Thesis or Dissertation 未治療の未破裂脳動脈瘤を持つ人の病気の不確かさとその関連要因

林, 幸子

pp.1 - 27 , 2015-09-30
未治療の未破裂脳動脈瘤(Unruptured lntracranial Aneurysm;以下UIA)を持つ人の病気の不確かさ(Mishel,1988)とその関連要因を明らかにすることを目的に,未治療のUIAをもつ165名を対象に【療養の場を問わず使用できる病気の不確かさ尺度(以下,病気の不確かさ尺度)】を用いて自記式質問紙調査を実施した.その結果,【病気の不確かさ尺度】全体の平均得点は72.06±22.86であった.【病気の不確かさ尺度】を従属変数,『基本属性』,『不確かさの先行要因』,『ストレス対処能力』を表す【SOC3-UTHS】,『社会資源』,『不確かさに対するコーピング』を独立変数として単変量解析を行い,有意な関連が認められた【SOC3-UTHS】,「情緒的サポート(同病者)」など7つの変数を用いてカテゴリカル回帰分析を行った.その結果,未治療のUIAを持つ人の病気の不確かさの40.8%が説明された.UIA患者がUIAの存在を知った意味を見出せるように支援することや,同病者と体験や思いを共有できる環境を整える必要性が示唆された.
As the purpose of this study was to clarify “uncertainty in illness”(Mishel, 1988) and its factors related to untreated unruptured intracranial aneurysms (UIA), the Universal Uncertainty in Illness Scale (UUIS) was used in a self-reported questionnaire that was distributed to 165 patients having untreated UIA. As a result, the average total-UUIS score was 72.06±22.86. A univariate analysis was conducted with UUIS as the dependent variable and the five independent variables of basic attributes, antecedent variables of uncertainty, social resources, and coping with uncertainty, and SOC3-UTHS which represents the sense of coherence. A categorical regression analysis was conducted using seven variables that found statistically significant correlations between the univariate analysis, such as SOC3-UTHS and emotional support from others with the same disease. As a result, these factors explained 40.8% of uncertainty in illness in the subjects. The data suggested the necessity of nursing support for UIA patients to facilitate finding awareness of UIA and create an environment where they can share their experiences and feelings with people suffering from the same disease.

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