Japanese

Title	胃がん術後患者の身体症状とセルフケア能力の関連
Subtitle	原著
Authors	野口明日香1), 佐藤冨美子2), 佐々木康之輔3), 吉田詩織3), 山村明寛4), 井本博文4), 杉沢徳彦4), 田中直樹4)
Authors (kana)
Organization	1)東京医科歯科大学病院看護部, 2)福島県立医科大学看護学部成人・老年看護学部門, 3)東北大学大学院医学系研究科がん看護学分野, 4)東北大学大学院医学系研究科消化器外科学分野
Journal	福島県立医科大学看護学部紀要
Volume
Number	25
Page	1-10
Year/Month	2023 / 3
Article	原著
Publisher	福島県立医科大学看護学部
Abstract	「要旨」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.
Practice	看護学
Keywords	胃がん, 術後身体症状, セルフケア能力, Gastric cancer, postoperative physical symptoms, self-care ability

English

Title	Relationship between physical symptoms and self-care ability in postoperative gastric cancer
Subtitle
Authors	Asuka NOGUCHI1), Fumiko SATO2), Konosuke SASAKI3), Shiori YOSHIDA3), Akihiro YAMAMURA4), Hirofumi IMOTO4), Norihiko SUGISAWA4), Naoki TANAKA4)
Authors (kana)
Organization	1)Tokyo Medical and Dental University, Nursing Department, 2)Department of Adult and Gerontological Nursing, Fukushima Medical University, School of Nursing, 3)Department of Oncology Nursing, Tohoku University Graduate School of Medicine, 4)Department of Surgery, Tohoku University Graduate School of Medicine
Journal	Bulletin of Fukushima Medical University School of Nursing
Volume
Number	25
Page	1-10
Year/Month	2023 / 3
Article	Original article
Publisher	Fukushima Medical University School of Nursing
Abstract	[Abstract] The objective of this study was to clarify the relationship between physical symptoms and self-care ability of post-gastrectomy 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.
Practice	Nursing
Keywords	Gastric cancer, postoperative physical symptoms, self-care ability

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