在宅酸素療法施行患者の障害受容と抑うつの影響要因

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The purpose of this study was to clarify the factors which affect the acceptance of disability and depression of home oxygen therapy (HOT) patients. Subjects consisted of 74 male and 29 female HOT patients, for a total of 103 subjects with chronic respiratory problems. The mean age was 72.1 years (SD =9.3). A questionnaire survey consisting if the following independent variables 1) demography factor 2) disease specific factor 3) psycho-sociological factor was implemented. The Linkowski AD scale was used to assess the acceptance of disability and the CES-D scale for the assessment of depression. Multiple regression analysis was applied in order to extract the factors which affect acceptance of disability and depression. The following are the results. The psycho-sociological factor items`depression (β = - . 273)', `interpersonal exchange with individuals other than family members (β= .270)', `the range of activity (β= .203)' were found to be significant variables influencing the acceptance of disability, accounting for 48.3% of the explained variance. As for the factors influencing depression, the demographic factor item'age (β = - .174)', disease specific factor item`dyspnea (β = . 284)', psycho -sociological factor items`being worried about oxygen inhalation in public (β= .218)', `mental support from family (β= - . 228)', `interpersonal exchange with individuals other than family members (β =-.205)', `the degree of exchange with individuals with the same disease (β=-.170)' `the range of activity (β= - .201)' were found to be significant variables accounting for 48.9% of the explained variance. For acceptance of disability and get over depression, we suggest the importance of the intervention for keep a sociality.
2005-07-25

著者

松岡緑
大分大学医学部看護学科

在宅酸素療法施行患者の障害受容と抑うつの影響要因

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