JaLCDOI 10.18926/15241
Title Alternative Investigation of Quality of Life in Kidney Transplant Recipients
FullText URL 012_1_037_044.pdf
Author Hayashi, Yuko| Nakanishi, Yoshiko| Watanabe, Kumi| Kanao, Naomi| Hoshina, Eiko|
Abstract 腎移植は,レシピエントのQOLを高めることで期待される治療法であるが,移植後の拒絶反応や合併症,あるいはそれらに伴う心理社会的問題などによって移植後のQOLに影響を及ぼす危険性を孕んでいる。本研究では,腎移植後レシピエントのQOL向上を目指した看護援助を検討するために,移植後のQOLに影響すると考えられる移植を受けた理由やそのときの気持ち,ローカスオブコントロールをとりあげた。本研究の目的は,そのようなレシピエントの背景がQOLとどのように関係しているのかを明らかにすることである。対象者は研究の同意を得た腎移植後のレシピエント119名であり,人生に対する感じ方,移植を受けた理由やそのときの気持ち,ローカスオブコントロール,QOLなどについて自己報告調査を行った。その結果,レシピエントは移植後に何らかの身体症状や合併症が生じていても,81%の者が人生を肯定的に感じていた。そして,生活を充実させたいとして移植を受けた者が,また,ローカスオブコントロールの内的統制傾向が強い者ほどQOLを高める傾向にあった。したがって,看護婦はQOLに影響を及ぼすレシピエントの背景を加味して,移植前から適切な看護援助を行う必要性が示唆された。
Abstract Alternative Kidney transplantation is a cure which improve quality of life of kidney disease patients. It is important to note, however, that kidney transplantation is not a complete cure because it will not prevent kidney diseases from recurring, thereby producing new physical and psychosocial problems for the recipients. The purpose of this study is to identify the relationship between their quality of life and the recipients' background that may influence the recipients' quality of life. One hundred nineteen recipients responded to our questionnaires which included reason for undergoing the transplantation, how to feel own life, locus of control, quality of life, and so on. The following results were obtained : 81% of the recipients reported that they were feeling positive about life. The recipients, who are undergoing the transplantation to want to live life to the full and having internal locus of control, promoted their sense of good quality of life. It is therefore considered important to initiate nursing intervention before the transplantation, based on some recipient's background.
Keywords 腎移植 (Kidney transplantation) 人生に対する感じ方 (How to feel own life) 移植を受けた理由 (Reason for undergoing transplantation) ローカスオブコントロール (Locus of control) QOL
Publication Title 岡山大学医学部保健学科紀要
Published Date 2001-12-25
Volume volume12
Issue issue1
Start Page 37
End Page 44
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307735
JaLCDOI 10.18926/15270
Title Alternative Relationships between the QOL components in kidney posttransplant recipients and their demographic characteristics
FullText URL 009_1_009_014.pdf
Author Hoshina, Eiko| Hayashi, Yuko| Nakanishi, Yoshiko| Kanao, Naomi| Watanabe, Kumi|
Abstract 本研究の目的は,レシピエントのQOL向上を目指した看護援助を行っていく上で,考慮すべきレシピエントの属性を明らかにすることである。腎移植を受けたレシピエント329名を対象に,QOL(Ferrans and PowersのQuality of Life Index-kidney transplant version)及びレシピエント属性を分析した。その結果,QOL構成要素別に見た考慮すべき属性は,①『社会・経済的な機能』,『家族の絆』,『情緒的な支え』,『安らぎと幸福』における年齢。②『社会・経済的な機能』,『家族の絆』,『情緒的な支え』,『安らぎと幸福』における婚姻状況。③『社会的・経済的な機能』,『身体の健康』における就労状況。④『情緒的な支え』における移植後年数。⑤『家族の絆』,『情緒的な支え』,『安らぎと幸福』における性別。⑥『安らぎと幸福』におけるドナー腎の種類であった。
Abstract Alternative This study analyzed the relationships between QOL components in kidney posttransplant recipients and their demographic characteristics. The subjects were 329 resipients receiving a kidney transplant. QOL was analyzed using the Ferrans and Powers QLI kidney transplant version. Recipient's age, gender, marital status, job status, time since transplant, and type of kideny transplant were related to the QOL components. We believe that the findings are useful to provide information which must be considered, caring kidney posttransplant recipients.
Keywords 腎移植 (kidney transplant) QOL構成要素 (QOL components) レシピエント属性 (recipient demographic characteristics)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1998-09-30
Volume volume9
Issue issue1
Start Page 9
End Page 14
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307758
JaLCDOI 10.18926/15248
Title Alternative Analysis of six cases of renal transplant recipients havingcomplaints about transplanted kidney and medical care.
