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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
B 看護学部 = School of Nursing >
福島県立医科大学看護学部紀要 = Bulletin of Fukushima Medical University School of Nursing >
No.25 (2023-03) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/1978

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Title: 胃がん術後患者の身体症状とセルフケア能力の関連
Other Titles: Relationship between physical symptoms and self-care ability in postoperative gastric cancer
Authors: 野口, 明日香
佐藤, 冨美子
佐々木, 康之輔
吉田, 詩織
山村, 明寛
井本, 博文
杉沢, 徳彦
田中, 直樹
Affiliation: 成人・老年看護学部門
Source title: 福島県立医科大学看護学部紀要
Volume: 25
Start page: 1
End page: 10
Issue Date: Mar-2023
Abstract: 本研究は,胃切除術後患者の身体症状とセルフケア能力との関係を明らかにすることを目的とした.A大学病院外来通院中の胃切除術後患者57名を対象に,上部消化管がん患者の術後機能障害を査定する尺度及びセルフケア能力尺度を用いた無記名の自記式質問紙調査を実施した.有効回答は51部であった.術後に頻繁に生じていた身体症状は下痢障害19名(37.0%),活動力障害18名(35.0%)の順に多かった.セルフケア能力は,健康に関心を向ける能力,体調を整える能力が高かった.セルフケア能力と術後身体症状との関連は,健康のために選択する能力(rs =- .34;p < .05),生活を続ける能力(rs =- .32;p < .05),支援してくれる人をもつ能力(rs =- .42;p < .01)の得点がそれぞれ高いほど,活動力障害の得点は有意に低かった.胃がん術後患者が困難を抱える身体症状を軽減するためには,患者が自身のライフスタイルに合った健康管理方法を見つけ,それを選択し,継続して実施していけるようにセルフケア支援を行う必要性が示唆された.そのためには,患者個々の背景をふまえ,術後予測される症状を早期から説明し,入院前外来から退院後にかけて長期間にわたり継続したセルフケア支援を行うことが必要である.
The objective of this study was to clarify the relationship between physical symptoms and self-care ability of postgastrectomy patients. Fifty-seven post-gastrectomy patients attending the outpatient clinic of the Department of General Surgery at the A University Hospital underwent an anonymous self-administered questionnaire survey regarding postoperative physical symptoms and self-care abilities. The number of valid responses was 51. In postoperative physical symptoms, frequency of diarrhea disorder and activity disorder were high. In self-care ability, “ability to pay attention to health” and “ability to regulate physical condition” were high. In order to alleviate the physical symptoms that patients have after gastric cancer surgery, it may be necessary to provide self-care support so that patients themselves can find a health management method that suits their lifestyle, and continue to implement it. To that end, based on the patient's background, the symptoms predicted after surgery should be explained to them from an early stage. It is necessary to provide continuous self-care support for a long period from pre-admission outpatient to after discharge.
Publisher: 福島県立医科大学看護学部
language: jpn
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/1978
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1978/1/BullFMUSchNurs_25_p1.pdf
ISSN: 1344-6975
Rights: © 2023 福島県立医科大学看護学部
Appears in Collections:No.25 (2023-03)

Files in This Item:

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BullFMUSchNurs_25_p1.pdf1.04 MBAdobe PDFDownload

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