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Japanese
Title :
神経難病患者の主観的QOL, ADL, 自己効力感の関連性
Subtitle :
原著
Authors :
大曲純子1), 大田明英2)
Authors (kana) :
Organization :
1)活水女子大学 看護学部, 2)佐賀大学 医学部
Journal :
活水論文集 看護学部編
Volume :
4
Number :
Page :
13 - 22
Year/Month :
2017 / 3
Article :
原著
Publisher :
活水女子大学
Abstract :
「要旨」 神経難病患者において, 主観的QOLに影響を与える要因を明らかにすることを目的とし, 神経難病患者(パーキンソン病・脊髄小脳変性症・重症筋無力症)199名に対して, 基本属性のほか主観的QOL, ADL, 自己効力感(質問紙調査)を調べた. その結果ADL, 自己効力感は主観的QOLに有意に相関していた. 主観的QOLを高値群, 低値群に分けて比較した場合, QOL高値群には仕事がある者が多く, またADLが低い群では, QOL高値群で同居者ありが有意に多かった. 重回帰分析の結果では, 主観的QOLに影響する要因として, 自己効力感がもっとも大きく, 次いでADL, 同居者ありの項目が抽出された. 神経難病患者の主観的QOL向上のためには自己効力感やADLの維持・向上が大切である. 特にADLが低下しても自己効力感を向上する支援を行うことが主観的QOLの改善には重要である.
Practice :
看護学
Keywords :
神経難病患者, 主観的QOL, 自己効力感, ADL, patients with a neurodegenerative disease, Subjective Quality of Life (QOL), Activities of Daily Living (ADL), self-efficacy
  
English
Title :
Factors affecting the subjective QOL of patients with a neurodegenerative disease : The relationship between subjective QOL, ADL and self-efficacy
Subtitle :
Original Article
Authors :
Junko Omagari1), Akihide Oota2)
Authors (kana) :
Organization :
1)活水女子大学 看護学部, 2)佐賀大学 医学部
Journal :
Kwassui Bulletin. Faculty of Nursing
Volume :
4
Number :
Page :
13 - 22
Year/Month :
2017 / 3
Article :
Original article
Publisher :
Kwassui Women's University
Abstract :
[Abstract] In order to ascertain factors affecting the subjective QOL of patients with a neurodegenerative disease, the current study examined demographic characteristics of 199 patients with a neurodegenerative disease (Parkinson's disease, spinocerebellar degeneration, or myasthenia gravis) as well as their subjective QOL, ADL, and self-efficacy (via questionnaire). Results indicated that ADL and self-efficacy were significantly correlated with subjective QOL. Patients were divided into those who described themselves as having a high QOL and those who described themselves as having a low QOL, and the 2 groups of patients were compared. More of the patients who described themselves as having a high QOL were working. Among patients with a low ADL score, those who described themselves as having a high QOL were significantly more often living with someone else. Multiple regression analysis identified an extremely high level of self-efficacy, followed by ADL and then living with someone else, as factors that affected one's subjective QOL. Sustaining and increasing the self-efficacy and ADL of patients with a neurodegenerative disease is crucial to improving their subjective QOL. Support to increase the self-efficacy of patients is crucial to improving their subjective QOL even if their ADL are limited.
Practice :
Nursing
Keywords :
patients with a neurodegenerative disease, Subjective Quality of Life (QOL), Activities of Daily Living (ADL), self-efficacy
  

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