FullText URL 009_1_001_007.pdf
Author Nakanishi, Yoshiko| Hayashi, Yuko| Kanao, Naomi| Watanabe, Kumi| Hoshina, Eiko|
Abstract これまで、腎移植者のQOLの向上をめざした系統的アプローチを看護援助モデルを基に検討してきた。そして現在、腎移植者に対する効果的かつ具体的な看護介入について検討を進めている。本研究では、移植された腎臓と受けている医療に不満を抱く腎移植者6名の事例分析を基に、腎移植者への看護的関わりを検討した。その結果、この6名の移植者が抱く不満は、身体状態、責任を果す能力と周囲のサポート、自己実現と人生観、仕事と経済的自立、家族との関係の5つのカテゴリーに分類された。そして、6名に共通する不満は、身体状態の問題に起因した健康に対してであった。また、生体腎移植者はすべて家族に対する役割や他人に対する社会的役割の達成について不満を抱いていた。そして、男性の移植者は、周囲からのサポートに満足していなかった。これらのことは、腎移植者のQOL向上に向けた看護介入を具体化する上で最も考慮すべき要点であることが明らかとなった。
Abstract Alternative The purpose of our nursing study is to know how we can improve QOL (Quality of Life) of renal transplant recipients. Our study uses nursing intervention. Now we examine effective nursing intervention necessary for improving this QOL. The result of this study comes from analyzing the cases of six renal transplant recipients. They had some complaints about their transplanted kidney and medical care. Depending on this analytical result, we examined renal transplant nursing. As a result, the following five items became clear concerning the complaints of these six recipients. Those were, (1) physical state, (2) ability to achieve their responsibility and social support, (3) self-realization and their view of life, (4) work and their economic independence, (5) relation to their family. These six recipients' physical states were in bad condition and had complaints about their health. All of the living donor kidney transplant recipients had complaints about the role in their family and their social role to others. Male transplant recipients were not satisfied with the social support. These analytical results are important for our nursing to improve QOL of renal transplant recipients.
Keywords QOL (quality of life) 腎移植者 (renal transplant recipient) 健康状態 (health) サポート (social support) 看護的アプローチ (nursing approach)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1998-09-30
Volume volume9
Issue issue1
Start Page 1
End Page 7
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307915
JaLCDOI 10.18926/15287
Title Alternative Food intake and nutrients intake of nursing student.
FullText URL 008_1_077_084.pdf
Author Hoshina, Eiko| Ohta, Niwa| Ohta, Takeo|
Abstract 1993年及び1994年度の本短期大学部看護学科の2年次生145名を対象に, 1日の摂取食品調査を行い,摂取食品数,栄養摂取量,栄養素等充足率を求めた。これらの分析の結果,以下の結論を得た。1.全体の平均充足率のバランスは,食物繊維が低く,ビタミンA,ビタミンCが高い値を示した。2.摂取食品数と栄養素等との相関は低かったが,食品数を2群に分けて比較すると,食品数多群でエネルギー,鉄,ビタミンC,食塩の摂取量が有意に多かった。3.充足率の低かった食物繊維とビタミンAは相関があり,また食物繊維の充足率の低い学生は,カルシウム,鉄の充足率が低い傾向にあった。4.自宅生と下宿生の比較では,差は見られなかった。これらの改善には,栄養素等の不足を効果的に補える食品の選択や,若い世代の嗜好や生活にあった食習慣形成のための情報提供が必要である。
Abstract Alternative A questionnaire survey on daily food intake was conducted to assess the food intake,the nutritional intake and fulfilling rate of nutrients in 145 second-years students of School of Health Sciences, Okayama University, in 1993 and 1994. The following results were obtained. 1. The mean fulfilling rate was low for dietary fiber, while it was high for vitamin A and vitamin C. 2. There were low correlation between the number of foods and any specific nutrient. Intakes of energy,iron, Vitamin C and salt were significantly higher in students taking a large number of foods than those taking a small number of foods. 3. There was a correlation between the intake of dietary fiber and that of vitamin A. Students with a low fulfilling rate of dietary fiber tended to have low fulfilling rate of calcium and iron. 4. There were no differences between students living with their parents and those living alone. Food intake should be decided effectively to correct nutritional imbalance in students. It is necessary to inform young people how to form dietary habits corresponding to their taste and life-style.
