Health Related Quality of Life Questionnaire". We obtained the following results and conclusions. QOL did not have any differences by sex and age. However, the patients who live alone have higher QOL than the patients who live with someone. QOL did not correlated to self-care behaviors. The patients who were worried about recurrence or aggravation of the heart problem in future at the time of discharge have higher QOL than those who were not. It is suggested that there is the need to clarify the mechanism that these factors will affect the QOL.
The purpose of this study is to clarify the influence factor to the QOL of the heart disease patients. We carried out anonymous self-reported questionnaire survey on 2 occasions, at the time of discharge and at the first outpatient appointment at approximately two weeks after discharge. In the first survey, we asked patients what kind of concerns about daily life after discharge and we also collected patient's background from medical record. In the second survey, we asked the self-care behaviors as well as QOL using "MacNew Heart Disease Health Related Quality of Life Questionnaire". We obtained the following results and conclusions. QOL did not have any differences by sex and age. However, the patients who live alone have higher QOL than the patients who live with someone. QOL did not correlated to self-care behaviors. The patients who were worried about recurrence or aggravation of the heart problem in future at the time of discharge have higher QOL than those who were not. It is suggested that there is the need to clarify the mechanism that these factors will affect the QOL.
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