Keywords 看護学生 (nursing students) 食品摂取量 (food intake) 栄養摂取量 (nutrients intake)
Publication Title 岡山大学医療技術短期大学部紀要
Published Date 1997-09-10
Volume volume8
Issue issue1
Start Page 77
End Page 84
ISSN 0917-4494
language 日本語
File Version publisher
NAID 120002307669
JaLCDOI 10.18926/11710
Title Alternative Student nurses' understanding about improvement in dietary habit through their practices
FullText URL 010_2_117_122.pdf
Author Ohta, Niwa| Hayashi, Yuko| Ohta, Takeo| Hoshina, Eiko| Narusaka, Miwako|
Abstract 看護学生が自己の体験を通じて得た食習慣の改善や患者教育に関する考えを明らかにした。短大看護学科2年生84人を対象に自記式アンケート調査を行い,19歳~21歳の学生73名について分析を行った。栄養学の学習を終えた学生に通常の1日分の栄養摂取量を計算させ,それをもとにそれぞれの食習慣改善計画を立てさせ実行させた。1ヵ月後,再度摂取量の計算をさせて,前回の結果との比較の上で,自分の体験の評価をさせた。その結果,学生が主に考えたことは以下の3点に集約された。①食品の求めやすさや調理の方法の簡単さが食習慣の改善には重要である。②食習慣の改善が困難となるのは,知識の不足や意志の持続性と関連することである。③食習慣の改善の動機づけになるのは,そのことの意義を知ったり,自分の栄養摂取量を点検することである。学生は,食習慣の改善の困難さや容易さおよび患者の栄養指導における留意点について理解していた。
Abstract Alternative Self-administrative questionnaire surveys were conducted twice for 84 junior college students in 1997 and data of 73 students aged 19 to 21 years old obtained were analyzed. Students who had already learned basic dietetics were asked to calculate by themselves one-day nutritional intake, to plan how to improve their dietary habit following their data calculated and to practice those plans. One month later, they calculated the daily intake again and compared it to previous data, and described the results of their practices. Results were as follows ; 1. Easiness of purchasing materials and preparing foods is a key to improve dietary habits readily. 2. A lack of knowledge in nutrition and/or discontinuous intention are bottlenecks in improving the dietary habit. 3. For successful improvement of dietary habit, they must be motivated by the explanation of the significance of dietary improvements, self-monitoring of nutritional states. These results suggested that through this practical study, students could learn not only what things were easy and difficult in improving the dietary habits, but also what they should pay attention to in improving the dietary habit and in orienting other person's nutritional improvement.
Keywords 看護学生 (Student nurse) 栄養 (nutrition) 食習慣の改善 (dietary habit improvement) 学生の体験 (practice)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2000-03-24
Volume volume10
Issue issue2
Start Page 117
End Page 122
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002313818
JaLCDOI 10.18926/11717
Title Alternative 因果関係モデルによる腎移植レシピエントのQOLの分析
FullText URL 010_2_077_084.pdf
Author Hayashi, Yuko| Kanao, Naomi| Nakanishi, Yoshiko| Watanabe, Kumi| Hoshina, Eiko|
Abstract The purpose of this study is to analyze the structural relationship among the components of quality of life of kidney transplant recipients by using a causal model. The subjects were 329 recipients who had regular checks-up following transplantation in seven general hospitals in Tokyo, Gunma, Aichi, Okayama, and Hiroshima, and agreed to participate in this study. Ferrans and Powers's Quality of Life - Index Kidney Transplant version was used to measure perceived quality of life. The self-administered questionnaires were handed over to the subjects, who completed the instrument on the spot. After that, the answers were collected immediately. The factor analysis and the covariance structure analysis were used to make clear the structural relationship among the components of quality of life. The results of data analysis were as follows : (1) Five components of quality of life were extracted ; socio-economic functioning, family ties, emotional support, physical health, and peace & happiness. (2) The scores in the family ties dimension and the physical health dimension were higher than in the others, and the score in the socio-economic functioning dimension was the lowest. (3) The physical health showed the starting point in a causal model. (4) The physical health influenced the family ties and the socio-economic functioning. (5) The socio-economic functioning strongly influenced the peace & happiness and the emotional support. (6) The family ties influenced the socio-economic functioning, the emotional support, and the peace & happiness. Therefore, it was conceivable that it was particularly important to make approaches for the physical health, the family ties, and the socio-economic functioning dimensions to improve quality of life.
Abstract Alternative 本研究は,因果関係モデルによって,腎移植後レシピエントのQOLの構成要素間の関係を明らかにすることを目的としている。対象者は,東京,群馬,愛知,岡山,広島の7医療機関に外来通院中で,研究に同意が得られた329名の腎移植後のレシピエントである。レシピエントのQOLに関するデータは,Ferrans&PowersのQuality of Life Index―Kidney Transplant versionの測定用具を用いて収集した。収集は外来受診時に行い,対象者に自己記入式質問紙を配布し,その場で記入してもらった後,直ちに回収した。データ分析は,QOLの構成要素と構成要素間の因果関係を明らかにするために,因子分析と共分散構造分析を行った。分析結果は以下の通りである。すなわち、(1)QOLの構成要素として,社会・経済的な機能,家族の絆,情緒的な支え,身体の健康,安らぎと幸福の5つが抽出された。(2)「家族の絆」と「身体の健康」についての得点が高く,「社会・経済的な機能」についての得点が最も低かった。(3)因果関係モデルにおいて,「身体的な健康」が原点となっていた。(4)「身体的な健康」は,「家族の絆」と「社会・経済的な機能」に影響を及ぼしていた。(5)「社会・経済的な機能」は,「安らぎと幸福」と「情緒的な支え」に強く影響を及ぼしていた。(6)「家族の絆」は,「社会・経済的な機能」,「情緒的な支え」,「安らぎと幸福」に影響を及ぼしていた。したがって、レシピエントのQOLを高めるために,「身体的な健康」,「家族の絆」,「社会・経済的な機能」の側面に働きかけていくことが特に重要であると考えられた。
Keywords 腎移植のレシピエント (kidney transplant recipient) QOLの構成要素 (components of quality of life) QOLのパスダイアグラム (path diagram of quality of life)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2000-03-24
Volume volume10
Issue issue2
Start Page 77
End Page 84
ISSN 1345-0948
language 英語
File Version publisher
NAID 120002313658